ATI Review

A nurse is reinforcing preoperative teaching with a client who is scheduled for arthroplasty in the next month and might require a blood transfusion. The client expresses concern about the risk of acquiring an infection from the blood transfusion. Which of the following suggestions should the nurse make? A. "Ask your provider to prescribe epoetin before the surgery." B. "You should take iron supplements prior to the surgery." C. "Ask a family member donate blood for you." D. "Donate autologous blood before the surgery."

D. "Donate autologous blood before the surgery."

A nurse is reinforcing teaching with a client who is using a patient-controlled analgesia (PCA) pump to deliver morphine for pain management. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I'll limit pushing the button so I don't get an overdose." B. "If I push the button and still have pain after 2 minutes, I'll push it again." C. "I'll ask my niece to push the button when I am sleeping." D. "I can still use my TENS unit even though I'm pushing the PCA button."

D. "I can still use my TENS unit even though I'm pushing the PCA button."

Holds nurses accountable for following a code of conduct and upholding ethical values related to the profession. Standards of Professional Practice

Hold nurses accountable for following a code of conduct and upholding ethical values related to the profession. Standards of Professional Practice

what are critical thinking skills

Interpretation Analysis Inference Evaluation Explanation

What are some communication barriers

Language differences • Cultural diversities • Speech or hearing impairments • Developmental or cognitive disorders • Medication effects • Effects of recreational drugs Distress • Environmental factors

why is touch important

Provides a physical presence and demonstrates caring.

Nursing has general standards of practice that every nurse is held accountable to, as well as standards of practice for nursing specialties and this concept is called

Standards of practice

what should the communication style of a nurse be

passive

A concept that puts the client at the center of the nurse's care called

patient centered care

what is the ANA

the American Nurses Association; which is a professional organization for registered nurses, has established standards for both nursing practice and professional performance.

what is secondary prevention

the detection and treatment of preclinical changesto reduce the impact of disease or injury and limit disability.

What is an inference?

A conclusion reached on the basis of evidence and reasoning

What is motivational interviewing?

A form of therapeuticcommunication that allows thenurse and client to develop plansto promote the client's usingseveral techniques.

what is the four step nursing process that LPN's use

- Data Collection - Planning - Implementation - Evaluation

what does analyzing information look like

- examine - organize - validate - categorise and prioritize

What is the mnemonic OARS

- open-ended questions - affirmations - reflective listening - summarizing M- tivational Interviewing

what are the 4 communication styles

- passive, - aggressive, - passive-aggressive, - assertive

what are the 4 modes of communication

- verbal, - nonverbal, - electronic, - written

What is Maslow's hierarchy of needs?

1. Physiological needs 2. Safety and Security needs 3. Love and Belonging Needs 4. Self esteem 5. self actualization

A nurse is assisting with the admission of a client who will undergo a craniotomy. During the planning phase of the nursing process, to which of the following areas should the nurse contribute? A. Establishing client outcomes B. Collecting information about past health problems C. Determining whether the client has met goals D. Identifying the client's specific health problems

A. Establishing client outcomes

A nurse in a rehabilitation facility is observing an assistive personnel (AP) help a client transfer from the bed to a wheelchair. Which of the following actions indicates that the AP understands how to perform this task? A. Locking the brakes on the bed and the wheelchair before moving the client B. Lowering the footplates of the wheelchair before the transfer C. Placing the wheelchair perpendicular to the bed D. Placing the wheelchair on the client's weaker side prior to the transfer

A. Locking the brakes on the bed and the wheelchair before moving the client

A nurse is caring for an older adult client who has dysphagia following a cerebrovascular accident. Which of the following actions should the nurse take when assisting the client at mealtime? A. Encourage the client to drink fluids before swallowing food B. Offer the client tart or sour foods first C. Tilt the client's head backward when swallowing D. Turn on the television

B. Offer the client tart or sour foods first

what factors can influence communication effectiveness

Clients' psychosocial and physiological factors, as well as those of the nursing staff

What are bruits?

Bruits are the sounds made in an artery or vein when blood flow becomes turbulent or flows at an abnormal speed.

A nurse is caring for a client who is scheduled to undergo a cardiac catheterization. The client says to the nurse, "My coworker died last week from a heart attack." Which of the following responses should the nurse provide? A. "Your provider will not let that happen because he knows how to treat your condition." B. "Do you think the same thing might happen to you?" C. "You appear to be feeling anxious." D. "Has anyone in your family had a heart attack?"

C. "You appear to be feeling anxious."

A nurse is assisting a client who has dysphagia with eating meals. Which of the following actions should the nurse take? A. Add water to soups for a thinner consistency B. Encourage the client to use water to clear the mouth C. Ask the client to think of a food that produces salivation D. Remind the client to rest after meals

C. Ask the client to think of a food that produces salivation

why is listening important

Careful and intentional listening iskey to nursing assessments andcaring in nursing.

A nurse is caring for a client who requires a dressing change. Which of the following actions should the nurse take? A. Clean the incision from bottom to top B. Apply sterile gloves prior to opening the dressing packages C. Remove the tape by pulling away from the wound D. Clean the drain site from the center outward

D. Clean the drain site from the center outward

A nurse finds a client sitting on the floor by the toilet in the bathroom adjacent to his room. He states that he is fine after slipping on the tile floor but is having difficulty getting up. Which of the following actions should the nurse take first? A. Remind the client to use the call light to summon help when he needs to use the bathroom B. Help the client to return to bed and rest C. Complete an incident report according to the facility's policy D. Collect data from the client about any health alterations before, during, or after the fall

D. Collect data from the client about any health alterations before, during, or after the fall

A nurse is administering a controlled substance to a client who is postoperative. The IM dosage requires the nurse to use only part of the amount of medication in the vial. Which of the following actions should the nurse take? A. Lock the vial in the controlled-substances cabinet for later use B. Crush the vial between 2two paper towels and place it in a sharps container C. Return the opened vial to the pharmacy D. Have another nurse witness the disposal of the medication

D. Have another nurse witness the disposal of the medication

A nurse is caring for a client who requires a protective environment. Which of the following precautions should the nurse implement for this client? A. Place the client in a private room with negative--pressure airflow B. Wear an N95 respirator when giving the client direct care C. Make sure the client's room has at least 6six air exchanges per hour D. Make sure the client wears a mask when outside his room

D. Make sure the client wears a mask when outside his room

What is auscultation?

listening through a stethoscope

what is a murmur

abnormal heart sound

tertiary prevention

aims to reverse, minimize, or delay the effects of adisease or disability.

What does bilateral mean?

both sides

what is passive aggressive communication

communication that appears passive on the surface,but often, the individual is demonstrating anger in a subtle, indirect, or secretive way.

what is aggressive communication style

communication that is verbally, and sometimes physically, abusive

What is palpation?

examination of the body using touch

What is primary prevention?

he act of intervening before negative health effectsoccur.

what is assertive communication style

honest and clear communication that does not violate the rightsof others

what is passive communication style

want to avoid conflict, so individual says nothing or simplyagrees.