ATI RN
Introduction to Critical Care Nursing 8th Edition Questions
Question 1 of 5
Which of the following nursing actions would be considered a violation of HIPAA regulations? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because it violates the patient's privacy and confidentiality by exposing them inappropriately. HIPAA regulations protect patient privacy, requiring appropriate gowning during ambulation. Choices B and C involve patient care issues, not HIPAA violations. Choice D violates patient privacy but does not involve a direct breach like choice A.
Question 2 of 5
After having an argument with a spouse, which defense mechanism is the patient exhibiting when becoming verbally abusive toward the nurse?
Correct Answer: D
Rationale: The correct answer is D: Displacement. Displacement is the defense mechanism where emotions or impulses are redirected from the original target to a less threatening target. In this scenario, the patient is displacing their anger from their spouse onto the nurse. This is evident by the patient becoming verbally abusive towards the nurse after the argument with their spouse. A: Denial is the defense mechanism where individuals refuse to accept reality. This is not applicable in this situation as the patient is not denying the argument with their spouse. B: Projection is the defense mechanism where individuals attribute their own unacceptable thoughts or feelings onto someone else. This is not the case here as the patient is not attributing their behavior to the nurse. C: Sublimation is the defense mechanism where individuals channel their emotions into more socially acceptable behaviors. This is not relevant in this context as the patient is not channeling their emotions into a constructive outlet.
Question 3 of 5
What type of grief is a client experiencing when a wife is still grieving her deceased husband of five years ago?
Correct Answer: A
Rationale: The correct answer is A: Chronic grief. Chronic grief occurs when an individual experiences long-lasting and unresolved grief over an extended period of time. In this scenario, the wife is still grieving her deceased husband after five years, indicating a prolonged and ongoing grief process. Delayed grief (B) refers to a postponed emotional response, which is not the case here as the grief has been ongoing. Masked grief (C) involves displaying symptoms of grief in other ways, without acknowledging the underlying loss, which is not evident in this situation. Uncomplicated grief (D) refers to a typical, expected response to loss without any complicating factors, which may not be the case for the wife still grieving after five years.
Question 4 of 5
The nurse understands that medication absorption is affected by the administration route. Which route for medications has the fastest absorption rate?
Correct Answer: B
Rationale: The correct answer is B: Intravenous (IV) injection. IV injection delivers medications directly into the bloodstream, bypassing the digestive system for immediate absorption. This route ensures the fastest onset of action as the medication is rapidly distributed throughout the body. Cream applied to the skin (A) undergoes slower absorption through the skin layers. Enteric-coated capsules (C) are designed to dissolve in the intestines, delaying absorption. Subcutaneous injection (D) involves slower absorption compared to IV due to the medication being injected into the fatty tissue under the skin.
Question 5 of 5
When the nurse is administering furosemide 40 mg IV push to a client in congestive heart failure (CHF), what phase of the nursing process does this represent?
Correct Answer: C
Rationale: The correct answer is C: Implementation. This is because administering furosemide 40 mg IV push to a client in CHF is an action that falls under the Implementation phase of the nursing process, where the nurse carries out the planned interventions to help achieve the client's goals. Assessment (A) is the data collection phase, Planning (B) involves setting goals and determining interventions, and Evaluation (D) is the phase where the nurse assesses the effectiveness of the interventions. In this case, actually administering the medication is executing the planned intervention, thus categorizing it under Implementation.