a hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and her family which of the following statements shoul

ATI RN

RN ATI Capstone Proctored Comprehensive Assessment Form B

1. A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and her family. Which of the following statements should the nurse include in the teaching?

A. Hospice care focuses on providing comfort and symptom management.
B. The provider will coordinate your health care needs while in hospice.
C. You do not need to choose a family caregiver before being admitted into a hospice facility.
D. Hospice care continues to help families with grief after a death occurs.

Correct answer: D

Rationale: The correct answer is D because hospice care provides ongoing support to families with grief even after a patient's death. Choice A is incorrect because hospice care focuses on providing comfort and symptom management rather than disease treatment and rehabilitation. Choice B is incorrect as the statement does not accurately reflect the role of a hospice provider. Choice C is incorrect; a family caregiver is not a prerequisite for admission into a hospice facility.

2. When is removal of the restraints by the nurse appropriate?

A. When medication that has been administered has taken effect
B. When no acts of aggression are observed in the hour following the release of two extremity restraints
C. When the nurse explores with the client the reasons for the angry and aggressive behavior
D. When the client apologizes and tells the nurse that it will never happen again

Correct answer: B

Rationale: The correct answer is B. The nurse can safely remove restraints once no aggressive behavior is observed after releasing two extremity restraints for an hour. Choice A is incorrect because the removal of restraints should be based on the client's behavior rather than just the effect of medication. Choice C is incorrect as exploring reasons for aggressive behavior should be done before or during the intervention, not as a condition for removing restraints. Choice D is incorrect since an apology from the client does not guarantee a change in behavior or indicate that it is safe to remove the restraints.

3. A nurse is caring for a patient who has just returned from surgery. What is the nurse's priority action?

A. Monitor the patient's pain level.
B. Assess the patient's vital signs.
C. Assess the surgical incision site.
D. Position the patient in a high Fowler's position.

Correct answer: B

Rationale: The correct answer is B: Assess the patient's vital signs. Assessing vital signs is crucial as it helps to detect any early signs of complications such as bleeding, shock, or changes in oxygenation. Monitoring the patient's pain level (Choice A) is important but assessing vital signs takes precedence. While assessing the surgical incision site (Choice C) is essential, ensuring the patient's physiological stability through vital sign assessment is the priority. Positioning the patient in a high Fowler's position (Choice D) may be necessary for comfort but does not address the immediate need to assess the patient's condition post-surgery.

4. A county public health nurse is developing a list of interventions to address the three core functions of public health. Which of the following interventions should the nurse include as part of the assurance function?

A. Use surveillance to investigate outbreaks of foodborne illness
B. Monitor the incidence rates of varicella every 2 months
C. Organize an immunization clinic for at-risk members of the community
D. Educate the community about the health risks of alcohol use

Correct answer: C

Rationale: The correct answer is C: 'Organize an immunization clinic for at-risk members of the community.' This intervention is part of the assurance function in public health, as it ensures that the community has access to preventive health services. Choice A is related to the assessment function as it involves surveillance to investigate outbreaks. Choice B is also related to the assessment function since it involves monitoring incidence rates. Choice D is associated with the policy development function as it involves educating the community about health risks.

5. Which of the following is an example of professional negligence?

A. Following facility guidelines at all times
B. Using equipment in a knowledgeable manner
C. Communicating effectively with clients
D. Documenting client interactions accurately

Correct answer: A

Rationale: Professional negligence involves failing to meet the standard of care expected in a particular profession, which can lead to harm. In this case, not following facility guidelines can result in lapses in safety or quality of care, potentially causing harm to clients. Choices B, C, and D all represent essential aspects of professional conduct and do not directly relate to negligence.