verbal interventions with an agitated patient may be calming these interventions include
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Nursing Elites

ATI RN

ATI Proctored Leadership Exam

1. Verbal interventions with an agitated patient may be calming. These interventions include:

Correct answer: C

Rationale: The correct answer is C: Remaining calm and keeping an arm's distance. Agitated individuals benefit from minimal verbal and physical stimulation. They respond to their environment based on how nurses interact with them. If an individual feels threatened or cornered, the response will generally be self-protective and reactive. Standing close to the patient (choice D) can be perceived as invasive and may escalate the situation. Holding and reassuring the patient (choice A) may not be effective if the patient perceives it as intrusive. Encouraging other staff to distract the patient (choice B) may introduce unnecessary stimulation. Therefore, the recommended approach is to remain calm and keep a safe distance to provide a non-threatening environment for the agitated patient.

2. In order to assist an older diabetic patient to engage in moderate daily exercise, which action is most important for the nurse to take?

Correct answer: A

Rationale: The correct answer is to determine what type of activities the patient enjoys. This approach is crucial as it helps in personalizing the exercise plan to the patient's preferences, making it more likely for them to adhere to it. Choice B is incorrect because focusing on self-esteem may not directly motivate the patient to engage in exercise. Choice C, although important, may not be the initial step as understanding the patient's preferences comes first. Choice D limits the patient's autonomy by not involving them in the decision-making process.

3. 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.

4. The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?

Correct answer: C

Rationale:

5. Which of the following statements accurately describes the relationship between ethical principles and laws?

Correct answer: D

Rationale: The statement 'Ethical principles can serve as the foundation for laws' is correct. Ethical principles act as a standard for evaluating actions and behaviors. While ethical principles may influence the creation of laws, they are not laws themselves. Choice A is incorrect as ethics are usually upheld through societal norms and personal values rather than government enforcement. Choice B is incorrect because laws do provide standards, but those standards are legal rather than ethical. Choice C is incorrect as ethics are broad guidelines for behavior, not highly detailed rules.

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