ATI LPN Fundamentals Test ch 789 caole

Extract:

Hospitalized patient

Question 1 of 5

A nurse tells her neighbor personal information about a hospitalized patient. Telling her neighbor about this indicates that the:

A. Actions of the nurse are appropriate since his neighbor is his confidante, and the neighbor has assured him the information provided will not be shared.B. Nurse has not violated the confidentiality of the patient because the patient is terminal; sharing this information will not harm the patient.C. Nurse is actively promoting nursing as a profession, and it is important to share information that might encourage others to pursue a nursing career.D. Nurse has violated the confidentiality of the patient by discussing personal information about the patient with his neighbor.

Correct Answer: D

Rationale: Sharing patient info with a neighbor (
D) violates HIPAA. Assurances (
A) donâ€™t excuse breaches, terminal status (
B) is irrelevant, and promotion (
C) doesnâ€™t justify confidentiality violations.

Extract:

Older adult patient learning dressing change

Question 2 of 5

When educating an older adult patient about changing his dressing, the nurse would most appropriately:

A. be certain the patient is wearing his glasses and/or hearing aid.B. wait for the patient to ask any questions about the procedure.C. talk through the process rapidly to keep the patient from becoming tired.D. point out each mistake during the return demonstration.

Correct Answer: A

Rationale: Ensuring glasses/hearing aids (
A) aids learning. Waiting for questions (
B) risks gaps, rushing (
C) confuses, and criticism (
D) discourages.

Extract:

Question 3 of 5

The nurse is alert to avoid using blocks to effective communication that include: (Select all that apply.)

A. asking probing questions.B. using nonjudgmental remarks.C. changing the subject.D. using cliches.E. giving advice.F. offering hope.

Correct Answer: A,C,D,E

Rationale: Probing (
A), subject change (
C), cliches (
D), and advice (E) block communication. Nonjudgmental remarks (
B) and hope (F) enhance it.

Question 4 of 5

The nurse can best ensure that communication is understood by:

A. speaking slowly and clearly in the patient's native language.B. asking the family members whether the patient understands.C. obtaining feedback from the patient that indicates accurate comprehension.D. checking for signs of hearing loss or aphasia before communicating.

Correct Answer: C

Rationale: Patient feedback (
C) confirms understanding. Slow speech (
A) helps but doesnâ€™t verify, family (
B) is unreliable, and pre-checks (
D) donâ€™t ensure comprehension.

Extract:

Patient reluctant to self-inject

Question 5 of 5

A patient states, 'I don't think I'll ever be able to give myself an injection.' The best reply by the nurse is:

A. What bothers you most about the idea of giving yourself an injection?'B. Everyone feels like that at first. You'll get over it.'C. I know just how you feel. I would have trouble giving myself an injection.'D. Don't be afraid. It's an easy skill for anyone to learn.'

Correct Answer: A

Rationale: Exploring concerns (
A) supports discussion. Dismissing fears (B,
D) or relating personally (
C) invalidates patient feelings.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

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