ATI LPN Fundamentals Test ch 789 caole

Extract:

Patient learning insulin dose

Question 1 of 5

The nurse uses a syringe and vial of insulin to show how to draw up the correct dose while she explains the procedure to the patient. To best promote learning, her next step should be to:

A. have the patient explain the procedure to the nurse to assess understandingB. give the patient a day to allow him to process and absorb the information.C. have the patient practice the procedure with the nurse helping.D. give the patient written materials to study and learn the procedure.

Correct Answer: C

Rationale: Practicing with guidance (
C) reinforces skills. Explaining (
A) tests knowledge, delay (
B) risks forgetting, and written materials (
D) are supplementary.

Extract:

Question 2 of 5

An example of a nurse communicating with a patient using open-ended questions would be:

A. What was your daughter's reaction to your desire for hospice?'B. Did you sleep all night without waking?'C. How many bowel movements have you had today?'D. Is your pain less today than it was yesterday?'

Correct Answer: A

Rationale: Hospice reaction (
A) invites elaboration. Sleep (
B), bowel (
C), and pain (
D) questions seek yes/no or numbers.

Question 3 of 5

The characteristic that is representative of the nurse-patient relationship is that this relationship:

A. does not include humor.B. continues after discharge.C. focuses on the assessed patient health problems.D. focuses on the nurse's ability to build rapport.

Correct Answer: C

Rationale: Focusing on health problems (
C) defines the relationship. Humor (
A) can be appropriate, it ends at discharge (
B), and rapport (
D) supports, not leads.

Extract:

Patient is a nationally known celebrity

Question 4 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.

Extract:

Patient concerned about 10-pound weight loss from chemotherapy

Question 5 of 5

The nurse caring for a patient who is concerned about her 10-pound weight loss relative to her chemotherapy tells the patient, 'Lucky you! Every cloud has a silver lining.' The nurse's statement is an example of which type of communication block?

A. Defensive responseB. Asking probing questionsC. Using clichesD. Changing the subject

Correct Answer: C

Rationale: The cliche (
C) dismisses concerns. Defensive responses (
A) protect the nurse, probing (
B) seeks info, and subject change (
D) diverts topics, of which apply.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

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