NUR105 M2.4: ATI Engage Fundamentals: Managing Client Care
A charge nurse is teaching a newly licensed nurse about the concept of team nursing. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?NUR105 M2.4: ATI Engage Fundamentals
Answer: “Nurses will pair together to care for an assigned group of clients.”
Explanation: Team nursing involves nurses working collaboratively to provide care to an assigned group of clients. It promotes a coordinated and efficient approach to patient care.NUR105 M2.4: ATI Engage Fundamentals
A nurse is precepting a newly licensed nurse and suggests using the IDEAL method to structure the client’s discharge planning. The client’s caregiver is also in the room. Which of the following statements made by the newly licensed nurse demonstrates the correct use of the IDEAL method?
Answer: “I will include the client and caregivers in the discharge discussion.”
Explanation: The IDEAL method (Identify, Define, Explore, Act, Look) involves collaborating with the client and their caregivers to ensure a smooth discharge process. Involving all stakeholders is a crucial aspect of this approach.
A nurse is teaching the SMART goal method to a client who has diabetes mellitus and is setting nutrition and weight loss goals. Which of the following client statements should indicate to the nurse an understanding of the teaching?
Answer: “I will reduce my sugar intake by 10 grams each week for one month until I reach the desired level.”
Explanation: SMART goals are Specific, Measurable, Achievable, Relevant, and Time-bound. The client’s statement aligns with these criteria by specifying what they will do, providing a measurable target (reducing sugar intake by 10 grams), making it achievable, relevant to their condition, and setting a time frame for achieving the goal.
A nurse is speaking with a client who is noncompliant in performing a daily blood glucose testing regimen. Which of the following responses should the nurse make?NUR105 M2.4: ATI Engage Fundamentals
Answer: “What is preventing your consistency with your daily blood glucose checks?”
Explanation: This response demonstrates a patient-centered approach, addressing the client’s barriers to compliance. Understanding the client’s challenges can help develop solutions to improve adherence.
A charge nurse is reviewing client acuities and tasks to make the nursing staff’s daily assignments. When using the Five Rights of Delegation, which of the following should the charge nurse use to ensure client safety?
Answer: Right task
Explanation: The Five Rights of Delegation include the right task, right circumstances, right person, right direction, and right supervision. Ensuring that the task is appropriate for delegation to the specific staff member (right task) is essential for client safety.
A charge nurse is teaching a group of nurses about protecting themselves from an abusive client. Which of the following statements by a nurse within the group demonstrates an understanding of the teaching?
Answer: “I should try to escape or put a barrier between myself and the client.”
Explanation: Protecting oneself from an abusive client is essential. This includes measures such as attempting to escape from a potentially dangerous situation or creating a physical barrier between the nurse and the client to ensure safety.
A nurse is giving change-of-shift report to an oncoming nurse using SBAR reporting. Which of the following entries by the nurse demonstrates the correct use of SBAR?
Answer: “The client in room 1 has been experiencing breakthrough pain following an exploratory surgery yesterday. Vital signs are stable. Recommend calling the provider for a breakthrough dose if pain continues.”
Explanation: SBAR (Situation, Background, Assessment, Recommendation) is a structured method for effective communication. The response provides the situation, background, assessment of the client’s pain, and a clear recommendation for the next steps.
A nurse is caring for a client who is being transferred to another unit, but the receiving nurse is unavailable to take report. Which of the following concepts is being violated that could place the client at risk?
Answer: Continuity of care
Explanation: The continuity of care is essential to ensure a smooth transition when transferring a client. If the receiving nurse is unavailable to take report, it could lead to gaps in care and jeopardize the client’s safety.
A newly licensed nurse is reviewing the client assignments for a shift and determining tasks to complete. Which of the following is a time management strategy the nurse should use?
Answer: Make a list and prioritize a plan.NUR105 M2.4: ATI Engage Fundamentals
Explanation: Prioritization and planning are key time management strategies. Making a to-do list and prioritizing tasks based on urgency and importance can help a nurse manage their time effectively and ensure that critical responsibilities are addressed first.
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