ATI PN COMMUNITY HEALTH PROCTORED EXAM
(Detail Solutions)
1. A male patient in stable condition is in the intensive care unit (ICU) and is
asking to see his spouse and two daughters. What should the nurse do?
a. Allow only 5 to 10 minutes with the family.
b. Allow the wife and daughters to
visit at the patient’s request.
c. Allow the two daughters to visit,
and let the wife visit when they
leave.
d.
Allow the wife and one daughter to enter the ICU but not the other
daughter.
ANS: B
Use of support systems is important in any health care setting. Allowing the
family to visit is appropriate since the patient is in stable condition. When
patients depend on family and friends for support, encourage them to visit the
patient. As long as no interference with active patient care is involved, there is
no reason to limit visitation. Limiting the visit is not necessary since the
patient is stable. Breaking the family apart is not needed; the patient is stable
and can see all three at once.
2. The nurse is caring for a patient who has been diagnosed with a terminal
illness. The patient states, “I just don’t feel like going to work. I have no
energy, and I can’t eat or sleep.” The patient shows no interest in taking part in
the care by saying, “What’s the use?” Which response by the nurse is best?
a. It sounds like you have lost hope.
b. It sounds like you have lost energy. 1
c. It sounds like you have lost your appetite.
, d. It sounds like you have lost the ability to sleep.
ANS: A
All of the patient’s description are describing a loss of hope. While losses of
energy, appetite, and sleep are indicated, they only address a part of patient’s
problems. A loss of hope encompasses the holistic view of the patient.
3. The patient is having a difficult time dealing with an AIDS diagnosis. The
patient states, “It’s not fair. I’m totally isolated from God and my family
because of this. Even my father hates me for this. He won’t even speak to
me.” What should the nurse do?
a. Tell the patient to move on and focus on getting better.
b. Use therapeutic communication to establish trust and caring.
c. Assure the patient that the father will
accept this situation soon. Point out
that the patient has no control and that
he or she must face
d. the consequences.
ANS: B
Application of therapeutic communication principles and caring helps you
establish therapeutic trust with patients. The nurse should not offer false hope
(father will accept the situation soon). The nurse should help the patient
maintain feelings of control, not no control. The nurse should encourage
renewing relationships if possible and establishing connections with self,
significant others, and God.
4. The nurse is caring for a group of patients. Which patient will the nurse see
first?
a. A patient saying that God has left and there is no reason for living.
b. A patient refusing treatment on the Sabbath.
c. A patient having a folk healer in the room.
d. A patient praying to Allah.
ANS: A 2
A patient saying that God has left and there is no reason for living must be seen
(Detail Solutions)
1. A male patient in stable condition is in the intensive care unit (ICU) and is
asking to see his spouse and two daughters. What should the nurse do?
a. Allow only 5 to 10 minutes with the family.
b. Allow the wife and daughters to
visit at the patient’s request.
c. Allow the two daughters to visit,
and let the wife visit when they
leave.
d.
Allow the wife and one daughter to enter the ICU but not the other
daughter.
ANS: B
Use of support systems is important in any health care setting. Allowing the
family to visit is appropriate since the patient is in stable condition. When
patients depend on family and friends for support, encourage them to visit the
patient. As long as no interference with active patient care is involved, there is
no reason to limit visitation. Limiting the visit is not necessary since the
patient is stable. Breaking the family apart is not needed; the patient is stable
and can see all three at once.
2. The nurse is caring for a patient who has been diagnosed with a terminal
illness. The patient states, “I just don’t feel like going to work. I have no
energy, and I can’t eat or sleep.” The patient shows no interest in taking part in
the care by saying, “What’s the use?” Which response by the nurse is best?
a. It sounds like you have lost hope.
b. It sounds like you have lost energy. 1
c. It sounds like you have lost your appetite.
, d. It sounds like you have lost the ability to sleep.
ANS: A
All of the patient’s description are describing a loss of hope. While losses of
energy, appetite, and sleep are indicated, they only address a part of patient’s
problems. A loss of hope encompasses the holistic view of the patient.
3. The patient is having a difficult time dealing with an AIDS diagnosis. The
patient states, “It’s not fair. I’m totally isolated from God and my family
because of this. Even my father hates me for this. He won’t even speak to
me.” What should the nurse do?
a. Tell the patient to move on and focus on getting better.
b. Use therapeutic communication to establish trust and caring.
c. Assure the patient that the father will
accept this situation soon. Point out
that the patient has no control and that
he or she must face
d. the consequences.
ANS: B
Application of therapeutic communication principles and caring helps you
establish therapeutic trust with patients. The nurse should not offer false hope
(father will accept the situation soon). The nurse should help the patient
maintain feelings of control, not no control. The nurse should encourage
renewing relationships if possible and establishing connections with self,
significant others, and God.
4. The nurse is caring for a group of patients. Which patient will the nurse see
first?
a. A patient saying that God has left and there is no reason for living.
b. A patient refusing treatment on the Sabbath.
c. A patient having a folk healer in the room.
d. A patient praying to Allah.
ANS: A 2
A patient saying that God has left and there is no reason for living must be seen
