Communication in Nursing 8th Edition Test Bank

Questions 53

ATI RN

ATI RN Test Bank

Communication in Nursing 8th Edition Test Bank Questions

Question 1 of 5

The team leader is reviewing what the HCP has just prescribed for Mr. N (non-Hodgkin lymphoma). What will the team leader question?

Correct Answer: A

Rationale: The correct answer is A: Administer filgrastim 5 mcg/kg subcutaneously every day. The rationale for this is that filgrastim is a medication commonly prescribed for patients with non-Hodgkin lymphoma to stimulate the production of white blood cells. Therefore, the team leader should question the dosage, route of administration, and frequency to ensure it aligns with the prescribed treatment plan. Incorrect choices: B: Catheterize to obtain a urinalysis specimen - This is not relevant to the prescribed treatment for non-Hodgkin lymphoma. C: Flush the IV saline lock every shift - Important for maintaining IV access but not directly related to the prescribed medication. D: Monitor vital signs every 4 hours - Monitoring vital signs is important but not the primary concern when reviewing a prescribed medication for non-Hodgkin lymphoma.

Question 2 of 5

The nurse cares for a young adult patient in the emergency room after a sexual assault. Which action by the nurse is appropriate?

Correct Answer: C

Rationale: The correct answer is C because actively listening to the patient express their feelings related to the sexual assault is essential for providing emotional support and validating their experience. This action shows empathy and helps the patient feel heard and supported. It also allows the nurse to assess the patient's emotional well-being and provide appropriate care. Avoiding decision-making situations (A) may lead to further distress for the patient. While joining a support group (B) can be beneficial, it may not be appropriate or feasible immediately after a traumatic event. Providing detailed information about evidence collection (D) is important but should be done after addressing the patient's emotional needs.

Question 3 of 5

A patient is attracted to the nurse and attempts to initiate a social relationship. It is most appropriate for the nurse to take which action?

Correct Answer: C

Rationale: The correct answer is C because it maintains professional boundaries, prioritizing the patient's well-being. By clearly stating that the relationship must remain professional, the nurse sets clear boundaries and avoids any potential ethical issues. Choice A is incorrect as it can lead to boundary violations and compromise patient care. Choice B is incorrect as it does not address the situation directly and may not be necessary if proper boundaries are set. Choice D is incorrect as transferring the patient may not address the underlying issue and is not a standard response to this situation.

Question 4 of 5

which assessment will the nurse perform?

Correct Answer: C

Rationale: The correct answer is C: Assess for McBurney sign. The McBurney sign is indicative of appendicitis and involves tenderness at McBurney's point in the right lower quadrant. This assessment is crucial for identifying possible appendicitis in a patient presenting with abdominal pain. Assessing for Cullen sign (A) involves bruising around the umbilicus and is associated with intra-abdominal bleeding, not appendicitis. Grey-Turner sign (B) refers to bruising on the flanks and is also indicative of intra-abdominal bleeding. Chvostek sign (D) is a clinical sign of facial muscle twitching and is associated with hypocalcemia. Therefore, assessing for McBurney sign is the most appropriate choice in this scenario to help diagnose appendicitis.

Question 5 of 5

The nurse cares for a client with hypertension, and a nurse3client contract is developed outlining the activities and responsibilities of each. Which would be appropriate to include in this contract? (Select all that apply)

Correct Answer: A

Rationale: The correct answer is A because setting realistic and measurable outcomes helps track progress and ensure treatment effectiveness. This promotes accountability and motivation for both the nurse and client. Choice B is incorrect because it is a general practice and not specific to the contract. Choice C is incorrect as the contract doesn't necessarily have to be written and signed, although it is recommended. Choice D is incorrect as confidentiality is a standard practice and not specific to the contract's content.

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