a nurse is caring for a client who has a terminal diagnosis and whose health is declining the client requests information about advance directives whi

ATI RN

ATI Leadership Proctored Exam 2023

1. When a client with a terminal diagnosis asks about advance directives, what should the nurse do?

A. Engage the client and ask why they want to discuss this without their partner present.
B. Provide information on advance directives and offer brochures.
C. Advise the client to schedule a discussion with their provider.
D. Focus on the client's current feelings and postpone planning for a later time.

Correct answer: A

Rationale: Choice A is the correct response as it demonstrates active listening and empathy by engaging the client in a discussion about their concerns regarding advance directives. It also recognizes the importance of involving the client's partner in such discussions, promoting shared decision-making and support. Choices B and C lack the personalized approach needed in this situation and do not address the client's immediate request for information. Choice D is incorrect as it disregards the client's expressed need to discuss advance directives and focuses solely on their current feelings, delaying a crucial conversation.

2. When facing problems that require immediate action, what organized method involving seven specific steps can nurses use for effective problem-solving?

A. Nominal group technique
B. Delphi method
C. Problem-solving process
D. Brainstorming

Correct answer: C

Rationale: The correct answer is C: Problem-solving process. The problem-solving process involving seven specific steps is a structured approach that nurses can utilize when immediate action is required. This method allows for a systematic and organized way of addressing urgent issues, ensuring a thorough and effective problem-solving approach. Choices A, B, and D are incorrect because they do not specifically refer to the structured method involving seven specific steps that nurses can follow for effective problem-solving.

3. What is the main purpose of conducting a SWOT analysis in healthcare?

A. Identify strengths and weaknesses
B. Develop strategic goals
C. Assess external opportunities
D. Streamline healthcare processes

Correct answer: C

Rationale: The main purpose of conducting a SWOT analysis in healthcare is to assess external opportunities along with identifying strengths, weaknesses, and threats. While identifying strengths and weaknesses is a part of the analysis, the primary goal is to evaluate external opportunities and threats to develop strategic goals. Option A is incorrect as the analysis encompasses more than just strengths and weaknesses. Option B is incorrect as developing strategic goals is a result of the analysis, not the main purpose. Option D is incorrect as streamlining healthcare processes is not the primary focus of a SWOT analysis.

4. Which of the following is true of malpractice?

A. Malpractice occurs when a professional shares information about a patient that could damage that patient�s reputation.
B. Malpractice is a serious criminal offense.
C. Malpractice is a minor criminal offense.
D. Malpractice is a negligent act by an individual whose duties require specialized education.

Correct answer: D

Rationale: Malpractice is a negligent act by an individual whose duties require specialized education.

5. After receiving change-of-shift report, which patient should the nurse assess first?

A. 19-year-old with type 1 diabetes who has a hemoglobin A1C of 12%
B. 23-year-old with type 1 diabetes who has a blood glucose of 40 mg/dL
C. 40-year-old who is pregnant and has an oral glucose tolerance test result of 202 mg/dL
D. 50-year-old who uses exenatide (Byetta) and is complaining of acute abdominal pain

Correct answer: B

Rationale: The correct answer is B because the patient with a blood glucose level of 40 mg/dL (hypoglycemia) needs immediate attention. Hypoglycemia is an emergency situation that requires prompt intervention to prevent adverse effects such as seizures or loss of consciousness. Assessing and managing this patient first is crucial to prevent further deterioration. Choices A, C, and D do not present immediate life-threatening situations requiring urgent intervention like severe hypoglycemia does. While a high hemoglobin A1C level (choice A), an abnormal oral glucose tolerance test result (choice C), and acute abdominal pain (choice D) are important issues, they do not pose an immediate threat to the patient's life compared to severe hypoglycemia.