ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who recently lost a loved one. The client reports frequent headaches, indigestion, and heart palpitations. Which of the following types of grief is the client likely experiencing?
Correct Answer: B
Rationale: The correct answer is B: Masked grief. The client is likely experiencing masked grief because they are exhibiting physical symptoms such as headaches, indigestion, and heart palpitations instead of openly expressing their emotions related to the loss. This type of grief involves suppressing or avoiding grief, leading to physical manifestations.
A: Chronic grief is characterized by persistent grief over an extended period, not necessarily accompanied by physical symptoms.
C: Exaggerated grief involves an intense and prolonged grief reaction, but the client's reported symptoms are not indicative of this type of grief.
D: Delayed grief refers to a postponed or suppressed grief reaction that emerges later, which does not align with the client's current presentation.
Question 2 of 5
A nurse is caring for a group of clients. Which of the following actions by the nurse demonstrates client advocacy?
Correct Answer: D
Rationale: The correct answer is D because informing the family of a deceased client of the client's wish to be an organ donor is an example of client advocacy. This action respects the client's autonomy and ensures their wishes are honored even after death, demonstrating the nurse's commitment to advocating for the client's best interests.
Choice A is incorrect because submitting an incident report is a standard procedure for risk management and does not necessarily involve advocating for the client's rights or wishes.
Choice B is incorrect as documenting the effectiveness of pain medication is part of the nurse's routine duties and does not directly relate to advocating for the client.
Choice C is incorrect as asking another nurse to check a medication calculation is a safety measure to prevent errors but does not specifically demonstrate client advocacy.
Overall, choice D stands out as the most appropriate demonstration of client advocacy among the given options.
Question 3 of 5
A nurse is caring for a group of uninsured clients in the emergency department of a private hospital. Which of the following actions should the nurse identify as a violation of a client's rights according to the Emergency Medical Treatment and Active Labor Act (EMTALA)?
Correct Answer: C
Rationale: The correct answer is C because the Emergency Medical Treatment and Active Labor Act (EMTAL
A) prohibits the transfer of unstable patients to another facility for financial reasons. Referring a client to a county hospital for medical screening evaluation can be seen as a violation of their rights under EMTALA because it involves transferring the patient to another facility for financial considerations rather than providing necessary emergency care. This action could potentially delay or deny essential treatment for the client.
A, B, and D are incorrect because placing a client in the waiting room based on triage assessment, transferring a client to the antepartum unit for further evaluation, and transferring a stable client to a public hospital for reduced-cost care do not explicitly violate EMTALA regulations, as long as the care provided is appropriate and necessary for the client's condition.
Question 4 of 5
A nurse is caring for a client who was admitted for an exacerbation of their COPD. The client will be discharged with a new prescription for oxygen therapy and will need assistance with activities of daily living. Which of the following referrals should the nurse obtain for the client?
Correct Answer: A
Rationale: The correct answer is A: Case manager. A case manager can coordinate care and resources for the client, such as arranging oxygen therapy equipment, home health services for assistance with activities of daily living, and follow-up appointments. A case manager can ensure continuity of care and help the client navigate the healthcare system effectively.
Choice B: Hospice care facility is incorrect as hospice care is for end-of-life care and may not be appropriate for a client with an exacerbation of COPD.
Choice C: Long term care facility is incorrect as the client may not need long-term care if the exacerbation is managed effectively.
Choice D: Pharmacist is incorrect as while important for medication management, a pharmacist may not provide the comprehensive support and coordination of care needed for a client with COPD.
Question 5 of 5
A nurse is teaching a client about fire safety at home. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Cover the nose and mouth with a damp cloth before exiting a smoke-filled area. This is important because it helps filter out some of the harmful smoke particles, reducing the risk of inhalation-related injuries. It is crucial to include this information in fire safety teaching as it can potentially save lives in emergency situations.
Explanation of why other choices are incorrect:
A: Placing multiple smoke detectors in the same area of the home does not provide additional coverage and may lead to false alarms.
B: Changing the batteries in smoke detectors every 2 years is not frequent enough; batteries should be changed at least once a year.
D: Opening a window to let smoke out before leaving the home can actually worsen the fire by providing more oxygen to fuel it.