ATI RN
Client Health and Safety Specifications Questions
Question 1 of 5
Which nursing behavior will enhance the establishment of a trusting relationship with a client diagnosed with schizophrenia?
Correct Answer: B
Rationale: The correct answer is B: Being reliable. Trust is crucial in the nurse-client relationship. Being reliable means consistently following through with commitments, which helps build trust with a client diagnosed with schizophrenia. This consistency provides a sense of security and predictability for the client, reducing anxiety and fostering trust. Establishing personal contact with family members (A) may not directly impact the client's trust in the nurse. Being honest (C) is important, but alone may not be sufficient for trust-building. Consistency during interactions (D) is important, but being reliable encompasses more than just consistency, as it also involves dependability and trustworthiness.
Question 2 of 5
The patient has just been told that he has cancer. When the nurse assesses the patient at shift change, his heart rate and respirations are elevated. What type of response is this to stress?
Correct Answer: C
Rationale: The correct answer is C: Physiologic. When the patient's heart rate and respirations are elevated in response to stress, it indicates a physiological response. This is the body's natural reaction to stress, known as the fight-or-flight response. The sympathetic nervous system is activated, leading to increased heart rate and respirations to prepare the body to respond to the perceived threat. Somatic response (choice A) refers to physical sensations in the body, not the autonomic physiological response. Neurologic response (choice B) involves the nervous system's role in transmitting signals, but it does not specifically address the physiological changes observed in this scenario. Psychological response (choice D) refers to emotional and cognitive reactions, which are distinct from the physiological changes seen in the patient's heart rate and respirations.
Question 3 of 5
Which of the following are nursing care guidelines when preparing a body for the morgue? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B because leaving the hospital ID band in place ensures proper identification of the deceased individual. This step is crucial to prevent any mix-ups or confusion. Assessing vital signs (A) is unnecessary as the person is already deceased. Checking the death certificate (C) is not a nursing responsibility. Following institutional policies (D) is important but not specific to preparing the body for the morgue.
Question 4 of 5
A patient has pitting pedal edema, crackles, and an elevated blood pressure. The nurse concludes that the patient has fluid volume excess. Which type of reasoning did the nurse use?
Correct Answer: B
Rationale: The correct answer is B: Inductive reasoning. The nurse observed specific signs and symptoms (pitting pedal edema, crackles, elevated blood pressure) and made a general conclusion (fluid volume excess). Inductive reasoning involves drawing general conclusions from specific observations. The nurse did not use theoretical reasoning (A), as she did not rely on abstract principles. Deductive reasoning (C) involves drawing specific conclusions from general premises, which was not the case here. Conceptual reasoning (D) involves understanding abstract concepts, not directly applicable in this scenario. In summary, the nurse used inductive reasoning by inferring fluid volume excess based on specific clinical findings.
Question 5 of 5
Which step of the nursing process involves setting long-term goals and short-term expectations?
Correct Answer: B
Rationale: The correct answer is B: Planning. In the nursing process, Planning involves setting long-term goals and short-term expectations based on the assessment data gathered in the previous step. This step includes developing a care plan that outlines the interventions needed to achieve the desired outcomes. Assessment (choice A) involves collecting and analyzing data, Implementation (choice C) is the actual carrying out of the care plan, and Evaluation (choice D) involves assessing the outcomes achieved compared to the goals set during the planning phase. Planning is essential for effective nursing care as it guides the interventions and ensures the patient's needs are addressed appropriately.