ATI LPN Fundamentals Test ch 789 caole

Extract:

Initial patient interview

Question 1 of 5

During the initial interview of a patient, the nurse should: (Select all that apply.)

A. assess the language capabilities of the patient.B. limit the interview to approximately 30 minutes.C. assess comprehension abilities of the patient.D. make the patient as comfortable as possible.E. use open-ended questions.F. obtain the patient's medical history from the primary care provider.

Correct Answer: A,B,C,D,E

Rationale: Language (
A), time limits (
B), comprehension (
C), comfort (
D), and open-ended questions (E) ensure effective interviews. Provider history (F) is separate.

Extract:

Patient stating son hasnâ€™t visited

Question 2 of 5

When a patient states, 'My son hasn't been to see me in months,' the nurse's best verbal response is:

A. Don't worry, I'm sure your son will visit.'B. Your son hasn't been around much lately?'C. My son doesn't come to visit me either.'D. How terrible that he doesn't visit you.'

Correct Answer: B

Rationale: Reflecting the statement (
B) encourages sharing. Reassurance (
A) is false, sharing (
C) shifts focus, and judgment (
D) may upset the patient.

Extract:

Patient wringing hands, frowning, tearful, or smiling while expressing emotions

Question 3 of 5

The nurse recognizes the patient who demonstrates communication congruency when the patient

A. wrings her hands and paces around the room while denying that she is upset.B. states she is comfortable while she frowns, and her teeth are clenched.C. is tearful and slow in speech when talking about her husband's death.D. smiles and laughs while speaking of feeling lonely and depressed.

Correct Answer: C

Rationale: Tearful speech about loss (
C) aligns verbal and nonverbal cues. Wringing hands (
A), frowning (
B), and smiling (
D) contradict stated emotions, showing incongruence.

Extract:

Patient learning a procedure

Question 4 of 5

When a nurse is 'talking through' a procedure or assisting the patient to learn, the nurse encourages the patient to:

A. write down the steps as she performs them.B. read the listed steps written on a poster board on the wall.C. verbalize each step until the steps are memorized.D. close her eyes and envision the process.

Correct Answer: C

Rationale: Verbalizing steps (
C) reinforces learning. Writing (
A) is passive, reading (
B) lacks engagement, and visualization (
D) is less practical for procedures.

Extract:

Patient is a nationally known celebrity

Question 5 of 5

A student nurse is assigned to a clinical unit on which one of the patients is a nationally known celebrity. The student reads the chart to find out why the celebrity is being treated. The student who is not the assigned caregiver is:

A. motivated to learn about the health problem of this patient and is appropriately seeking knowledge during his clinical experience.B. doing appropriate research about nursing care as long as information is not divulged.C. violating the confidentiality of the patient's record.D. neglecting the assigned patient load and should read the unassigned patient's medical record only after his assigned work is completed.

Correct Answer: C

Rationale: Accessing a non-assigned chart (
C) violates confidentiality. Motivation (
A), research (
B), or timing (
D) donâ€™t justify unauthorized access.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

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