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Ati pn maternity proctored exam 2023 Questions with Explanations of Answers | latest upate 2024
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ATI PN MATERNITYPROCTORED EXAM 2023
QUESTIONS AND ANSWERS
1. Which information from a co-worker on a gerontological unit will causethe nurse to
intervene?
a. Most older people have dependent functioning.
b. Most older people have strengths we should focus on.
c. Most older people should be involved in care decision.
d. Most older people should be encouraged to have independence.
ANS: A
Most older people remain functionally independent despite the increasing prevalence of chronic
disease; therefore, this misconception should be addressed. It is critical for you to respect older
adults and actively involve themin care decisions and activities. You also need to identify an older
adult’s strengths and abilities during the assessment and encourage independence as anintegral part
of your plan of care.
2. A nurse suspects an older-adult patient is experiencing caregiver
neglect. Which assessment findings are consistent with the nurse’ssuspicions?
a. Flea bites and lice infestation
b. Left at a grocery store
c. Refuses to take a bath
d. Cuts and bruises
ANS: A
Caregiver neglect includes unsafe and unclean living conditions, soiled bedding, and animal or
insect infestation. Abandonment includes desertion ata hospital, nursing facility, or public location
such as a shopping center. Self-neglect includes refusal or failure to provide oneself with basic
necessities such as food, water, clothing, shelter, personal hygiene, medication, and safety.
Physical abuse includes hitting, beating, pushing, slapping, kicking, physical restraint,
inappropriate use of drugs, fractures, lacerations, rope burns, and untreated injuries.
3. A nurse is teaching a group of older-adult patients. Which teaching strategy
,is best for the nurse to use?
Provide several topics of discussion at once to promote independence
a. and making choices.
Avoid uncomfortable silences after questions by helping patients
b. complete their statements.
Ask patients to recall past experiences that correspond with their
c. interests.
d. Speak in a high pitch to help patients hear better.
ANS: C
Teaching strategies include the use of past experiences to connect new learning with previous
knowledge, focusing on a single topic to help the patient concentrate, giving the patient enough
time in which to respond because older adults’ reaction times are longer than those of younger
persons, and keeping the tone of voice low; older adults are able to hear lowsounds better than
high-frequency sounds.
4. An older patient has fallen and suffered a hip fracture. As a
consequence, the patient’s family is concerned about the patient’s ability to care for self,
especially during this convalescence. What should the nursedo?
a. Stress that older patients usually ask for help when needed.
Inform the family that placement in a nursing center is a permanent
b. solution.
Tell the family to enroll the patient in a ceramics class to maintain
c. quality of life.
Provide information and answer questions as family members make
d. choices among care options.
ANS: D
Nurses help older adults and their families by providing information and answering questions as they
make choices among care options. Some older adults deny functional declines and refuse to ask for
assistance with tasks thatplace their safety at great risk. The decision to enter a nursing center is
never final, and a nursing center resident sometimes is discharged to home or to another less-acute
residence. What defines quality of life varies and is uniquefor each person.
5. What is the best suggestion a nurse could make to a familyrequesting help
in selecting a local nursing center?
Have the family members evaluate nursing home staff according to
a. their ability to get tasks done efficiently and safely.
Make sure that nursing home staff members get patients out of bed
b. and dressed according to staff’s preferences.
Explain that it is important for the family to visit the center and
c. inspect it personally.
, Suggest a nursing center that has standards as close to hospital
d. standards as possible.
ANS: C
An important step in the process of selecting a nursing home is to visit the nursing home. The
nursing home should not feel like a hospital. It is a home, aplace where people live. Members of the
nursing home staff should focus on the person, not the task. Residents should be out of bed and
dressed accordingto their preferences, not staff preferences.
6. A 70-year-old patient who suffers from worsening dementia is no longer able to live
alone. The nurse is discussing health care services and
possible long-term living arrangements with the patient’s only son. Whatwill the nurse suggest?
a. An apartment setting with neighbors close by
b. Having the patient utilize weekly home health visits
c. A nursing center because home care is no longer safe
That placement is irrelevant because the patient is retreating to a place
d. of inactivity
ANS: C
Some family caregivers consider nursing center placement when in-home care becomes
increasingly difficult or when convalescence from hospitalization requires more assistance than
the family is able to provide. Anapartment setting and the use of home health visits are not
appropriate because living at home is unsafe.
Dementia is not a time of inactivity but an impairment of intellectualfunctioning.
7. A nurse is caring for an older adult. Which goal is priority?
a. Adjusting to career
b. Adjusting to divorce
c. Adjusting to retirement
d. Adjusting to grandchildren
ANS: C
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