ATI RN
ATI Nutrition Practice Test A 2019
1. During which phase of the therapeutic relationship should the nurse inform the patient about the termination of therapy?
- A. Pre-orientation
- B. Orientation
- C. Working
- D. Termination
Correct answer: D
Rationale: The correct answer is 'Termination'. This phase of the therapeutic relationship is when the nurse informs the patient about the conclusion of therapy. It is during this phase that the nurse and the patient review the goals and progress made and also discuss the upcoming termination. The other phases are not the appropriate times for discussing termination. 'Pre-orientation' is the phase before the nurse-patient relationship is established; 'Orientation' is when the nurse and patient get to know each other and set goals; and 'Working' is when these goals are pursued. Therefore, choices A, B, and C are incorrect.
2. What is the term for mobilizing people to become aware of their own problems and to take action to solve them?
- A. Community Organizing
- B. Family Nursing Care Plan
- C. Nursing Intervention
- D. Nursing Process
Correct answer: A
Rationale: The correct answer is Community Organizing. This involves engaging and mobilizing individuals in a community or group to take action for the mutual benefit or to solve common problems. The options 'Family Nursing Care Plan', 'Nursing Intervention', and 'Nursing Process' are incorrect as these terms refer to specific nursing practices and methods, not the broader action of mobilizing and engaging a community to solve its own problems. Moreover, the provided rationale does not match the original question and correct answer. It instead describes the proactive and preventative nature of nursing care, which is unrelated to the concept of community organizing.
3. When can a patient's medical record become a potential issue for the doctor or nurse?
- A. When the record is extensive
- B. When a medical record is subpoenaed in court
- C. When it is missing
- D. When the medical record is inaccurate, incomplete, or inadequate
Correct answer: D
Rationale: The correct answer is D. A medical record becomes a potential issue for a doctor or a nurse when it is inaccurate, incomplete, or inadequate. This is because a medical record is a key tool for healthcare professionals to track a patient's history, treatment, and progress. If the record is not accurate or complete, it can lead to misdiagnosis, incorrect treatment, or other potential problems in patient care. While missing records (Choice C) could be a problem, they do not directly implicate the doctor or nurse in the same way that inaccurate or inadequate records do. An extensive record (Choice A) or a record being subpoenaed in court (Choice B) are not inherently problematic for healthcare professionals and do not necessarily reflect negatively on their work.
4. Considering the statement that communication is most effective when barriers are first removed, which of the following is recognized as an inhibiting factor in communication?
- A. Avoidance of universally accepted abbreviations
- B. Usage of incorrect grammar
- C. Poor handwriting
- D. Advanced age of the client
Correct answer: D
Rationale: The correct answer is 'D: Advanced age of the client.' Age can be a significant obstacle in communication due to factors such as hearing loss, cognitive decline, or memory issues, which all can hamper effective communication. Choices A, B, and C, while they may present challenges in communication, are not directly related to age and its influence on communication, making them incorrect. The issues presented by not using universally accepted abbreviations, incorrect grammar, and poor handwriting can be resolved through clarification, education, or the use of alternative communication methods, unlike the difficulties that can arise from advanced age.
5. What is the name of the record that shows all medications and treatments provided on a repeated basis?
- A. Nursing Health History and Assessment Worksheet
- B. Discharge Summary
- C. Nursing Kardex
- D. Medicine and Treatment Record
Correct answer: D
Rationale: The 'Medicine and Treatment Record' is the document that maintains a comprehensive log of all medications and treatments provided on a routine basis. It does not refer to the 'Discharge Summary', which is a clinical report prepared by healthcare professionals at the end of a hospital stay or series of treatments. The 'Nursing Health History and Assessment Worksheet' is used to gather comprehensive data about the patient's health history and current health status, but it does not record ongoing treatment details. The 'Nursing Kardex' is a patient care information system used to quickly communicate patient needs, but it does not consistently record all medications and treatments provided.
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