FUNDAMENTALS OF NURSING 10TH EDITION ATI, CONTENT MASTERY SERIES REVIEW MODULE ATI RN FUNDAMENTALS WITH 100% CORRECT AND VERIFIED ANSWERS. LATEST 2024 UPDATE, GUARANTEED A+

Chapter 1: Haealth Care delivery service 1. Anurseisdiscussingrestorativehealthca rewithanewlylicensednurse.Whichofthe following examples should the nurse includeintheteaching? (Selectallthatapply.) A. Home health care B. Rehabilitationfacilities C. Diagnosticcenters D.Skilled nursing facilities E. Oncologycenters 2.Anurseisexplainingthevarioustypesofhealt hcarecoverageclientsmighthavetoagroup of nurses. Which of the following health carefinancingmechanismsshouldthenursei ncludeasfederallyfunded? (Selectallthatapply.) A. Preferredproviderorganization(PP O)B.Medicare C.Long-termcareinsurance D.Exclusiveproviderorganization(EP O)E.Medicaid 3.A nurse manager is developing strategies to carefor the increasing number of clients who haveobesity. Which of the following actions should thenurseincludeasaprimaryhealthcarestrateg y?A. Collaborating with providers to perform obesityscreeningsduringroutineofficevisits B. Ensuring theavailabilityofspecialized bedsinrehabilitationcentersforclientswhoha veobesity C. Providing specialized intraoperative traininginsurgicaltreatmentsforobesity D.Educatingacutecarenursesaboutpostoperat ivecomplicationsrelatedtoobesity 4.A nurse is discussing the purpose of regulatoryagencies during a staff meeting. Which of thefollowing tasks should the nurse identify as theresponsibilityofstatelicensingboards? A. Monitoring evidence-based practice forclientswhohaveaspecificdiagnosis B. Ensuring that health care providerscomplywithregulations C. Settingqualitystandardsforaccredita tionofhealthcarefacilities D.Determiningwhethermedications aresafeforadministrationtoclients 5.A nurse is explaining the various levels of health careservices to a group of newly licensed nurses. Which ofthe following examples of care or care settings shouldthenurseclassifyastertiarycare? (Selectallthatapply.)A.Intensivecareunit B.Oncologytreatmentcent erC.Burncenter D.Cardiacrehabilitation E.Homehealthcare INTERPROFESSIONALPERSONN EL(NON-NURSING) Spiritualsupportstaff:Providesspiritualcare(pastors ,rabbis,priests). Example of when to refer: A client requestscommunion,orthefamilyasksforpr ayerpriortotheclientundergoingaprocedur e. Registereddietitian:Assesses,plansfor,andeducate sregarding nutrition needs. Designs special diets, andsupervisesmealpreparation. Example of when to refer: A client has a low albuminlevel and recently had an unexplained weight loss.Laboratory technician: Obtains specimens of body fluids,andperformsdiagnostictests. Ati, Content Mastery Series Review Module ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS Example of when to refer: A providerneedstoseea client’scompletebloodcount(CBC)res ultsimmediately. Occupationaltherapist:Assessesandplansforclien tsto regain activities of daily living (ADL) skills, especiallymotorskillsoftheupperextremities. Exampleofwhentorefer:Aclienthas  difficulties using an eating utensil withtheirdominanthandfollowinga stroke. Pharmacist:Provides,monitors,andevaluatesmedicat ion.Supervises pharmacy technicians in states that allow thispractice. Exampleofwhentorefer:Aclientisconcernedabo utanewmedication’sinteractions withanyoftheirothermedications. Physical therapist: Assesses and plans for clients toincrease musculoskeletal function, especially of the lowerextremities,tomaintainmobility. Example of when to refer: Following hiparthroplasty, a client requires assistancelearningtoambulateandre gainstrength. Provider:Assesses,diagnoses,andtreatsdiseaseand injury. Providers include medical doctors (MDs), doctorsofosteopathy(DOs),advancedpracticenurse s(APNs),andphysicianassistants(PAs).Stateregulati onsvaryintheirrequirements forsupervisionofAPNsandPAsbyaphysician(MDsand DOs). Exampleofwhentorefer:Aclienthasa temperatureof39ºC(102.2ºF),isach yandshaking,andreportsfeelingcold . Radiologictechnologist:Positionsclientsandperfo rmsx-rays and other imaging procedures for providers toreviewfordiagnosisofdisordersofvariousbodyp arts. Example of when to refer: A client reportssevere pain in their hip after a fall, and theproviderprescribesanxrayoftheclient’ship. Respiratory therapist: Evaluates respiratory status andprovidesrespiratorytreatmentsincludingoxyge ntherapy,chest physiotherapy, inhalation therapy, and mechanicalventilation. Example of when to refer: A client whohas respiratory disease is short of Ati, Content Mastery Series Review Module ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS breathandrequestsanebulizertreatm ent. Social worker: Works with clients and families bycoordinating inpatient and community resources to meetpsychosocialandenvironmentalneedsthataren ecessaryforrecoveryanddischarge. Example of when to refer: A client who has terminalcancer wishes to go home but is no longer able toperform many ADLs. The client’s partner needsmedicalequipmentinthehometocareforth eclient.  Speechlanguagepathologist:Evaluatesandmakesrecomm endations regarding the impact of disorders orinjuries on speech, language, and swallowing. Teachestechniquesandexercisestoimprovefunction . Exampleofwhentorefer:Aclientishavingdifficult yswallowing a regular diet after trauma to the headandneck. CHAPTER2OnlineVideo:InterdisciplinaryTeam 8 CHAPTER 2 The Interprofessional Team CONTENT MASTERY SERIESNURSINGPERSONNEL Thenursingteamworkstogethertoadvocateforandme etthe needs of clients within the health care delivery system.Registerednurse(RN) TheRNistheleadteammember,solicitinginputfromal lnursing team members and setting priorities for thecoordinationofclientcare. EDUCATIONALPREPARATION ●Mustmeetthestateboardofnursing’srequireme ntsforlicensure. ●Requirescompletionofadiplomaprogram,anassoci atedegree, or a baccalaureate degree in nursing prior totakingthelicensureexam(licensed). ROLESANDRESPONSIBILITIES ●Functionlegallyunderstatenursepracticeacts. ●Performassessments;establishnursingdiagno ses,goals,andinterventions;andconductongoing clientevaluations. ●Developinterprofessionalplansforclientcare. ●Shareappropriateinformationamongteammemb ers;initiate referrals for client assistance, including healtheducation;andidentifycommunityresources . Practical nurse (PN)EDUCATIONALPREPARATI ON ●Mustmeetthestateboardofnursing’srequirements ●Requiresvocationalorcommunitycollegeeduca tionpriortotakingthelicensureexam(licensed) ROLESANDRESPONSIBILITIES Ati, Content Mastery Series Review Module ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS ●WorkunderthesupervisionoftheRN. ●Collaboratewithinthenursingprocess,assistwitht heplan of care, consult with other team members, andrecognize the need for referrals to assist with actual orpotentialproblems. ●Possesstechnicalknowledgeandskills.  ●Participateinthedeliveryofnursingcare,usingt henursingprocessasaframework. Assistivepersonnel(AP) Thisincludescertifiednursingassistants(CNAs)a ndcertifiedmedicalassistants(CMAs),andnonnursingpersonnel (dialysis technicians, monitor technicians,andphlebotomists). EDUCATIONALPREPARATION ●Mustmeetthestate’sformalorinformaltraini ngrequirements ●Requirementbymoststatesfortraininga ndexaminationtoattainCNAstatus ROLESANDRESPONSIBILITIES ●WorkunderthedirectsupervisionofanRNorPN. ●Positiondescriptionintheemployingfacilityoutli nesspecifictasks. ● Taskscanincludefeedingclients,preparingnut ritionalsupplements, lifting, basic care (grooming, bathing,transferring, toileting, positioning), measuring andrecordingvitalsigns,andambulatingclients.EXP ANDEDNURSINGROLES Advanced practice nurse (APN): Has a great deal ofautonomy. APNs usually have a minimum of a master’sdegreeinnursing(orrelatedfield),advanced educationinpharmacologyandphysicalassessment, andcertificationin a specialized area of practice. Included in this role arethefollowing. ●Clinicalnursespecialist(CNS):Typicallyspecializes inapracticesettingoraclinicalfield. ●Nursepractitioner(NP):Collaborateswithoneormo reprovidersto delivernonemergencyprimaryhealth careinavarietyofsettings. ●Certified registered nurse anesthetist (CRNA):Administers anesthesia and provides care duringproceduresunderthesupervision of ananesthesiologist. ●Certified nurse-midwife (CNM): Collaborates with oneor more providers to deliver care to maternal-newbornclientsandtheirfamilies. Nurse educator: Teaches in schools of nursing, Ati, Content Mastery Series Review Module ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS staffdevelopmentdepartmentsinhealthcarefac ilities,orclienteducationdepartments. Nurse administrator: Provides leadership to nursingdepartmentswithinahealthcarefacility. Nurse researcher: Conductsresearch primarilyto improve  the quality of client care.ActiveLearningScen ario A nurse is teaching a group of newly licensed nurses aboutthe various nursing roles they can aspire to after theyachieve mastery in basic nursing skills. Use the ATI ActiveLearningTemplate:BasicConcepttocompletethi sitem. RELATEDCONTENT:Describeatleastfivetypes ofadvancepracticenursingroles,includingabri efdescriptionoftheirprimaryresponsibilities. FUNDAMENTALS FOR NURSING CHAPTER 2 The Interprofessional Team 9ApplicationExercises 1.Anurseiscaringforagroupofclientsona medical-surgical unit. For which of the followingclientcareneedsshouldthenurseinitia teareferralforasocialworker? (Selectallthatapply.) A.A client who has terminal cancerrequests hospice care in the home. B.Aclientasksaboutcommunityresourc esavailableforolderadults. C.Aclientstates,“Iwouldliketohavem ychildbaptizedbeforesurgery.” D.A client requests an electric wheelchairforuseafterdischarge. E. Aclientstates,“Idonotunderstand howtouseanebulizer.” 2.Agoalforaclientwhohasdifficultywith self- feedingduetorheumatoidarthritisistousead aptive devices. The nurse caring for the clientshouldinitiateareferraltowhichofthefo llowingmembersoftheinterprofessionalcar eteam? A. Socialworker B. Certifiednursing assistant ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS C. Registered dietitianD. Occupational therapist 3.A client who is postoperative following kneearthroplasty is concerned about the adverse effects ofthemedicationprescribedforpainmanagement. Whichofthefollowingmembersoftheinterprofessio nal care team can assist the client in understandingthemedication’seffects? (Selectallthatapply.)  A. Provider B. Certifiednursingassista ntC.Pharmacist D.Registerednurse E. Respiratorytherapist 4.A client who had a cerebrovascular accident haspersistent problems with dysphagia. The nurse caringfortheclientshouldinitiateareferralwithwhi chofthefollowingmembersoftheinterprofessional careteam? A. Socialworker B. Certifiednursing assistant C. Occupationaltherapist D.Speech-languagepathologist 5.A nurse is acquainting a group of newly licensednurses with the roles of the various members ofthe health care team they will encounter on amedicalsurgicalunit.Whenprovidingexamplesof the typesoftaskscertifiednursing assistants(CNAs)can perform, which of the following client activitiesshouldthenurseinclude? (Selectallthatapply.) A. Bathing B.Ambulati ngC.Toiletin g D.Determiningpainlev elE.Measuringvitalsig ns ETHICALDECISION-MAKINGINNURSING Bioethicsreferstotheapplicationofethicstohealthan dlife. It addresses dilemmas (stem cell research, organtransplantation, gender reassignment, and reproductivetechnologies [in vitro fertilization, surrogate parenting]).Other ethical dilemmas include abortion and acquiredimmunodeficiencysyndrome. BASICPRINCIPLESOFETHICS ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS ● Advocacy: support and defend clients’ health, wellness,safety,wishes,andpersonalrights,includin gprivacy. ●Responsibility: willingness to respect obligations andfollowthroughonpromises. ● Accountability:abilitytoanswerforone’sownactions. ●Confidentiality:protectionofprivacywit houtdiminishing access to high-quality care.ETHICALPRINCIPLESFORCLIENTC ARE  ● Autonomy: the right to make one’s own personaldecisions, even when those decisions might not be inthatperson’sownbestinterest. ●Beneficence:actionthatpromotesgoodforoth ers,withoutanyself-interest. ●Fidelity:fulfillmentofpromises. ●Justice:fairnessincare deliveryanduseofresources. ●Nonmaleficence:acommitmenttodonoharm. ●Veracity:acommitmenttotellthetruth .ETHICALDILEMMAS ●Ethicaldilemmasareproblemsthatinvolvemoret hanone choice and stem from differences in the values andbeliefs of the decision makers. These are common inhealth care, and nurses must apply ethical theory anddecisionmakingtoethicalproblems. ● Aproblemisanethicaldilemmawhen: ◯Areviewofscientificdataisnotenoughtosolveit. ◯Itinvolvesaconflictbetweentwomoralimperatives. ◯Theanswerwillhaveaprofoundeffectonthesit uationandtheclient. ETHICALDECISION-MAKING Ethical decision-making isa processthatrequiresstrikingabalancebetweenscien ceandmorality. Whenmakinganethicaldecision: ●Identifywhethertheissueisindeedanethicaldilemma. ●Gather as much relevant information as possible aboutthedilemma. ●Reflectonyourownvaluesastheyrelatet othedilemma. ●Statetheethicaldilemma,includingallsurround ingissuesandtheindividualsitinvolves. ●List and analyze all possible options for resolving thedilemma,andreviewtheimplicationsofeachopt ion. ●Select the option that is in concert with the ethicalprinciple that applies to this situation, the decisionmaker’svaluesandbeliefs,andtheprofessi on’svaluesfor client care. Justify selecting that one option in lightoftherelevantvariables. Ati, Content Mastery Series Review Module ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS ● Applythisdecisiontothedilemma,andev aluatetheoutcomes. Ethicscommitteesgenerallyaddressunusualorcomp lexethicalissues. Examples of ethical guidelines fornursesarethe AmericanNursesAssociation’sCodeofEthicsforNursesWith  InterpretiveStatements(2015)andtheInternationalCou ncilofNurses’TheICNCodeofEthicsforNurses(2012). Moral distress occurs when the nurse is placed in adifficultsituationwheretheactionstakenaredifferen tfromwhatthenursefeelsisethicallycorrect. CHAPTER3 3.1 Nursing’s roles in ethicaldecision-making Anagentforclients facinganethicaldecision. Examples: ●Caring for an adolescent client who has todecidewhethertoundergoanabortion eventhoughherparentsbelieveitiswron g ●Discussing options with a parent who has to decidewhethertoconsenttoabloodtransfusionfo ra childwhenhisreligionprohibitssuchtreatment Adecisionmakerforhealthcaredelivery.Examples: ● Assigning staff nurses a higher client loadthan previously because administration hasreducedthenumberofnursespershif t ●Witnessing a surgeon discussing only surgical options withaclientwithoutmentioningmoreconservativemeas ures 12CHAPTER3EthicalResponsibilitiesCONTENTMASTERYSERIES ActiveLearningScenario A nurse is teaching a group of newly licensed nurses abouttheprocessofresolvingethicaldilemmas.UsetheA TIActiveLearningTemplate:BasicConcepttocompletethi sitem. UNDERLYINGPRINCIPLES: Definethe ethicaldecision-makingprocess. 1.Anurseiscaringforaclientwhodecidesnotto havesurgerydespitesignificantblockagesof the coronary arteries. The nurse understandsthat this client’s choice is an example ofwhichofthefollowingethicalprinciples? ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS A. FidelityB .Autonomy C.Justice D.Nonmaleficence 2.A nurse offers pain medication to a client whois postoperative prior to ambulation. The nurseunderstandsthatthisaspectofcaredeliv eryisan exampleofwhichofthefollowingethicalprinciples? A. Fidelity  B.Autonomy C. Justice D.Beneficence 3.A nurse is instructing a group of newly licensednurses about the responsibilities organ donation andprocurement involve. When the nurse explains that allclientswaitingforakidneytransplanthavetome etthesame qualifications,the newlylicensednursesshouldunderstand that this aspect of care delivery is anexampleofwhichofthefollowingethicalprincipl es? A. Fidelity B.Autono myC.Justic e D.Nonmaleficence 4.A nurse questions a medication prescriptionastooextremeinlightoftheclie nt’sadvancedageandunstablestatus.The nurseunderstands that this action is an example ofwhichofthefollowingethicalprinciples? A. Fidelity B.Autonomy C. Justice D.Nonmaleficence 5.Anurseisinstructingagroupofnewlylicense dnurses about how to know and what to expectwhen ethical dilemmas arise. Which of thefollowing situations should the newly licensednursesidentifyasanethicaldilemma ? A.A nurse on a medical-surgical unitdemonstratessignsofchemicalimpa irment. B.Anurseoverhearsanothernursetelling anolder adult client that if he doesn’t ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS stay inbed,shewillhavetoapplyrestraints. C.Afamilyhasconflictingfeelingsabo uttheinitiationofenteraltubefeeding s fortheirfather,whoisterminallyill. D.Aclientwhoisterminallyillhesitatestonamethe irpartnerontheirdurablepowerofattorneyform. SOURCES OF LAWFEDERALREGULA TIONS  Federallawsaffectingnursingpractice ●Health Insurance Portability andAccountabilityAct(HIPAA) ● AmericanswithDisabilitiesAct(ADA) ●MentalHealthParityAct(MHPA) ●Patient Self- DeterminationAct(PSDA) CRIMINALANDCIVILLAWS ●Criminal lawisa subsectionofpubliclaw and relates to the relationshipbetween an individual and thegovernment.Anursewhofalsifie s a record to cover up a seriousmistakecanbeguiltyofbr eakingacriminallaw. ●Civillawsprotectindividualrights. One type of civil law that relatestotheprovisionofnursi ngcareistortlaw.(4.1) STATELAWS ●Each state has enacted statutes that define theparametersofnursingpracticeandgivetheau thorityto regulate the practice of nursing to its state boardofnursing. ●In turn, the boards of nursing have the authority toadopt rules and regulations that further regulatenursing practice. Although the practice of nursing issimilaramongstates,itiscriticalthatnursesknow thelawsandrulesgoverningnursinginthestateinw hichtheypractice. ●Boardsofnursinghavetheauthoritytoissueandrevo keanursinglicense. ●Boards also set standards for nursing programs andfurtherdelineatethescopeofpracticeforRNs,pr acticalnurses(PNs),andadvancedpracticenurses. ● All states have some type of Good Samaritan law thatprotects health care workers from liability when theyinterveneatthesceneofanemergency. LICENSURE Ati, Content Mastery Series Review Module ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS In general, nurses must have a current license in everystate in which they practice. The states (about half ofthem) that have adopted the nurse licensure compact areexceptions.Thismodelallowslicensednurseswhor esideinacompactstatetopracticeinothercompactstat es  under a multistate license. Within the compact, nursesmustpracticeinaccordancewiththestatuesan drulesofthestateinwhichtheyprovidecare. CHAPTER4 4.1 Typesoftorts Unintentionaltorts NEGLIGENCE: A nurse fails to implement safety measures for a client at risk for falls.MALPRACTICE(PROFESSIONAL NEGLIGENCE): A nurseadministersalargedoseofmedicationduetoacalculationerror.Theclientha sacardiacarrestanddies. Quasi-intentionaltorts BREACHOFCONFIDENTIALITY:Anursereleasesaclient’smedicaldiagnosistoamember ofthepress. DEFAMATIONOFCHARACTER:Anursetellsacoworkerthattheybelievetheclienthasbeenunf aithfultotheirpartner. Intentionaltort sASSAULT The conduct of one person makes another person fearful and apprehensive A nurse threatenstoplaceanNGtubeinaclientwhoisrefusingtoeat.BATTERY Intentionalandwrongful physicalcontactwithapersonthatinvolvesanvinjuryoroffensivecont actAnurserestrainsavclientandadministersvaninjectionagainst theirwishes. FALSEIMPRISONMENT ApersonisconfinedorrestrainedagainsttheirwillAnurseusesrestrain tsonacompetentclienttopreventtheirleavingthehealthcarefacility. LegalResponsibilities NEGLIGENCE Professional negligence is the failure of a person whohas professional training to act in a reasonable andprudentmanner.Theterms“reasonable”and“pr udent” generally describe a person who has the average judgment,intelligence, foresight, and skill that a person with similartrainingandexperiencewouldhave. ●Negligence issues that prompt most malpractice suitsincludefailureto: ◯Followprofessionalandfacilityestablishedstandardsofcare. ◯Useequipmentinaresponsibleandknow ledgeablemanner. Ati, Content Mastery Series Review Module ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS ◯Communicateeffectivelyandthoroughlywithclients. ◯Document carethenurse provided. ◯Notifytheproviderofachangeintheclien t’scondition. ◯Completeaprescribedprocedure.  ●Nursingstudentsfaceliabilityiftheyharmclients asaresultoftheirdirectactionsorinaction.Theysh ouldnot perform tasks for which they are not prepared,andtheyshouldhavesupervisionasthe ylearnnew procedures.Ifastudentharmsaclient,thenthestuden t,instructor, educational institution, and facility shareliabilityforthewrongactionorinaction.(4.2) ●Nursescanavoidliabilityfornegligenceby: ◯Followingstandardsofcare. ◯Givingcompetentcare. ◯Communicatingwithotherhealthteammemb ersandclients. ◯Developingacaringrapportwithclients. ◯Fullydocumentingassessments,intervention s,andevaluations. ◯Beingfamiliarwithandfollowingafacility’spolicie sandprocedures. CLIENTS’RIGHTS Nurses are accountable for protecting the rights ofclients. Examplesincludeinformed consent,refusaloftreatment,advancedirectives ,confidentiality,andinformationsecurity. ●Clients’ rights are legal privileges or powers clients havewhentheyreceivehealthcareservices. ●Clientsusingtheservicesofahealthcareinstituti onretaintheirrightsasindividualsandcitizens. ● The American Hospital Association identifiesclients’ rights in health care settings. See ThePatientCarePartnershipontheAmericanH ospitalAssociationwebsite. ●NursingfacilitiesthatparticipateinMedicareprogr amsalsofollowResidentRightsstatutesthatgovern theiroperation. NURSINGROLEINCLIENTS’RIGHTS ●Nursesmustensurethatclientsunderstandtheirrig hts,andmustprotecttheirclients’rights. ●Regardless of the client’s age, nursing needs, or healthcare setting, the basic tenets are the same. The clienthastherightto: ◯ Understand the aspects of care to be active in thedecision-makingprocess.