a nurse is planning care for a client who has vision loss which of the following interventions should the nurse the include in the plan of care to ass
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Nursing Elites

ATI RN

ATI Leadership Proctored Exam 2023

1. When planning care for a client with vision loss, which of the following interventions should the nurse include in the plan of care to assist the client with feeding?

Correct answer: A

Rationale: When a client has vision loss, arranging food in a consistent pattern on the plate can help them locate and identify different food items more easily. This intervention promotes independence and allows the client to feed themselves with greater ease. Thicking liquids on the tray, providing small-handled utensils, or assigning a staff member to feed the client may not directly address the client's need for assistance with feeding due to vision loss. Thicking liquids is more related to swallowing difficulties, providing small-handled utensils can be helpful for clients with limited dexterity, and assigning a staff member to feed the client may not promote independence.

2. A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's family questions the nurse about the reasons for the transfer. Which of the following responses made by the nurse is appropriate?

Correct answer: A

Rationale: The correct response is A because it provides a professional and reassuring explanation for the transfer, focusing on the expertise of the healthcare provider. Choice B offers to include the family member in the discussion, which may not address their concerns directly. Choice C appears defensive and does not address the family's inquiry. Choice D shifts the focus to the nurse's personal experience, which may not be relevant or helpful to the family seeking information about their own situation.

3. A client is having difficulty breathing while receiving supplemental oxygen via a nasal cannula in a supine position. Which of the following interventions should the nurse take first?

Correct answer: C

Rationale: When a client is experiencing difficulty breathing, the priority intervention is to assist the client to an upright position. This position helps improve ventilation by maximizing lung expansion and promoting better oxygenation. Suctioning the airway may be necessary if there is an obstruction, but repositioning the client is the initial step. Instructing the client to perform incentive spirometry and humidifying oxygen are important interventions but not the first priority in this scenario.

4. 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.

5. When considering virtue ethics, which of the following is true?

Correct answer: C

Rationale: The correct answer is C: Virtue ethics focuses on qualities and moral character rather than rules or duties. Virtue ethics emphasizes developing good character traits, such as courage, honesty, and compassion, to guide behavior rather than adhering to specific moral rules or focusing on the consequences of actions. Choices A, B, and D are incorrect because virtue ethics does not attribute behaviors to moral rules, knowledge of consequences, or formal statements of rules for behavior; instead, it emphasizes the importance of cultivating virtuous character.

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