Ati pn pharmacology proctored examM

ATI PN PHARMACOLOGY PROCTOREDEXA
j j j j



M

1. Ajpatientjhasjbeenjadmittedjtojthejhospitaljnumerousjtimes.jThejnursejasksjthejpatientjtojsharejajpers
onaljstoryjaboutjthejcarejthatjhasjbeenjreceived.jWhichjinteractionjisjthejnursejusing?
a. Nonjudgmental
b. Socializing
c. Narrative
d. SBAR

ANS:jC
Injajtherapeuticjrelationship,jnursesjoftenjencouragejpatientsjtojsharejpersonaljstories.jSharingjstoriesjisjcalledjnarr
ativejinteraction.jSocializingjisjanjimportantjinitialjcomponentjofjinterpersonaljcommunication.jItjhelpsjpeoplejgetj
tojknowjonejanotherjandjrelax.jItjisjeasy,jsuperficial,jandjnotjdeeplyjpersonal.jNonjudgmentaljacceptancejofjthejpati
entjisjanjimportantjcharacteristicjofjthejrelationship.jAcceptancejconveysjajwillingnessjtojhearjajmessagejorjacknow
ledgejfeelings;jitjisjnotjajtechniquejthatjinvolvesjpersonaljstories.jSBARjisjajpopularjcommunicationjtooljthatjhelpsj
standardizejcommunicationjamongjhealthjcarejproviders.jSBARjstandsjforjSituation,jBackground,jAssessment,jan
djRecommendation.
2. Beforejmeetingjthejpatient,jajnursejtalksjtojotherjcaregiversjaboutjthejpatient.jWhichjphasejofjthejhelpingjrelati
onshipjisjthejnursejinjwithjthisjpatient?
a. Preinteraction
b. Orientation
c. Working
d. Termination

ANS:jA
Thejtimejbeforejthejnursejmeetsjthejpatientjisjcalledjthejpreinteractionjphase.jThisjphasejcanjinvolvejthingsjsuchjasj
reviewingjavailablejdata,jincludingjthejmedicaljandjnursingjhistory,jtalkingjtojotherjcaregiversjwhojhavejinformati
onjaboutjthejpatient,jorjanticipatingjhealthjconcernsjorjissuesjthatjcanjarise.jThejorientationjphasejoccursjwhenjthej
nursejandjthejpatientjmeetjandjgetjtojknowjonejanother.jThisjphasejcanjinvolvejthingsjsuchjasjsettingjthejtonejforjthej
relationshipjbyjadoptingjajwarm,jempathetic,jcaringjmanner.jThejworkingjphasejoccursjwhenjthejnursejandjthejpat
ientjworkjtogetherjtojsolvejproblemsjandjaccomplishjgoals.jThejterminationjphasejoccursjduringjthejendingjofjthejr
elationship.jThisjphasejcanjinvolvejthingsjsuchjasjremindingjthejpatientjthatjterminationjisjnear.
3. Duringjthejinitialjhomejvisit,jajhomejhealthjnursejletsjthejpatientjknowjthatjthejvisitsjarejexpectedjtojendjinjaboutj
ajmonth.jWhichjphasejofjthejhelpingjrelationshipjisjthejnursejinjwithjthisjpatient?
a. Preinteraction

b. Orientation

, A&EjIjComprehensivejTestbank

c. Working
d. Termination

ANS:jB
Lettingjthejpatientjknowjwhenjtojexpectjthejrelationshipjtojbejterminatedjoccursjinjthejorientationjphase.jPreinteracti
onjoccursjbeforejthejnursejmeetsjthejpatient.jWorkingjoccursjwhenjthejnursejandjthejpatientjworkjtogetherjtojsolvejpro
blemsjandjaccomplishjgoals.jTerminationjoccursjduringjthejendingjofjthejrelationship.
4. Ajnursejandjajpatientjworkjonjstrategiesjtojreducejweight.jWhichjphasejofjthejhelpingjrelationshipjisjthejn
ursejinjwithjthisjpatient?
a. Preinteraction
b. Orientation
c. Working
d. Termination

ANS:jC
Thejworkingjphasejoccursjwhenjthejnursejandjthejpatientjworkjtogetherjtojsolvejproblemsjandjaccomplishjgoals.jPre
interactionjoccursjbeforejthejnursejmeetsjthejpatient.jOrientationjoccursjwhenjthejnursejandjthejpatientjmeetjandjget
jtojknowjeachjother.jTerminationjoccursjduringjthejendingjofjthejrelationship.


5. AjnursejusesjSBARjwhenjprovidingjajhands-
offjreportjtojthejoncomingjshift.jWhatjisjthejrationalejforjthejnurse’sjaction?
a. Toj promotej autonomy
b. Tojusejcommonjcourtesy
c. Tojestablishj trustworthiness

d. Tojstandardizejcommunication

ANS:jD
SBARjisjajpopularjcommunicationjtooljthatjhelpsjstandardizejcommunicationjamongjhealthjcarejproviders.jCo
mmonjcourtesyjisjpartjofjprofessionaljcommunicationjbutjisjnotjthejpurposejofjSBAR.jBeingjtrustworthyjmeansj
helpingjothersjwithoutjhesitation.jAutonomyjisjbeingjself-
directedjandjindependentjinjaccomplishingjgoalsjandjadvocatingjforjothers.
6. Ajpatientjwasjadmittedj2jdaysjagojwithjpneumoniajandjajhistoryjofjangina.jThej patientjisjnowjhavingjchestjpain
jwithjajpulsejratejofj108.jWhichjpiecejofjdatajwilljthejnursejusejforj“B”jwhenjusingj SBAR?

a. Havingjchestjpain
b. Pulsejratejofj108
c. Historyjofjangina
d. Oxygenjisjneeded

ANS:jC
ThejBjinjSBARjstandsjforjbackgroundjinformation.jThejbackgroundjinformationjinjthisjsituationjisjthejhistoryjofjan
gina.jHavingjchestjpainjisjthejSituationj(S).jPulsejratejofj108jisjthejAssessmentj(A).jOxygenjisjneededjisjthejRecom
mendationj(R).
7. Ajpatientjjustjreceivedjajdiagnosisjofjcancer.jWhichjstatementjbyjthejnursejdemonstratesjempathy?
a. “Tomorrowjwilljbejbetter.”
b. “Thisjmustjbejhardjnewsjtojhear.”




27

, c. “What’sjyourjbiggestjfearjaboutjthisjdiagnosis?”
“IjbelievejyoujcanjovercomejthisjbecausejI’vejseenjhowjstrongjyou
d. are.”

ANS:jB
“Thisjmustjbejhard”jisjanjexamplejofjempathy.jEmpathyjisjthejabilityjtojunderstandjandjacceptjanotherjpers
on’sjreality,jaccuratelyjperceivejfeelings,jandjcommunicatejthisjunderstandingjtojthejother.jAnjexamplejofjf
alsejreassurancejisj“Tomorrowjwilljbejbetter.”j“Ijbelievejyoujcanjovercomejthis”jisjanjexamplejofjsharingjh
ope.j“Whatjisjyourjbiggestjfear?”jisjanjopen-
endedjquestionjthatjallowsjpatientsjtojtakejthejconversationaljleadjandjintroducesjpertinentjinformationjabo
utjajtopic.
8. AjnursejisjtakingjajhistoryjonjajpatientjwhojcannotjspeakjEnglish.jWhichjactionjwilljthejnursejtake?
a. Obtainjanjinterpreter.
b. Referjtojajspeechjtherapist.
c. Letjajclosejfamilyjmemberjtalk.
d. Findjajmentaljhealthjnursejspecialist.

ANS:jA
Interpretersjarejoftenjnecessaryjforjpatientsjwhojspeakjajforeignjlanguage.jUsingjajfamilyjmemberjcanjleadjt
ojlegaljissues,jspeechjtherapistsjhelpjpatientsjwithjaphasia,jandjmentaljhealthjnursejspecialistsjhelpjangryjor
jhighlyjanxiousjpatientsjtojcommunicatejmorejeffectively.


9. AjnursejisjusingjSOLERjtojfacilitatejactivejlistening.jWhichjtechniquejshouldjthejnursejusejforj R?
a. Relax
b. Respect
c. Reminisce
d. Reassure

ANS:jA
InjSOLER,jthejRjstandsjforjrelax.jItjisjimportantjtojcommunicatejajsensejofjbeingjrelaxedjandjcomfortablej
withjthejpatient.jActivejlisteningjenhancesjtrustjbecausejthejnursejcommunicatesjacceptancejandjrespectjfo
rjthejpatient,jbutjitjisjnotjthejRjinjSOLER.jReminiscejisjajtherapeuticjcommunicationjtechnique,jespeciallyj
whenjusedjwithjthejelderly.jReassuringjcanjbejtherapeuticjifjthejnursejreassuresjpatientsjthatjtherejarejmanyj
kindsjofjhopejandjthatjmeaningjandjpersonaljgrowthjcanjcomejfromjillnessjexperiences.jHowever,jfalsejrea
ssurancejcanjblockjcommunication.
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ATI COMPREHENSIVE PREDICTOR EXAM ( 14 LAT
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