ATI LPN Fundamentals Test ch 789 caole

Extract:

Patient packing belongings, concerned about new diet, post-surgery, or diagnosed with malignancy

Question 1 of 5

The nurse would identify an opportunity for a â€œteaching momentâ€ in the situation of a patient who:

A. is packing belongings in preparation for discharge.B. says, 'How will I remember all the things about my new diet?'C. has just returned from surgery for a deviated septum.D. has just been told of the malignancy of his tumor.

Correct Answer: B

Rationale: Expressing diet concerns (
B) signals a teaching moment. Discharge (
A) may be rushed, post-surgery (
C) limits alertness, and malignancy news (
D) causes distress, hindering learning.

Extract:

Patient repeating phone information

Question 2 of 5

When an office nurse asks the patient to repeat information that he has just given to the patient over the telephone, the nurse is:

A. saving the extra time it would take to mail the information.B. verifying that the patient understands the information.C. acting in a cautious way to avoid charges of negligence.D. testing the patient's intelligence and memory.

Correct Answer: B

Rationale: Repeating verifies understanding (
B). Itâ€™s not about time (
A), negligence (
C), or testing intelligence (
D).

Extract:

Patient leaving AMA demanding medical record

Question 3 of 5

A patient who is very angry and is leaving the hospital against medical advice (AMA) demands to have the medical record to take, because it is her personal property. An appropriate response would be:

A. The information in your medical record is confidential, and you cannot leave this facility with it.'B. Because you are leaving against the medical advice of your primary care provider, you may not have the medical record.'C. You are entitled to the information in your medical record, but the medical record is the property of the hospital. I will see about having a copy made for you.'D. Certainly. This hospital doesn't need to keep it if you are leaving and will not be returning here.'

Correct Answer: C

Rationale: Offering a copy (
C) respects rights while noting hospital ownership. Confidentiality (
A) misleads, AMA (
B) is irrelevant, and giving records (
D) is illegal.

Extract:

Patient concerned about 10-pound weight loss from chemotherapy

Question 4 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.

Extract:

Patient learning insulin dose

Question 5 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.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

Nurselytic

ATI LPN

ATI LPN