ATI Leadership Management Exam Dynamic Q&A Test Bank
A nurse is caring for a client who is a local public official. A newspaper reporter repeatedly
... [Show More] phones the unit seeking information and states, "The public has a right to know the health status of elected officials." Which of the following actions should the nurse take?
Refer all media inquiries to the nursing supervisor.
The HIPAA Privacy Rule prohibits disclosing client information to individuals who are not involved in care without the client's express consent. The reporter should be told that, due to confidentiality issues, no information can be given about any client. The nurse should refer the reporter to the nursing supervisor.
A nurse is documenting data about a client at a computer terminal in the nurses' station when he has to leave the area to assist another client. Which of the following actions should the nurse take?
Log off the computer before leaving the nurses' station.
To ensure no one else has access to the client's protected health information, the nurse should log off the computer terminal and turn off the monitor.
While caring for a client, a nurse notices that the client's call light cord is frayed. Which of the following actions should the nurse take?
Replace the call light and send the frayed one to the repair department.
For client safety, the client needs to have access to a call light to notify the nursing staff for assistance. A frayed cord is an electrical hazard. Removal of a frayed cord is the best way to protect the client from potential electrical shocks or burns.
A charge nurse is teaching a group of unit nurses about alternative restraints for clients who are confused and wandering. Which of the following pieces of information should the nurse include in the teaching?
Provide the client with a rocking chair.
The nurse should advise providing the client with a rocking chair to expend some of the client's energy through rocking rather than walking, which leads to wandering.
A nurse is working with an assistive personnel (AP) in a long-term care facility. According to the 5 rights of delegation, which of the following determinations should the nurse make prior to assigning tasks?
The degree of supervision that the AP will require to complete the task. Successful delegation involves assigning the right task to the right person under the right circumstances. The person who will perform the task must be given adequate direction and specification regarding the amount of supervision that will be provided. The right communication of expectations and the right feedback about performance must also be supplied.
An experienced nurse is serving as a mentor to a newly licensed nurse. Which of the following actions should the mentor take?
Serve as a guide and teacher for the newly licensed nurse in an established relationship.
A mentor establishes a nurturing relationship with a newly licensed nurse and is willing to invest time and resources to help this person develop as a nurse and an individual.
A nurse is preparing to give a change-of-shift report to the oncoming nurse. Which of the following pieces of information should the nurse include?
Objective measurements about the client's condition.
The nurse should include objective observations and measurements about the client's condition in the report.
A nurse is discussing palliative care with the family of a client who is terminally ill. Which of the following should the nurse include as the purpose of palliative care? Providing comfort measures.
Palliative care is an approach to care that promotes comfort for a client who has a terminal diagnosis and is not receiving aggressive therapy. Palliative care focuses on managing manifestations of the disease, not on curing the disease.
A nurse is preparing to attend a care plan conference for a client who has severe burns. Which of the following criteria should the nurse identify as part of an effective conference?
Other health care professionals are in attendance at the conference.
The nurse should identify that an effective conference should consist of other health care professionals who contribute to the plan of care for goal setting and seek to establish positive client outcomes. The members of the conference consist of the nursing team who should invite other health professionals (e.g. physical therapists, dieticians, and occupational therapists) to contribute to the plan of care.
A nurse is caring for a client who received a sedative-hypnotic medication at bedtime. The client gets out of bed and falls, sustaining a laceration that requires suturing. Which of the following statements should be included as part of the nurse's documentation in the client's chart?
"Client found sitting on floor with 3 cm laceration above left eyebr [Show Less]