ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 of 5
Which best describes a protective covering of the body, composed of both living and dead skin?
Correct Answer: A
Rationale: The skin's protective covering comprises the dermis and epidermis . The epidermis, with dead outer cells, shields against pathogens and damage, while the living dermis below supports it with blood vessels and nerves. Tendons and ligaments connect muscles and bones, not a covering. Veins and arteries transport blood internally, not externally protective. Subcutaneous and muscle lie beneath skin, providing insulation and movement, not the surface barrier. As the integumentary system's core, dermis and epidermis align with PSW skin care knowledge, making it the correct description.
Question 2 of 5
A client is on complete bed rest. To prevent a bedsore a caregiver should:
Correct Answer: B
Rationale: Bedsores (pressure ulcers) stem from pressure on skin during immobility. Keeping the bottom sheet wrinkle-free reduces friction and pressure points, a primary prevention step in PSW care. Tucking the top sheet snugly increases pressure, worsening risk. Cotton sheets aid comfort but don't prevent sores alone. Thick pads may help but aren't standard without specific orders. Guidelines like NPUAP's emphasize smooth bedding, making 'Keep the bottom sheet wrinkle free' the correct and practical choice.
Question 3 of 5
Mr. Griffin touches the support worker in an inappropriate way while care is being provided. What appropriate immediate action should be taken by the support worker?
Correct Answer: A
Rationale: Inappropriate touching requires a calm, professional response. Telling the client it's uncomfortable and asking him to stop (Choice A, duplicated as B) sets a boundary respectfully, de-escalating while asserting safety, per PSW conduct guidelines. Slapping and sternness is unprofessional and escalatory. Ignoring and delaying risks further incidents and delays reporting. Immediate, polite communication aligns with training on managing behavior, ensuring dignity and safety, making it the correct initial action.
Question 4 of 5
Which one of the following diets might be ordered for a client with heart disease?
Correct Answer: D
Rationale: Heart disease diets, like for hypertension, often limit sodium to reduce fluid retention and heart strain, making low sodium ideal, per cardiac care guidelines. Sugar-free targets diabetes, not heart directly. High cholesterol or high sodium worsen heart conditions. PSWs implement such diets, and evidence supports low sodium for heart health, making it the correct choice.
Question 5 of 5
The department that plans for activities and socialization is the:
Correct Answer: A
Rationale: The activation and programming department plans activities and socialization in care facilities, enhancing resident well-being, per standard roles. Social services focus on support, not events. Physical therapy aids mobility, not socializing. Speech therapy targets communication. PSWs collaborate with activation for engagement, making it the correct department.