a charge nurse is discussing the responsibility of nurses caring for clients who have a clostridium difficile infection which of the following informa

ATI RN

ATI Leadership Proctored Exam 2023

1. A nurse is discussing the responsibility of caring for clients with clostridium difficile infection. Which of the following information should the nurse include in the teaching?

A. Have family members wear a gown and gloves when visiting.
B. Clean contaminated surfaces in the client's room with a bleach solution.
C. Use alcohol-based hand sanitizer when leaving the client's room.
D. Assign the client to a room with a private bathroom.

Correct answer: A

Rationale: When caring for clients with clostridium difficile infection, it is important to prevent the spread of the bacteria. Having family members wear a gown and gloves when visiting helps reduce the risk of transmission. Cleaning contaminated surfaces with a bleach solution, not phenol, is recommended to effectively kill the C. difficile spores. Using alcohol-based hand sanitizer is not sufficient, as it may not be effective against C. difficile spores. Assigning the client to a room with a private bathroom is more beneficial than a negative airflow system, as it helps prevent the spread of bacteria to other clients.

2. Which of the following statements about ethical principles and laws is true?

A. The government holds the power to enforce ethics.
B. Laws provide standards that assist in decision making.
C. Ethics are very specific.
D. As a standard for measuring actions, ethical principles may be the basis for laws.

Correct answer: D

Rationale: The correct answer is D: 'As a standard for measuring actions, ethical principles may be the basis for laws.' This statement is true as ethical principles can influence the creation and implementation of laws. Ethical principles often serve as a foundation for laws by reflecting societal values and moral standards. Choice A is incorrect because while the government may enforce laws, ethics are typically guided by moral principles rather than government enforcement. Choice B is incorrect because laws provide legal standards, not ethical standards, for decision-making. Choice C is incorrect because ethics are not always very specific; they can be broad and encompass various moral values and principles.

3. After examining her client's abdomen and noting assessment of significant findings, even though the client says it doesn't hurt, the nurse says to a colleague, 'I think something is going on here; I am going to investigate further.' This nurse is using:

A. Deductive reasoning.
B. Intuition.
C. Trial and error.
D. Modified scientific method.

Correct answer: B

Rationale: The correct answer is B: Intuition. In this scenario, the nurse is relying on intuition, which refers to a 'gut feeling' or instinctive understanding without the conscious use of reasoning. Deductive reasoning (choice A) involves drawing specific conclusions from general principles. Trial and error (choice C) is a problem-solving method that involves trying various methods until the correct one is found. The modified scientific method (choice D) refers to a structured approach to conducting experiments in a scientific setting, which is not applicable in this situation where the nurse is relying on a hunch or intuition.

4. The nurse manager needs to buy six new hospital beds for the unit. What type of budget will be used for this expenditure?

A. Operating budget
B. Capital budget
C. Salary budget
D. Revenue budget

Correct answer: B

Rationale: The correct answer is B: Capital budget. The capital budget is used for expenditures related to physical renovations, new construction, and new equipment, such as hospital beds. Operating budget (choice A) focuses on day-to-day expenses like supplies and staffing. Salary budget (choice C) pertains specifically to personnel compensation. Revenue budget (choice D) deals with projected income and financial goals, not capital expenditures like purchasing new hospital beds.