ATI LPN Fundamentals Test ch 789 caole

Extract:

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

Question 1 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:

Delegating to a nursing assistant

Question 2 of 5

When the nurse is giving direction to a nursing assistant who is being delegated part of the patient care, the nurse's most effective direction would be:

A. Take the vital signs on all the patients in the lounge and tell me whether there are problems.'B. Do the morning care first on the patients in 205 and 206 who can't get out of bed.'C. Give the patient in 204A a shower after breakfast, and call me to check her feet before you get her dressed.'D. You take care of all the patients in 205 and 206. Let me know how you're doing and whether you need any help.'

Correct Answer: C

Rationale: Specific shower and follow-up instruction (
C) is clear. Vague vitals (
A), general care (
B), or broad tasks (
D) lack precision.

Extract:

Question 3 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:

82-year-old patient learning dressing change

Question 4 of 5

Patient education for an 82-year-old patient to perform a dressing change to be done at home after discharge, the nurse would adjust the teaching session to:

A. include another person in the instruction because an 82-year-old person will be unable to master the technique.B. provide written material and diagrams alone.C. speed through the details because age and experience will shorten learning time.D. slow the pace and frequently ask questions to assess comprehension.

Correct Answer: D

Rationale: Slow pace with questions (
D) ensures understanding. Assuming inability (
A), relying on written (
B), or rushing (
C) hinder learning.

Extract:

Delegating to a nursing assistant for Mr. Jones

Question 5 of 5

A nurse is delegating to a nursing assistant. The most appropriate form of this type of communication would be:

A. Come and get me if Mr. Jones has a high heart rate.'B. I need to know if Mr. Jones' blood pressure is elevated.'C. If Mr. Jones' heart rate is greater than 100, let me know.'D. Let me know if Mr. Jones' temperature is high.'

Correct Answer: C

Rationale: Specific heart rate threshold (
C) is clear. Vague terms like high (
A), elevated (
B), or high temperature (
D) risk misinterpretation.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

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