a nurse is caring for a client who requires a 24 hr urine collection which of the following statement by the client indicates an understanding of the
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Nursing Elites

ATI RN

ATI Leadership Proctored Exam 2019

1. A client requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching?

Correct answer: C

Rationale: Option C demonstrates an understanding of the need to collect urine over 24 hours. The client's statement shows awareness that increased fluid intake will help in filling up the collection bottle quickly, which is essential for an accurate test result. This choice reflects the correct understanding of the teaching. Options A, B, and D do not reflect the necessary comprehension for a 24-hr urine collection process. Option A involves a bowel movement, which is not relevant to a urine collection. Option B only mentions a specimen from 30 minutes ago, not over a 24-hour period. Option D indicates flushing urine, which contradicts the idea of saving all urine for the test.

2. Which regulatory body mandates the provision of immunizations, especially for hepatitis B?

Correct answer: B

Rationale: The correct answer is B - Occupational Safety and Health Administration (OSHA). OSHA mandates that the hepatitis B vaccine series must be offered to healthcare workers who are not immune to hepatitis. This requirement aims to protect healthcare workers from occupational exposure to bloodborne pathogens, including the hepatitis B virus. The American Nurses Association (ANA) (Choice A) is a professional organization for nurses, not a regulatory body. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) (Choice C) focuses on accrediting healthcare organizations for quality and safety, not mandating immunizations. The State board of nursing (Choice D) is responsible for regulating nursing practice within a specific state, not mandating immunizations.

3. An RN cared for a state senator during the day shift. Later that day he was having dinner with friends when the news mentioned the senator had been hospitalized. The RN�s friends asked if he knew what was wrong with the senator. Which ethical principle should the RN consider when replying?

Correct answer: B

Rationale: The principle of confidentiality requires nurses to hold healthcare information and anything patients tell them in the strictest confidence.

4. Which of the following is a key aspect of transformational leadership?

Correct answer: B

Rationale: The correct answer is B: Encouraging innovation. Transformational leadership is characterized by inspiring and motivating team members to think creatively, embrace change, and strive for continuous improvement. Choice A is incorrect as transformational leaders seek to challenge the status quo rather than maintain it. Choice C is incorrect because transformational leadership emphasizes long-term vision and goals rather than short-term objectives. Choice D is incorrect as transformational leadership promotes open, two-way communication rather than top-down communication.

5. What is the role of a nurse in a multidisciplinary team (MDT)?

Correct answer: C

Rationale: In a multidisciplinary team (MDT), a nurse's role is to advocate for patient needs and ensure their perspectives are considered in the care plan. While leadership may be a part of a nurse's role in some settings, the primary focus in an MDT is collaboration and coordination. Providing emotional support is essential but may not be the primary role of a nurse in an MDT. Conducting clinical research is typically not a direct responsibility of a nurse in an MDT focused on patient care.

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