ATI Custom Fundamentals Final Exam Fall 2023 | Nurselytic

Correct Answer: D

Rationale: The correct answer is D: Autonomy. Autonomy is the ethical principle that upholds an individual's right to make their own decisions about their healthcare. In this scenario, the client has expressed their desire to not proceed with the surgery, and the nurse must respect and support this decision in line with the principle of autonomy.


Choice A: Justice refers to fair and equal treatment, but in this case, the client's autonomy takes precedence over justice.

Choice B: Fidelity is about being faithful and keeping promises, but in this situation, the client's autonomy is more important.

Choice C: Veracity relates to truth-telling, which is essential in healthcare, but respecting the client's autonomy is the primary concern.

In summary, the nurse should uphold the ethical principle of autonomy by respecting the client's decision regarding the elective surgery, making choice D the correct answer.

Correct Answer: C

Rationale: The correct answer is C: Facility policy and procedures. This is the most appropriate source for revising the specimen collection protocol as it outlines the specific guidelines and standards that must be followed within the unit. These policies are developed based on evidence-based practices and regulatory requirements, ensuring the safety and accuracy of specimen collection. Material safety data sheets (
A) are more focused on hazardous materials than specimen collection procedures. Client medical records (
B) contain patient-specific information, not general protocols. Evidence-based practice (
D) is important for informing policies but may not provide the specific guidelines needed for specimen collection.

Correct Answer: A

Rationale: The correct answer is A: Collaborator. The nurse is demonstrating the competency of a collaborator by engaging in interdisciplinary teamwork to coordinate the client's care, including inpatient rehabilitation. Collaboration involves working with other healthcare professionals to achieve optimal outcomes for the client. In this scenario, the nurse is actively participating in a team conference to address the client's needs, which aligns with the collaborator competency.

Summary of other choices:
B: Case manager - While case managers also play a role in coordinating care, the focus is more on managing the overall care process rather than collaborating with a team.
C: Nurse manager - Nurse managers are responsible for overseeing nursing staff and unit operations, not specifically coordinating interdisciplinary care.
D: Advocate - Advocacy involves speaking up for the client's rights and needs, but in this case, the nurse is primarily engaging in collaborative teamwork rather than advocacy.

Correct Answer: C

Rationale: The correct answer is C. Documentation in the client's health record allows health care team members to document client care accurately, ensuring continuity of care and communication among team members. It facilitates coordination, evaluation, and planning of care.
Choice A is incorrect because billing is not the primary purpose of documentation.
Choice B is incorrect as it suggests duplication of documentation, which can lead to errors.
Choice D is incorrect as providers do not need to co-sign all nurses' notes.

Correct Answer: B

Rationale: The correct answer is B: TJC provides accreditation to facilities. The Joint Commission (TJ
C) is a non-profit organization that accredits healthcare organizations based on quality and patient safety standards. The accreditation process involves rigorous evaluation of various aspects of healthcare facilities to ensure they meet TJC's standards. Licensure for health care providers (choice
A) is typically issued by state boards, not TJC. TJC is not a for-profit organization (choice
C) but a non-profit entity. TJC does not monitor insurance claims (choice
D); its focus is on evaluating and accrediting healthcare facilities.