ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A client's adult child asks for information about the client's cancer treatment plan.
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: The correct response is A because as a nurse, it is important to uphold patient confidentiality and respect the privacy rights of the mother. Without the mother's consent, disclosing information about her treatment to her child would violate HIPAA regulations. Option B does not address the issue of consent and could potentially breach confidentiality. Option C places the burden of communication on the child, which is not appropriate in this situation. Option D involves involving a third party without consent, which is also a violation of privacy rights.
Extract:
A charge nurse is evaluating infection control measures for clients with Clostridium difficile.
Question 2 of 5
The charge nurse should intervene for which of the following actions by a unit nurse?
Correct Answer: A
Rationale: The correct answer is A. Using alcohol-based hand sanitizer after removing gloves is incorrect because it does not replace handwashing. Alcohol-based hand sanitizer is not effective if hands are visibly soiled or after exposure to bodily fluids. The other choices are correct: B ensures protection from splashes, C prevents transmission of infections, and D is an appropriate method for cleaning contaminated equipment.
Extract:
A charge nurse observes a client fall while ambulating with an assistive personnel and notes that the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that the report does not mention the gait belt.
Question 3 of 5
Which of the following ethical principles should the charge nurse follow?
Correct Answer: D
Rationale: The correct answer is D, Veracity. The charge nurse should prioritize truthfulness to maintain trust with patients and staff. A: Beneficence refers to doing good, but may not always involve honesty. B: Nonmaleficence means to do no harm, but doesn't address honesty. C: Fidelity is about keeping promises and being loyal, not directly related to truthfulness.
Therefore, D is the best choice as it directly relates to ethical communication.
Extract:
A visitor asks a question about the status of a relative who is a client on the unit.
Question 4 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and patient-centered care by offering to involve the patient's designated nurse in the discussion, ensuring accurate and reliable information sharing.
Choice A violates patient confidentiality.
Choice B lacks proactive communication.
Choice D compromises patient privacy and confidentiality by accessing medical records without consent.
Extract:
The parent of a toddler who has a new diagnosis of asthma states she is unable to afford the nebulizer prescribed for the child.
Question 5 of 5
Which of the following referrals should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Social worker. The nurse should recommend a social worker referral to address any social or emotional needs of the patient. Social workers can provide support, resources, and interventions to help the patient navigate social challenges. Referring to a pharmacist may address medication-related concerns but not social needs. Referring to child protective services is not appropriate unless there are signs of abuse or neglect. Referring to a respiratory therapist may address respiratory issues but not social needs. In this case, a social worker is the most appropriate referral to address the patient's social and emotional well-being.