an rn enters a patients room to place an indwelling urinary catheter as ordered by the health care professional the client is alert and oriented and t

ATI RN

ATI Leadership Practice A

1. An RN enters a patient�s room to place an indwelling urinary catheter, as ordered by the health-care professional. The client is alert and oriented and tells the RN he wants to leave the hospital now and not receive further treatment. Which of the following actions by the RN would be considered false imprisonment?

A. The RN tells the client he is not allowed to leave until the physician has released him.
B. The RN asks the client why he wishes to leave.
C. The RN asks the client to explain what he understands about his medical diagnosis.
D. The RN asks the client to sign an against medical advice discharge form.

Correct answer: A

Rationale: The RN tells the client he is not allowed to leave until the physician has released him would be considered false imprisonment.

2. Which laboratory value reported to the nurse by the unlicensed assistive personnel (UAP) indicates the most urgent need for the nurse�s assessment of the patient?

A. Bedtime glucose of 140 mg/dL
B. Noon blood glucose of 52 mg/dL
C. Fasting blood glucose of 130 mg/dL
D. 2-hr postprandial glucose of 220 mg/dL

Correct answer: B

Rationale:

3. Which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients?

A. Carefully assess and document client status.
B. Ensure all patient information is secure and the nurse has logged out of the computer before leaving the computer station.
C. Keep detailed notes while providing care to ensure accurate documentation later in the day.
D. Discuss safety needs with clients.

Correct answer: A

Rationale: The correct answer is A: 'Carefully assess and document client status.' When dealing with confused clients, it is crucial to assess their status carefully and document it accurately. This helps in avoiding charges of negligence and false imprisonment by ensuring that the client's condition is well-documented and appropriate care is provided. Choice B is incorrect because it focuses on computer security rather than client care. Choice C is incorrect because it emphasizes detailed notes for accuracy but does not specifically address the confusion of clients. Choice D is incorrect as it mentions discussing safety needs but does not directly relate to avoiding charges of negligence and false imprisonment for confused clients.

4. A hospitalized diabetic patient received 38 U of NPH insulin at 7:00 AM. At 1:00 PM, the patient has been away from the nursing unit for 2 hours, missing the lunch delivery while awaiting a chest x-ray. To prevent hypoglycemia, the best action by the nurse is to

A. save the lunch tray for the patient�s later return to the unit
B. ask that diagnostic testing area staff to start a 5% dextrose IV
C. send a glass of milk or orange juice to the patient in the diagnostic testing area
D. request that if testing is further delayed, the patient be returned to the unit to eat.

Correct answer: D

Rationale:

5. Which of the following is an example of a tertiary prevention strategy?

A. Administering childhood vaccinations
B. Chemotherapy for cancer treatment
C. Routine screening for hypertension
D. Physical therapy for stroke rehabilitation

Correct answer: D

Rationale: The correct answer is D: Physical therapy for stroke rehabilitation. Tertiary prevention aims to prevent complications and manage existing conditions to improve the quality of life. Administering childhood vaccinations (A) is an example of primary prevention to prevent the onset of diseases. Chemotherapy for cancer treatment (B) is a form of secondary prevention focusing on early detection and treatment to stop the progression of the disease. Routine screening for hypertension (C) is also a form of secondary prevention to detect and treat hypertension early, preventing further complications.