which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients

ATI RN

ATI Leadership Practice B

1. 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 logged out and the nurse has signed out of the computer before leaving the computer station.
C. Keep careful 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. By carefully assessing and documenting the client's status, healthcare providers can ensure they have a clear understanding of the client's condition, needs, and any potential risks. This helps in providing appropriate care and avoiding situations that may lead to charges of negligence or false imprisonment. Choice B is incorrect because logging out of computer systems is more related to data security and confidentiality rather than preventing negligence or false imprisonment. Choice C is not directly related to avoiding charges of negligence and false imprisonment but rather ensuring accurate documentation. Choice D, while important for overall client safety, does not specifically address the issue of avoiding charges of negligence and false imprisonment for confused clients.

2. Which of the following clients would most likely be selected for case management?

A. An adolescent with a gunshot wound who is in the ER.
B. A young adult with a fractured pelvis.
C. An elderly client awaiting a hip replacement.
D. A 41-year-old client admitted for outpatient tonsillectomy.

Correct answer: C

Rationale: The correct answer is C, an elderly client awaiting a hip replacement. This choice is most likely selected for case management because hip replacements are common surgical procedures with high volume in hospitals, making it appropriate for case management. Choices A, B, and D involve acute care conditions but do not typically require the same level of coordination and management that a hip replacement case would. Therefore, they are less likely to be selected for case management.

3. When a client who is in pain refuses to be repositioned, what should the nurse consider first in making a decision about what to do?

A. Why a decision is needed.
B. Who actually gets to make the decision?
C. What are the alternatives?
D. When a decision is needed.

Correct answer: A

Rationale: In this scenario, the nurse should first consider why a decision is needed. Understanding the underlying reason for the decision helps in selecting the best action to meet the desired goal. Who actually makes the decision is important but not the primary consideration. Exploring alternatives comes after determining the reason for the decision, who makes it, and when it is needed.

4. When should a critical pathway be revised?

A. When variances show a new trend.
B. When the variances show a new trend.
C. When a member of the team retires.
D. When the client leaves the hospital.

Correct answer: B

Rationale: A critical pathway should be revised when variances in the patient's progress indicate a new trend or deviation from the expected course of treatment. This allows healthcare providers to adjust the pathway to ensure optimal patient care and outcomes. Changes in the critical pathway are not typically driven by its length or external factors like team member retirements or client discharges. Therefore, the correct answer is B. Choice A is a better phrasing of the correct answer, emphasizing the importance of variances showing a new trend. Choices C and D are irrelevant to the patient's progress and treatment plan, making them incorrect.