Ati pn pharmacology proctored exam

ATI PN PHARMACOLOGY PROCTOREDEXA
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1. Ahpatienthhashbeenhadmittedhtohthehhospitalhnumeroushtimes.hThehnursehaskshthehpatienthtohsharehah
personalhstoryhabouththehcarehthathhashbeenhreceived.hWhichhinteractionhishthehnurseh using?
a. Nonjudgmental
b. Socializing
c. Narrative
d. SBAR

ANS:hC
Inhahtherapeutichrelationship,hnurseshoftenhencouragehpatientshtohsharehpersonalhstories.hSharinghstorieshishcalledh
narrativehinteraction.hSocializinghishanhimportanthinitialhcomponenthofhinterpersonalhcommunication.hIthhelpshpe
oplehgethtohknowhonehanotherhandhrelax.hIthisheasy,hsuperficial,handhnothdeeplyhpersonal.hNonjudgmentalhaccepta
ncehofhthehpatienthishanhimportanthcharacteristichofhthehrelationship.hAcceptancehconveyshahwillingnesshtohhearhah
messagehorhacknowledgehfeelings;hithishnothahtechniquehthathinvolveshpersonalhstories.hSBARhishahpopularhcomm
unicationhtoolhthathhelpshstandardizehcommunicationhamonghhealthhcarehproviders.hSBARhstandshforhSituation,h
Background,hAssessment,handhRecommendation.
2. Beforehmeetinghthehpatient,hahnursehtalkshtohotherhcaregivershabouththehpatient.hWhichhphasehofhthehhelpingh
relationshiphishthehnursehinhwithhthish patient?
a. Preinteraction
b. Orientation
c. Working
d. Termination

ANS:hA
Thehtimehbeforehthehnursehmeetshthehpatienthishcalledhthehpreinteractionhphase.hThishphasehcanhinvolvehthingshsu
chhashreviewinghavailablehdata,hincludinghthehmedicalhandhnursinghhistory,htalkinghtohotherhcaregivershwhohhave
hinformationhabouththehpatient,horhanticipatinghhealthhconcernshorhissueshthathcanharise.hThehorientationhphasehoc

curshwhenhthehnursehandhthehpatienthmeethandhgethtohknowhonehanother.hThishphasehcanhinvolvehthingshsuchhashset
tinghthehtonehforhthehrelationshiphbyhadoptinghahwarm,hempathetic,hcaringhmanner.hThehworkinghphasehoccurshw
henhthehnursehandhthehpatienthworkhtogetherhtohsolvehproblemshandhaccomplishhgoals.hThehterminationhphasehoc
curshduringhthehendinghofhthehrelationship.hThishphasehcanhinvolvehthingshsuchhashremindinghthehpatienththathter
minationhishnear.
3. Duringhthehinitialhhomehvisit,hahhomehhealthhnursehletshthehpatienthknowhthaththehvisitsharehexpectedhtohendhinh
abouthahmonth.hWhichhphasehofhthehhelpinghrelationshiphishthehnursehinhwithhthish patient?
a. Preinteraction
b. Orientation

, A&EhIhComprehensivehTestbank

c. Working
d. Termination

ANS:hB
Lettinghthehpatienthknowhwhenhtohexpecththehrelationshiphtohbehterminatedhoccurshinhthehorientationhphase.hPreinte
ractionhoccurshbeforehthehnursehmeetshthehpatient.hWorkinghoccurshwhenhthehnursehandhthehpatienthworkhtogetherhto
hsolvehproblemshandhaccomplishhgoals.hTerminationhoccurshduringhthehendinghofhthehrelationship.


4. Ahnursehandhahpatienthworkhonhstrategieshtohreducehweight.hWhichhphasehofhthehhelpinghrelationshiphish
thehnursehinhwithhthishpatient?
a. Preinteraction
b. Orientation
c. Working
d. Termination

ANS:hC
Thehworkinghphasehoccurshwhenhthehnursehandhthehpatienthworkhtogetherhtohsolvehproblemshandhaccomplishhgoal
s.hPreinteractionhoccurshbeforehthehnursehmeetshthehpatient.hOrientationhoccurshwhenhthehnursehandhthehpatienthm
eethandhgethtohknowheachhother.hTerminationhoccurshduringhthehendinghofhthehrelationship.
5. AhnursehuseshSBARhwhenhprovidinghahhands-
offhreporthtohthehoncominghshift.hWhathishthehrationalehforhthehnurse’shaction?
a. Toh promoteh autonomy
b. Tohusehcommonhcourtesy
c. Tohestablishh trustworthiness

d. Tohstandardizeh communication

ANS:hD
SBARhishahpopularhcommunicationhtoolhthathhelpshstandardizehcommunicationhamonghhealthhcarehproviders.h
CommonhcourtesyhishparthofhprofessionalhcommunicationhbuthishnoththehpurposehofhSBAR.hBeinghtrustworthyh
meanshhelpinghothershwithouthhesitation.hAutonomyhishbeinghself-
directedhandhindependenthinhaccomplishinghgoalshandhadvocatinghforhothers.
6. Ahpatienthwashadmittedh2hdayshagohwithhpneumoniahandhahhistoryhofhangina.hTheh patienthishnowhhavinghches
thpainhwithhahpulsehratehofh108.hWhichhpiecehofhdatahwillhthehnursehusehforh“B”hwhenhusingh SBAR?
a. Havinghchesthpain
b. Pulsehratehofh108
c. Historyhofhangina
d. Oxygenhishneeded

ANS:hC
ThehBhinhSBARhstandshforhbackgroundhinformation.hThehbackgroundhinformationhinhthishsituationhishthehhistoryh
ofhangina.hHavinghchesthpainhishthehSituationh(S).hPulsehratehofh108hishthehAssessmenth(A).hOxygenhishneededhisht
hehRecommendationh(R).
7. Ahpatienthjusthreceivedhahdiagnosishofhcancer.hWhichhstatementhbyhthehnursehdemonstrateshempathy?
a. “Tomorrowhwillhbehbetter.”
b. “Thishmusthbehhardhnewshtohhear.”




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, c. “What’shyourhbiggesthfearhabouththishdiagnosis?”
“IhbelievehyouhcanhovercomehthishbecausehI’vehseenhhowhstronghyou
d. are.”

ANS:hB
“Thishmusthbehhard”hishanhexamplehofhempathy.hEmpathyhishthehabilityhtohunderstandhandhaccepthanotherh
person’shreality,haccuratelyhperceivehfeelings,handhcommunicatehthishunderstandinghtohthehother.hAnhexa
mplehofhfalsehreassurancehish“Tomorrowhwillhbehbetter.”h“Ihbelievehyouhcanhovercomehthis”hishanhexampl
ehofhsharinghhope.h“Whathishyourhbiggesthfear?”hishanhopen-
endedhquestionhthathallowshpatientshtohtakehthehconversationalhleadhandhintroduceshpertinenthinformationh
abouthahtopic.
8. AhnursehishtakinghahhistoryhonhahpatienthwhohcannothspeakhEnglish.hWhichhactionhwillhthehnurseh take?
a. Obtainhanhinterpreter.
b. Referhtohahspeechhtherapist.
c. Lethahclosehfamilyhmemberhtalk.
d. Findhahmentalhhealthhnursehspecialist.

ANS:hA
Interpretersharehoftenhnecessaryhforhpatientshwhohspeakhahforeignhlanguage.hUsinghahfamilyhmemberhcanhle
adhtohlegalhissues,hspeechhtherapistshhelphpatientshwithhaphasia,handhmentalhhealthhnursehspecialistshhelph
angryhorhhighlyhanxioushpatientshtohcommunicatehmoreheffectively.
9. AhnursehishusinghSOLERhtohfacilitatehactivehlistening.hWhichhtechniquehshouldhthehnursehusehforh R?
a. Relax
b. Respect
c. Reminisce
d. Reassure

ANS:hA
InhSOLER,hthehRhstandshforhrelax.hIthishimportanthtohcommunicatehahsensehofhbeinghrelaxedhandhcomforta
blehwithhthehpatient.hActivehlisteninghenhanceshtrusthbecausehthehnursehcommunicateshacceptancehandhres
pecthforhthehpatient,hbuthithishnoththehRhinhSOLER.hReminiscehishahtherapeutichcommunicationhtechnique,h
especiallyhwhenhusedhwithhthehelderly.hReassuringhcanhbehtherapeutichifhthehnursehreassureshpatientshthatht
hereharehmanyhkindshofhhopehandhthathmeaninghandhpersonalhgrowthhcanhcomehfromhillnesshexperiences.h
However,hfalsehreassurancehcanhblockhcommunication.
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ATI COMPREHENSIVE PREDICTOR EXAM ( 14 LAT
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