what is the primary role of a nurse in palliative care

ATI RN

ATI Leadership Proctored Exam 2019 Quizlet

1. What is the primary role of a nurse in palliative care?

A. To provide emotional support to patients and families
B. To coordinate patient care and provide pain management
C. To administer medications and treatments
D. To conduct research on end-of-life care

Correct answer: B

Rationale: The correct answer is B. In palliative care, a nurse's primary role is to coordinate patient care and provide pain management. While emotional support (Choice A) is a crucial aspect of palliative care, it is not the primary role of a nurse in this setting. Administering medications and treatments (Choice C) is part of the nurse's responsibilities but not the primary role. Conducting research (Choice D) is important for advancing palliative care but is not the primary role of a nurse providing direct patient care in this context.

2. Which of the following are essential components of strategic planning?

A. Values
B. Vision & Mission statements
C. Reengineering
D. A & B

Correct answer: D

Rationale: In strategic planning, values and vision and mission statements play crucial roles. Values guide the organization's culture and decision-making processes, while vision and mission statements outline its long-term goals and purpose. Reengineering, on the other hand, is a separate process focused on restructuring business processes for improved performance efficiency. Therefore, the correct components of strategic planning are values and vision and mission statements, making option D the correct answer. Choices A and B are correct because they are directly related to setting the direction and purpose of the organization in a strategic planning process, while choice C, reengineering, is not typically considered a core element of strategic planning.

3. Two RNs are discussing the benefits of professional liability insurance. Which of the following is a reason for an RN to have a professional liability insurance policy?

A. No expenses are involved in frivolous lawsuits.
B. If a nurse is found guilty of malpractice, the institution cannot sue the nurse.
C. Liability policies may also cover charges of libel, slander, assault, and HIPAA violations.
D. Only doctors are sued for malpractice.

Correct answer: C

Rationale: The correct answer is C. Liability policies can cover charges of libel, slander, assault, and HIPAA violations, in addition to malpractice claims. Choice A is incorrect as there are expenses involved in frivolous lawsuits. Choice B is incorrect because institutions can sue nurses found guilty of malpractice. Choice D is incorrect as nurses, not just doctors, can be sued for malpractice.

4. When using an open irrigation technique to irrigate a client's indwelling urinary catheter, which of the following actions should the nurse take?

A. Position the client in a side-lying position.
B. Perform the irrigation using a 20-mL syringe.
C. Instill 15 mL of irrigation fluid into the catheter with each flush.
D. Measure and record the amount of irrigant used.

Correct answer: B

Rationale: When irrigating an indwelling urinary catheter, the nurse should use a 20-mL syringe for the procedure. This syringe size helps to provide adequate pressure for effective irrigation. Placing the client in a side-lying position is not necessary for this procedure. Instilling a specific amount of irrigation fluid into the catheter is not mentioned in the scenario. Subtracting the amount of irrigant used from the client's urine output is not a standard practice in catheter irrigation.

5. A middle adult client tells the nurse, 'I feel so useless now that my children do not need me anymore.' Which of the following responses should the nurse make?

A. Validate the client's feelings by saying, 'People in middle adulthood often find satisfaction in nurturing and guiding young people.'
B. Encourage the client to explore the reasons behind feeling useless.
C. Reassure the client by saying, 'You should be proud that your children are becoming independent.'
D. Provide information by saying, 'Most people are happy when their children grow up and leave home.'

Correct answer: A

Rationale: The correct response is to validate the client's feelings by acknowledging that individuals in middle adulthood often derive satisfaction from nurturing and guiding young people. This response shows empathy and understanding towards the client's emotions. Choice B is incorrect because it may come across as dismissive of the client's feelings. Choice C is incorrect as it does not address the client's emotional state and could be perceived as minimizing their concerns. Choice D is incorrect as it generalizes feelings and may not be applicable to the client's specific situation.