a client is admitted to a medical surgical unit after six hours in the emergency room he requests that his am care be delayed to allow him to rest the a client is admitted to a medical surgical unit after six hours in the emergency room he requests that his am care be delayed to allow him to rest the
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Nursing Elites

ATI RN

ATI Leadership Proctored Exam 2023

1. A client is admitted to a medical-surgical unit after six hours in the emergency room. He requests that his AM care be delayed to allow him to rest. The nurse complies with his request. This is an example of which type of management philosophy?

Correct answer: B

Rationale: Total Quality Management (TQM) emphasizes meeting customer needs and satisfaction. In this scenario, by honoring the client's request to delay care to allow for rest, the nurse is aligning with the customer-focused approach of TQM. TQM seeks to continuously improve processes and services to enhance customer experiences and outcomes. Continuous Quality Improvement focuses on incremental improvements in processes and outcomes over time. Six Sigma is a data-driven approach to process improvement that aims to reduce defects and errors. Quality Management is a broader concept that encompasses various strategies to ensure quality standards are met.

2. A nurse is assessing clients for fluid and electrolyte imbalances. Which client should the nurse assess first for potential hyponatremia?

Correct answer: A 34-year-old on NPO status who is receiving intravenous D5W

Rationale: The correct answer is the 34-year-old on NPO status receiving intravenous D5W because D5W is a hypotonic solution that can dilute the blood's sodium levels, leading to hyponatremia. Patients on NPO status rely solely on intravenous fluids for hydration, making them more susceptible to electrolyte imbalances. Choices B, C, and D are less likely to cause hyponatremia. Choice B, the 50-year-old with an infection on a sulfonamide antibiotic, is at risk for allergic reactions or renal issues. Choice C, the 67-year-old taking ibuprofen, is at risk for gastrointestinal bleeding or kidney problems. Choice D, the 73-year-old on digoxin with tachycardia, is more likely to experience digoxin toxicity, affecting the heart's rhythm.

3. The nurse reviews the laboratory test results of a patient admitted with abdominal pain. Which information will be most important for the nurse to communicate to the health care provider?

Correct answer: A

Rationale: The correct answer is A. A low percentage of monocytes can indicate a viral infection. This is crucial information to communicate as it suggests a specific type of infection that may require targeted treatment. Choices B, C, and D do not directly relate to an infectious process and are within normal ranges, so they are not as urgent to communicate to the healthcare provider in this context.

4. What health teaching would not help an older adult avoid a musculoskeletal injury?

Correct answer: A

Rationale: Avoiding home modifications can increase the risk of falls and injuries in older adults.

5. Dr. Rice believes that it is not possible to fully understand emotions unless we understand the purpose that the conscious experiences associated with emotions play in survival and adaptation. Dr. Rice's views are most consistent with those of?

Correct answer: D

Rationale: Dr. Rice's views align with William James, a functionalist, who emphasized understanding the role emotions play in survival and adaptation. William James and other functionalists believed that emotions have a purpose in helping individuals adapt to their environment. Edward Titchener, known for structuralism, focused on the structure of the mind rather than the purpose of emotions. Ivan Pavlov was a behaviorist known for his work on classical conditioning, which is not directly related to the purpose of emotions. Carl Rogers was a humanistic psychologist who emphasized self-actualization and personal growth, not specifically the purpose of emotions in survival and adaptation.

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