TEST BANK FOR RN ATI FUNDAMENTALS

TEST BANK FOR RN ATI FUNDAMENTALS (ALL CHAPTERS 1-58 WITH QUESTIONS AND ANSWERS)/FUNDAMENTALS OF NURSING 10TH EDITION (Ati, Content Mastery Series Review Module). 1. A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers 2. A nurse is explaining the various types of health care coverage clients might have to a group of nurses. Which of the following health care financing mechanisms should the nurse include as federally funded? (Select all that apply.) A. Preferred provider organization (PPO) B. Medicare C. Long-term care insurance D. Exclusive provider organization (EPO) E. Medicaid 3. A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy? A. Collaborating with providers to perform obesity screenings during routine office visits B. Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity C. Providing specialized intraoperative training in surgical treatments for obesity D. Educating acute care nurses about postoperative complications related to obesity ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS 4. A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards? A. Monitoring evidence-based practice for clients who have a specific diagnosis B. Ensuring that health care providers comply with regulations C. Setting quality standards for accreditation of health care facilities D. Determining whether medications are safe for administration to clients 5. A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? (Select all that apply.) A. Intensive care unit B. Oncology treatment center C. Burn center D. Cardiac rehabilitation E. Home health care INTERPROFESSIONAL PERSONNEL (NON-NURSING) Spiritual support staff: Provides spiritual care (pastors, rabbis, priests). Example of when to refer: A client requests communion, or the family asks for prayer prior to the client undergoing a procedure. Registered dietitian: Assesses, plans for, and educates regarding nutrition needs. Designs special diets, and supervises meal preparation. Example of when to refer: A client has a low albumin level and recently had an unexplained weight loss. Laboratory technician: Obtains specimens of body fluids, and performs diagnostic tests. Example of when to refer: A provider needs to see a client’s complete blood count (CBC) results immediately. Occupational therapist: Assesses and plans for clients to regain activities of daily living (ADL) skills, especially motor skills of the upper extremities. Example of when to refer: A client has ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS difficulties using an eating utensil with their dominant hand following a stroke. Pharmacist: Provides, monitors, and evaluates medication. Supervises pharmacy technicians in states that allow this practice. Example of when to refer: A client is concerned about a new medication’s interactions with any of their other medications. Physical therapist: Assesses and plans for clients to increase musculoskeletal function, especially of the lower extremities, to maintain mobility. Example of when to refer: Following hip arthroplasty, a client requires assistance learning to ambulate and regain strength. Provider: Assesses, diagnoses, and treats disease and injury. Providers include medical doctors (MDs), doctors of osteopathy (DOs), advanced practice nurses (APNs), and physician assistants (PAs). State regulations vary in their requirements for supervision of APNs and PAs by a physician (MDs and DOs). Example of when to refer: A client has a temperature of 39º C (102.2º F), is achy and shaking, and reports feeling cold. Radiologic technologist: Positions clients and performs x-rays and other imaging procedures for providers to review for diagnosis of disorders of various body parts. Example of when to refer: A client reports severe pain in their hip after a fall, and the provider prescribes an x-ray of the client’s hip. Respiratory therapist: Evaluates respiratory status and provides respiratory treatments including oxygen therapy, chest physiotherapy, inhalation therapy, and mechanical ventilation. Example of when to refer: A client who has respiratory disease is short of breath and requests a nebulizer treatment. Social worker: Works with clients and families by coordinating inpatient and community resources to meet psychosocial and environmental needs that are necessary for recovery and discharge. Example of when to refer: A client who has terminal cancer wishes to go home but is no longer able to perform many ADLs. The client’s partner needs medical equipment in the home to care for the client. ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS Speech-language pathologist: Evaluates and makes recommendations regarding the impact of disorders or injuries on speech, language, and swallowing. Teaches techniques and exercises to improve function. Example of when to refer: A client is having difficulty swallowing a regular diet after trauma to the head and neck. CHAPTER 2 Online Video: Interdisciplinary Team 8 CHAPTER 2 The Interprofessional Team CONTENT MASTERY SERIES NURSING PERSONNEL The nursing team works together to advocate for and meet the needs of clients within the health care delivery system. Registered nurse (RN) The RN is the lead team member, soliciting input from all nursing team members and setting priorities for the coordination of client care. EDUCATIONAL PREPARATION ● Must meet the state board of nursing’s requirements for licensure. ● Requires completion of a diploma program, an associate degree, or a baccalaureate degree in nursing prior to taking the licensure exam (licensed). ROLES AND RESPONSIBILITIES ● Function legally under state nurse practice acts. ● Perform assessments; establish nursing diagnoses, goals, and interventions; and conduct ongoing client evaluations. ● Develop interprofessional plans for client care. ● Share appropriate information among team members; initiate referrals for client assistance, including health education; and identify community resources. Practical nurse (PN) EDUCATIONAL PREPARATION ● Must meet the state board of nursing’s requirements ● Requires vocational or community college education prior to taking the licensure exam (licensed) ROLES AND RESPONSIBILITIES ● Work under the supervision of the RN. ● Collaborate within the nursing process, assist with the plan of care, consult with other team members, and recognize the need for referrals to assist with actual or potential problems. ● Possess technical knowledge and skills. ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS ● Participate in the delivery of nursing care, using the nursing process as a framework. Assistive personnel (AP) This includes certified nursing assistants (CNAs) and certified medical assistants (CMAs), and non-nursing personnel (dialysis technicians, monitor technicians, and phlebotomists). EDUCATIONAL PREPARATION ● Must meet the state’s formal or informal training requirements ● Requirement by most states for training and examination to attain CNA status ROLES AND RESPONSIBILITIES ● Work under the direct supervision of an RN or PN. ● Position description in the employing facility outlines specific tasks. ● Tasks can include feeding clients, preparing nutritional supplements, lifting, basic care (grooming, bathing, transferring, toileting, positioning), measuring and recording vital signs, and ambulating clients. EXPANDED NURSING ROLES Advanced practice nurse (APN): Has a great deal of autonomy. APNs usually have a minimum of a master’s degree in nursing (or related field), advanced education in pharmacology and physical assessment, and certification in a specialized area of practice. Included in this role are the following. ● Clinical nurse specialist (CNS): Typically specializes in a practice setting or a clinical field. ● Nurse practitioner (NP): Collaborates with one or more providers to deliver nonemergency primary health care in a variety of settings. ● Certified registered nurse anesthetist (CRNA): Administers anesthesia and provides care during procedures under the supervision of an anesthesiologist. ● Certified nurse-midwife (CNM): Collaborates with one or more providers to deliver care to maternal-newborn clients and their families. Nurse educator: Teaches in schools of nursing, staff development departments in health care facilities, or client education departments. Nurse administrator: Provides leadership to nursing departments within a health care facility. Nurse researcher: Conducts research primarily to improve ATI RN FUNDAMENTALS LATEST EDITION CORRECT AND VERIFIED QUESTION AND ANSWERS the quality of client care. Active Learning Scenario A nurse is teaching a group of newly licensed nurses about the various nursing roles they can aspire to after they achieve mastery in basic nursing skills. Use the ATI Active Learning Template: Basic Concept to complete this item. RELATED CONTENT: Describe at least five types of advance practice nursing roles, including a brief description of their primary responsibilities. FUNDAMENTALS FOR NURSING CHAPTER 2 The Interprofessional Team 9 Application Exercises 1. A nurse is caring for a group of clients on a medical-surgical unit. For which of the following client care needs should the nurse initiate a referral for a social worker? (Select all that apply.) A. A client who has terminal cancer requests hospice care in the home. B. A client asks about community resources available for older adults. C. A client states, “I would like to have my child baptized before surgery.” D. A client requests an electric wheelchair for use after discharge. E. A client states, “I do not understand how to use a nebulizer.” 2. A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team? A. Social worker B. Certified nursing assistant C. Registered dietitian D. Occupational therapist.