ATI RN Fundamentals 2023 II | Nurselytic

Correct Answer: D

Rationale: The correct answer is D because it acknowledges the client's concern and shows empathy by reflecting back what the client said. It opens up the opportunity for the client to further express their feelings and concerns, fostering therapeutic communication.

A: This answer does not acknowledge the client's concerns and may come off as dismissive.
B: This answer invalidates the client's feelings and does not address their concerns.
C: This answer focuses solely on physical aspects and does not address the emotional aspect of the client's concern.

Correct Answer: D

Rationale: The correct answer is D: Client advocate. The nurse manager is functioning in the role of a client advocate by ensuring the safety of the client during the straight catheterization procedure. Advocacy involves protecting the client's rights, promoting their well-being, and ensuring they receive safe and appropriate care. The other choices are incorrect because:
A) Case manager focuses on coordinating care and resources for the client,
B) Client educator involves providing information and teaching the client about their care, and
C) Client care provider refers to directly providing hands-on care to the client, which is not the primary role of the nurse manager in this scenario.

Correct Answer: D

Rationale: The correct answer is D: Offer to play music in the client's room. Music therapy has been shown to effectively reduce pain perception and promote relaxation. It can distract the client from the pain and enhance their overall well-being. Massaging the sacrum (choice
A) may worsen the pressure injury and should be avoided. Bright lights (choice
B) may exacerbate the client's discomfort. Loosening bed linens (choice
C) may not directly address the pain issue.
Therefore, providing music therapy is the most appropriate nonpharmacological intervention in this scenario.

Correct Answer: D

Rationale: The correct answer is D: "We can discuss what you can expect during your stay." This statement acknowledges the client's feelings of anxiety and offers support by providing information to help alleviate their fears. It promotes open communication, builds trust, and empowers the client by involving them in the care process. It also addresses the client's need for information and helps them feel more prepared for their stay.


Choice A is incorrect as it focuses on the client's fear rather than providing reassurance or support.
Choice B is incorrect as it generalizes the client's feelings without addressing their specific concerns.
Choice C is incorrect as it dismisses the client's anxiety without offering any information or support.

Correct Answer: A

Rationale:
Correct Answer: A. A nurse administers a medication without first identifying the client.


Rationale:
1. Negligence involves failing to provide care that meets the standard of care expected in a particular situation.
2. Administering medication without first identifying the client violates the standard of care and can lead to serious harm.
3. Proper identification of the client is a fundamental safety measure to ensure correct medication administration.
4. Failure to identify the client can result in medication errors, adverse reactions, and potential harm to the client.

Summary of Incorrect

Choices:
B. Preventing a client from leaving the facility may be related to safety concerns but does not directly involve negligence.
C. Beginning a blood transfusion without consent is a violation of the client's rights but not a clear example of negligence.
D. Discussing client care in a public area may breach confidentiality but does not directly relate to negligence in client care.