a client is discussing feelings related to a recent loss with the nurse the nurse remains silent when the client says i dont know how i will go on wha a client is discussing feelings related to a recent loss with the nurse the nurse remains silent when the client says i dont know how i will go on wha
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Nursing Elites

ATI LPN

ATI Medical Surgical Proctored Exam 2019 Quizlet

1. When a client expresses, 'I don't know how I will go on' while discussing feelings related to a recent loss, the nurse remains silent. What is the most likely reason for the nurse's behavior?

Correct answer: D

Rationale: In therapeutic communication, silence can offer the client an opportunity to process their emotions and thoughts. By remaining silent, the nurse provides a space for the client to reflect on their own words, facilitating deeper exploration and understanding of their feelings.

2. Which of the following is an example of a preventive measure in public health?

Correct answer: B

Rationale: Vaccination is a preventive measure used in public health to protect against infectious diseases by stimulating the immune system to develop immunity without causing the disease. It helps prevent the spread of infectious diseases within communities and is a cost-effective way to reduce the burden of illnesses.

3. A healthcare provider is planning care for a client who has a pressure ulcer. Which of the following actions should the healthcare provider take?

Correct answer: D

Rationale: Repositioning the client every 2 hours is crucial in preventing pressure ulcers from worsening. This action helps relieve pressure on specific areas, improving circulation and reducing the risk of tissue damage. Massaging the reddened area can further damage the skin, applying heat can increase the risk of skin breakdown, and elevating the head of the bed to 45 degrees may not directly address the pressure ulcer prevention. Proper positioning is essential to avoid prolonged pressure on the affected areas and promote healing.

4. When teaching a client about the use of risperidone, which of the following should be included?

Correct answer: B

Rationale: The correct answer is B: 'Monitor for metabolic syndrome.' Risperidone is not an SSRI but an atypical antipsychotic. Choice A is incorrect. Choice C is also incorrect as risperidone, like any medication, can have side effects. Choice D is wrong because alcohol consumption should generally be avoided while taking risperidone. Educating clients about monitoring for metabolic syndrome, weight gain, and other potential side effects is crucial in managing their health effectively while on this medication.

5. Following a recent lawsuit that implicated one of their colleagues, the nursing staff at an assisted-living facility are especially aware of the need to safeguard themselves legally. Which of the following measures should the nurses take? Select one that does not apply.

Correct answer: C

Rationale: Denying admission to residents with living wills or advance directives is not a legal safeguard measure and may be considered discriminatory. Measures like investigating liability insurance adequacy, ensuring adequate work by unlicensed staff, and assessing employee competence are all valid ways for nurses to protect themselves legally. These measures help in ensuring proper care, reducing risks, and maintaining a high standard of practice.

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