ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
During a home visit to a hospice patient the patient states 'I used to love eating strawberry ice cream but with the dietary restrictions of my condition I have not been able to have ice cream in years.' How should the nurse respond?
Correct Answer: A
Rationale: This response shows empathy and understanding towards the patient's situation. It acknowledges the patient's craving for strawberry ice cream and offers a compromise that aligns with the patient's dietary restrictions. This response may come across as insensitive and dismissive of the patient's feelings. It's important to show empathy and understanding when dealing with patients especially those in hospice care. This response may not be appropriate as it does not consider the patient's dietary restrictions. While it shows empathy it's important to respect and adhere to the patient's dietary needs. This response may not be appropriate as it does not address the patient's statement. It's important to acknowledge and respond to the patient's feelings and concerns.
Question 2 of 5
A nurse is caring for a patient who has impaired speech. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Allowing extra time to communicate with the patient is a crucial action when caring for a patient with impaired speech. This approach respects the patient's autonomy and ensures that they have the time they need to express themselves. Finishing sentences for the patient can be seen as disrespectful and may lead to frustration. It's important to allow the patient to communicate at their own pace. While open-ended questions can be useful in some situations they may be challenging for a patient with impaired speech. It might be more effective to ask yes/no questions or use other communication aids. Visual aids can be very helpful for patients with speech impairments. They can supplement verbal communication and make it easier for the patient to understand and be understood.
Question 3 of 5
During a home visit to a hospice patient the patient states 'I used to love eating strawberry ice cream but with the dietary restrictions of my condition I have not been able to have ice cream in years.' How should the nurse respond?
Correct Answer: A
Rationale: This response shows empathy and understanding towards the patient's situation. It acknowledges the patient's craving for strawberry ice cream and offers a compromise that aligns with the patient's dietary restrictions. This response may come across as insensitive and dismissive of the patient's feelings. It's important to show empathy and understanding when dealing with patients especially those in hospice care. This response may not be appropriate as it does not consider the patient's dietary restrictions. While it shows empathy it's important to respect and adhere to the patient's dietary needs. This response may not be appropriate as it does not address the patient's statement. It's important to acknowledge and respond to the patient's feelings and concerns.
Question 4 of 5
In the context of outpatient care for a client diagnosed with Bell's palsy which of the following statements if made by the client would indicate the need for further education?
Correct Answer: B
Rationale: Analgesics can be used to manage pain associated with Bell's palsy.
Therefore this statement does not indicate a need for further education. This is the correct answer. Chewing on the affected side can actually exacerbate swallowing issues.
Therefore this statement indicates a need for further education. Brushing teeth should not be affected by Bell's palsy.
Therefore this statement does not indicate a need for further education. Applying a protective eye shield before going to bed is a recommended practice for patients with Bell's palsy. This helps to protect the eye from injury and keep it moist as Bell's palsy can cause difficulty in blinking or closing the eye.
Question 5 of 5
A nurse is caring for a patient who has cancer and is receiving palliative care. Which of the following statements by the patient indicates an understanding of this type of treatment?
Correct Answer: C
Rationale: While palliative care can indeed help improve a patient's quality of life it is not typically aimed at curing the disease or significantly prolonging life. Instead the focus is on managing symptoms and improving comfort.
Therefore the statement 'This treatment should help me live a little longer and give me hope for a cure' does not accurately reflect the goals of palliative care. The statement 'I will continue my strict dietary plan' does not necessarily indicate an understanding of palliative care. While maintaining good nutrition can be an important part of managing some conditions palliative care is more focused on symptom management and improving quality of life. Strict dietary restrictions may not be necessary or beneficial in a palliative care context. The statement 'I am hoping this will limit my discomfort and give me the best quality of life for me' accurately reflects the goals of palliative care. Palliative care aims to manage symptoms including pain and discomfort and to improve the patient's quality of life. The statement 'This is not working and I plan to stop treatment' does not necessarily reflect an understanding of palliative care. While a patient has the right to stop treatment at any time this decision should be based on a thorough understanding of their condition and the potential benefits and drawbacks of continuing or discontinuing treatment.