ATI Content Mastery Fundamentals Exam Questions with Verified Answers

Advance directives- teaching - ANSWERSCommunicates the client wishes regarding end of life care; are written before a client becomes ill Nurses role is to provide info about advance directives Document client's advance directive status Ensure advance directives reflects clients current decision Inform all members of the healthcare team of the client's advanced directives Culture (client who speaks a different language) - ANSWERSUse an interpreter always; try to get someone around same age and gender as client Delegation to UAP - ANSWERSStable/chronic clients; post-mortem care; they cannot teach, assessed, or evaluate Ethical (client need for information about treatment) - ANSWERSProvide client with truthful information so they can make an informed decision about their own health and well-being Discharge planning - ANSWERSDetermine ability to afford insulin and supplies Make sure he has transportation to follow up appointments Informed consent - ANSWERSNurses role is to witness the client signature and ensure that the provider has obtained the informed consent responsibly Greater than 18 years of age or if the mother or father is a teenage parent they have the right to sign the consent form Client inquiry about surgery - ANSWERSConsult health care provider/surgeon for procedures/informed consent questions Telephone prescriptions are - ANSWERSMust write the order down before reading it back to the provider Identify Improper documentation - ANSWERSDocumenting should be factual Subjective data documentation - ANSWERSQuotes with quotation marks- what the client states to the nurse Objective data documentation - ANSWERSWhat the nurses, smells, osculates do not use derogatory words, judgment, or opinions Intentional tort - ANSWERSDoing harm (The act must be intentional, not merely reckless or careless) Assault, battery, false imprisonment, invasion of privacy, slander Interprofessional team member consult - ANSWERSPT- consulted for mobility issues OT- assist clients to regain ADL skills ST- Deals with speech and language disorders Coordinated client care among healthcare team - ANSWERSSocial worker- Coordinates care and community resources Demonstrating client advocacy - ANSWERSNurses role is to provide support of the clients health, wellness, safety, and personal rights, including privacy Nursing role- client observation - ANSWERSShare appropriate information among team members Prioritizing client care - ANSWERSFollow ABC's (airway, breathing, circulation) Unstable are seen before stable clients Acute clients are seen before chronic clients Ethical dilemma - ANSWERSFollow autonomy, beneficence, Fidelity, justice, nonmaleficence, and veracity principles Disposition of valuables (Admit/transfer/DC) - ANSWERSPersonal items include clothing, jewelry, money, credit cards, hearing aides, eyeglasses, dentures, etc Discourage the client from keeping valuables at bedside Document communication with the client related to items left within the room Valuables should be locked in the facilities safe Identify negligence - ANSWERSFailure to provide care as defined by a standard Breach of duty Foreseeability of harm Caused harm Latex allergy - ANSWERSSchedule first on the morning operating list (OR must be free from powdered latex gloves for at least 3 hours prior to surgery) Synthetic gloves must be used Furniture in operating room equipment must be washed down using synthetic gloves only Anything containing latex must be removed from the OR