RN ATI Community Health Proctored Exam 2023 -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: A health care surrogate makes health care decisions when the client is no longer able. This information is crucial for understanding advance directives as it highlights the role of a health care surrogate in making decisions on behalf of the client when they are incapacitated. This empowers individuals to ensure their wishes are carried out even when they are unable to communicate them.

Choice A is incorrect because creating a do-not-resuscitate order is just one aspect of advance directives, not a mandatory requirement.
Choice B is incorrect as advance directives can be updated or changed as long as the individual is competent to do so.
Choice D is incorrect as assigning a health care surrogate does not always require legal consultation, although it may be recommended in some cases.

Correct Answer: A

Rationale: The correct answer is A: "I can visit my nephew who has chickenpox 5 days after the sores have crusted." This statement indicates understanding of infection prevention as chickenpox is contagious until the sores crust over, which typically takes about 5 days. Visiting after this period reduces the risk of transmission.
Choice B is incorrect because antibiotics are ineffective against viruses.
Choice C is incorrect because pregnant individuals should avoid cleaning cat litter due to the risk of toxoplasmosis.
Choice D is incorrect as handwashing should last at least 20 seconds with soap and warm water for effective prevention of infection.

Correct Answer: C

Rationale: The correct answer is C: Synthesizing the literature. In evidence-based decision-making, synthesizing the literature involves compiling research findings and identifying specific trends in the data. This step allows the nurse to analyze and interpret the information gathered from various sources to draw meaningful conclusions and make informed decisions. Defining the problem (choice
B) is the initial step of evidence-based decision-making. Appraising the literature (choice
D) comes after synthesizing, where the nurse evaluates the quality and relevance of the gathered evidence.

Choices E, F, and G are not applicable in this context.

Correct Answer: A

Rationale: The correct answer is A because organ donation requires documented consent to ensure the individual's wishes are respected. This documentation is crucial for legal and ethical reasons.
Choice B is incorrect as it pertains to conducting a physical examination, not related to organ donation.
Choice C focuses on treatment and health education, not addressing the client's inquiry about organ donation.
Choice D involves donating clothes, which is unrelated to organ donation.
Therefore, A is the correct response as it addresses the client's query about organ donation by emphasizing the need for written documentation.

Correct Answer: A

Rationale: The correct answer is A: Administrators. Administrators are pressuring clinicians the most to use evidence-based practice (EBP) as they are responsible for ensuring quality care, cost-effectiveness, and adherence to standards. They implement policies mandating EBP to improve patient outcomes and reduce healthcare costs. Nurses and physicians may advocate for EBP, but administrators hold the most influence due to their oversight of healthcare operations. Insurance companies focus more on reimbursement criteria rather than direct pressure for EBP implementation.