ATI PN Comprehensive Predictor Exam Module 9

1. A nurse is caring for a client who does not speak the same language as the nurse. The client is scheduled for a diagnostic procedure later in the day. Which of the following actions should the nurse take? - Obtain an interpreter to explain the procedure to the client 2. A nurse manager is providing information about advocacy to a group of staff nurses. Which of the following statements by a staff nurse indicates an understanding of the teaching? - "To advocate for my client I may need to speak with the provider on his behalf." 3. A nurse is caring for a client who has chronic kidney disease and tells the nurse that he no longer wants to continue hemodialysis. Which of the following responses should the nurse make? - "I will contact your provider so you can talk with her about your decision." 4. A newly licensed nurse is caring for a client who requires a colostomy irrigation to stimulate peristalsis. The nurse has not performed an irrigation before and does not feel comfortable with the procedure. Which of the following actions should the nurse take? - Ask an experienced nurse to assist her with performing the irrigation. 5. A nurse is caring for a client who has a malignancy in her left breast. The client tells the nurse that even though her daughter wants her to have both breasts removed, she only wants to remove the left breast at this time. Which of the following responses should the nurse make? - "Would you like for me to help you discuss your decision with your daughter?" 6. A nurse is treating a plan of care for an older adult client who has a hearing impairment. Which of the following communication strategies should the nurse plan to use to enhance verbal dialogue with the client? - Pause between sentences to verify the client's understanding. 7. A nurse on a mental health unit is admitting a client who has generalized anxiety disorder. Which of the following tasks should the nurse plan to include in the orientation phase of the relationship between the client and the nurse? - Develop a contract with the client about how private information will be handled 8. A nurse on a quality management team is developing written educational material for clients who have varying degrees of health literacy. Which of the following strategies should the nurse include to aid the clients in effective learning? - Provide instructional materials to the client that focus on desired behavior rather than medical facts 9. A nurse is caring for a client who has a new diagnosis of Lyme disease. The client states, "I've decided on a therapy plan, but I wish I knew more about how this happened to me! I always take good care of myself." Which of the following responses should the nurse make? - "You say you've made a decision about treatment, although you seem to be focusing on how it could've been prevented." 10. A nurse in an emergency department is completing a health history for a client who has diabetes mellitus. Which of the following questions should the nurse ask the client to assess his understanding of the primary health problem? - "How has your illness altered your typical daily activities?" 11. When the leader observes the employee has a significant increase in errors and may have some emotional problems, the most appropriate response is: - Ask the employee some questions ending with a suggestion that Employee Assistance might be an option 12. AIDET for excellent service stands for: - Acknowledge Introduce Duration Explanation Thank You 13. An Iranian woman is admitted with a tentative diagnosis of Pneumocystis Carinii. She is being tested for HIV. The patient has limited English proficiency and her 21-year-old daughter has been translating for her. The daughter asked the nurse why blood tests are being done and when the results can be expected. The nurse indicates she wants to speak to the mother alone. However, both mother and daughter indicate that the nurse should proceed with the explanation. Which of the following is the best response? - Insist that a telephone language translation service be used. 14. An 80-year-old woman has been admitted for diagnostic procedures and then potential surgery for symptoms related to an abdominal mass. Today, she was scheduled for two tests that required that she be NPO. After the first test, the patient was returned to the floor. The patient's assigned nurse was at lunch. Another nurse checked with the radiology department and was told that the test was completed and that the patient could eat. She then provided the patient with a cold cereal until lunch trays were available. Subsequently, it was learned that the second test had not been completed, the test would then be delayed to the next day, and the patient would need to be NPO again. The patient's daughter displayed considerable anger regarding the delay in testing. Which of the following is the most appropriate response? - "I am sorry that this caused a delay in your testing. What can we do now to address this?"