ATI RN Leadership Management Proctored Exam With NGN Version 2 With Answers (28 Solved Questions)

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A nurse is preparing a client who speaks limited Englishfor surgery. Which of the following is the mostappropriate nursing action in obtaining informedconsent from this client?Select one:a. Do nothing as this is the provider's primary concern.b. The nurse should explain the procedures usingpictures and hand gestures.c. Have the nurse respond to the client's concerns so theprovider can prepare for surgery.d.Seek the assistance of a nurse on the floor who isfluent in the client's language.d. Seek the assistance of anurse on the floor who is fluentin the client's language.The nurse is responsible forensuring that the clientunderstands the informationprovided regarding theprocedure.A nurse is performing initial teaching with a client whowill be receiving electroconvulsive therapy (ECT). Whichstatement by the client indicates a need for furtherteaching?Select one:a. "My Dilantin dose will be increased several daysbefore the procedure."b. "Before the procedure, I will have an EKG to assess forheart irregularities."c. "I will need to continue taking my regular bloodpressure medication."d. "I will stop taking my lithium for 2 weeks prior to myprocedure."a. "My Dilantin dose will beincreased several days beforethe procedure."Because the therapeuticaction of ECT is to induceseizures, any medications thataffect the client's seizurethreshold must be decreasedor discontinued several daysbefore the procedure.Any cardiac conditions, suchas dysrhythmias, should bemonitored and treated beforethe procedureA daughter of a client with a terminal illness pulls a nurseto the side and says, "Although my mother's living willstates she is not to be resuscitated, the family wantseverything done to save her if she has a cardiac arrest."How should the nurse respond?Select one:a. "The living will documents your mother's wishes andmust be followed."b. "I will contact the provider to make him aware of yourrequest."c. "If yourmother has a cardiac arrest, we will beginresuscitation if you wish."d. "Since the living will is a legal document a lawyer willhave to make the changes."a. "The living will documentsyour mother's wishes and mustbe followed."A living will is adocument thatexpresses the client's wishesregarding medical treatment inthe event the client becomesincapacitated and is facingend-of-life issues. The client'swishes should be followed bythe health care provider.

ATI RN Leadership Management Proctored Exam With NGN Version 2 With Answers (28 Solved Questions) - Page 4 preview image

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A provider informs the wife of acomatose client withterminal cancer that she will need to sign the consentfor insertion of a gastrostomy feeding tube. The nurseknows this is against the client's wishes. What is theappropriate action by the nurse?Select one:a. Inform the wife she cannot sign the consentb. Prepare the consent for the wife to sign.c. Ask the provider for an order for a NG tube instead.d. Consult the hospital's ethics committee.d. Consult the hospital's ethicscommittee.If the nurse believes theprovider's actions are directlyagainst the client's wishes, thenurse should contact thehospital's ethics committee.These committees are typicallymultidisciplinary and areorganized to consciously andreflectively consider significantand often difficult issues relatedto client care. Any nurse canconsult the hospital's ethicscommittee when deemednecessary.Unless the client has designedanother person as his healthcare power of attorney, thewife, as immediate next of kin,can legally sign the consent forthe procedure if she wishes.A client is seeking treatment for stress related tounexpected loss of employment and is engaging in thestress management technique of cognitive reframing.Which of the following statements would indicate to thenurse that the client understands this stress managementtechnique?Select one:a."I have excellent job skills; I just need to find a newemployer."b. "When I do my daily yoga exercises, I feel so muchbetter."c. "Once I decided what was most important to me,things got easier."d. "I can visualize the perfect interview and beingoffered a new job."a. "I have excellent job skills; Ijust need to find a newemployer."Cognitive reframing is a simpleand effective technique forreducing stress by looking atthings in a more positive light inorder to experience them asless stressful. Cognitivereframing for this client wouldinvolve building confidence injob skills and searching for anew job.

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