ATI PN MATERNITY protocored exam

ATI PN MATERNITY k k




PROCTORED EXAM 2023 k k




QUESTIONS AND ANSWERS k k




1. Whichkinformationkfromkakco-
workerkonkakgerontologicalkunitkwillkcausetheknursektokintervene?
a. Mostkolderkpeoplekhavekdependentkfunctioning.


b. Mostkolderkpeoplekhavekstrengthskwekshouldkfocuskon.
c. Mostkolderkpeoplekshouldkbekinvolvedkinkcarekdecision.
d. Mostkolderkpeoplekshouldkbekencouragedktokhavekindependence.

ANS:kA
Mostkolderkpeoplekremainkfunctionallykindependentkdespitekthekincreasingkprevalencekofkchronickdis
ease;ktherefore,kthiskmisconceptionkshouldkbekaddressed.kItkiskcriticalkforkyouktokrespectkolderkadultsk
andkactivelykinvolvektheminkcarekdecisionskandkactivities.kYoukalsokneedktokidentifykankolderkadult’sk
strengthskandkabilitieskduringkthekassessmentkandkencouragekindependencekaskanintegralkpartkofkyourk
plankofkcare.
2. Aknurseksuspectskankolder-adultkpatientkiskexperiencingkcaregiver

neglect.kWhichkassessmentkfindingskarekconsistentkwithktheknurse’ssuspicions?
a. Fleakbiteskandklicekinfestation


b. Leftkatkakgrocerykstore
c. Refusesktoktakekakbath

d. Cutskandkbruises
kANS:kA

Caregiverkneglectkincludeskunsafekandkuncleanklivingkconditions,ksoiledkbedding,kandkanimalkorkinse
ctkinfestation.kAbandonmentkincludeskdesertionkatakhospital,knursingkfacility,korkpublicklocationksuchk
askakshoppingkcenter.kSelf-
neglectkincludeskrefusalkorkfailurektokprovidekoneselfkwithkbasicknecessitiesksuchkaskfood,kwater,kclot
hing,kshelter,kpersonalkhygiene,kmedication,kandksafety.
Physicalkabusekincludeskhitting,kbeating,kpushing,kslapping,kkicking,kphysicalkrestraint,kinappropriat
ekusekofkdrugs,kfractures,klacerations,kropekburns,kandkuntreatedkinjuries.


3. Aknursekiskteachingkakgroupkofkolder-adultkpatients.kWhichkteachingkstrategy

,iskbestkforktheknursektokuse?
Providekseveralktopicskofkdiscussionkatkoncektokpromotekindependence
a. andkmakingkchoices.
Avoidkuncomfortableksilenceskafterkquestionskbykhelpingkpatients
b. completektheirkstatements.
Askkpatientsktokrecallkpastkexperienceskthatkcorrespondkwithktheir
c. interests.
d. Speakkinkakhighkpitchktokhelpkpatientskhearkbetter.

ANS:kC
Teachingkstrategieskincludekthekusekofkpastkexperiencesktokconnectknewklearningkwithkpreviouskk
nowledge,kfocusingkonkaksinglektopicktokhelpkthekpatientkconcentrate,kgivingkthekpatientkenoughkti
mekinkwhichktokrespondkbecausekolderkadults’kreactionktimeskareklongerkthankthosekofkyoungerkpe
rsons,kandkkeepingkthektonekofkvoiceklow;kolderkadultskarekablektokhearklowsoundskbetterkthankhig
h-frequencyksounds.
4. Ankolderkpatientkhaskfallenkandksufferedkakhipkfracture.kAska

consequence,kthekpatient’skfamilykiskconcernedkaboutkthekpatient’skabilityktokcarekforkself,kespecia
llykduringkthiskconvalescence.kWhatkshouldktheknursedo?
a. Stresskthatkolderkpatientskusuallykaskkforkhelpkwhenkneeded.
Informkthekfamilykthatkplacementkinkaknursingkcenterkiskakpermanent
b. solution.
Tellkthekfamilyktokenrollkthekpatientkinkakceramicskclassktokmaintain
c. qualitykofklife.
Providekinformationkandkanswerkquestionskaskfamilykmemberskmake
d. choiceskamongkcarekoptions.
ANS:kD
Nurseskhelpkolderkadultskandktheirkfamilieskbykprovidingkinformationkandkansweringkquestionskasktheyk
makekchoiceskamongkcarekoptions.kSomekolderkadultskdenykfunctionalkdeclineskandkrefusektokaskkforkas
sistancekwithktaskskthatplacektheirksafetykatkgreatkrisk.kThekdecisionktokenterkaknursingkcenterkiskneverkfi
nal,kandkaknursingkcenterkresidentksometimeskiskdischargedktokhomekorktokanotherkless-
acutekresidence.kWhatkdefineskqualitykofklifekvarieskandkiskuniqueforkeachkperson.
5. Whatkiskthekbestksuggestionkaknursekcouldkmakektokakfamilyrequestingkhelpk
inkselectingkaklocalknursingkcenter?
Havekthekfamilykmemberskevaluateknursingkhomekstaffkaccordingkto
a. theirkabilityktokgetktaskskdonekefficientlykandksafely.
Makeksurekthatknursingkhomekstaffkmemberskgetkpatientskoutkofkbed
b. andkdressedkaccordingktokstaff’skpreferences.
Explainkthatkitkiskimportantkforkthekfamilyktokvisitkthekcenterkand
c. inspectkitkpersonally.

, Suggestkaknursingkcenterkthatkhaskstandardskaskclosektokhospital
d. standardskaskpossible.
ANS:kC

Ankimportantkstepkinkthekprocesskofkselectingkaknursingkhomekisktokvisitktheknursingkhome.kTheknursin
gkhomekshouldknotkfeelklikekakhospital.kItkiskakhome,kaplacekwherekpeopleklive.kMemberskofktheknursin
gkhomekstaffkshouldkfocuskonkthekperson,knotkthektask.kResidentskshouldkbekoutkofkbedkandkdressedkac
cordingtoktheirkpreferences,knotkstaffkpreferences.
6. Ak70-year-
oldkpatientkwhoksufferskfromkworseningkdementiakisknoklongerkablektoklivekalone.kTheknurseki
skdiscussingkhealthkcarekserviceskand

possibleklong-termklivingkarrangementskwithkthekpatient’skonlykson.kWhatwillktheknurseksuggest?
a. Ankapartmentksettingkwithkneighborskclosekby

b. Havingkthekpatientkutilizekweeklykhomekhealthkvisits
c. Aknursingkcenterkbecausekhomekcarekisknoklongerksafe
Thatkplacementkiskirrelevantkbecausekthekpatientkiskretreatingktokakplace
d. ofkinactivity
ANS:kC
k


Somekfamilykcaregiverskconsiderknursingkcenterkplacementkwhenkin-
homekcarekbecomeskincreasinglykdifficultkorkwhenkconvalescencekfromkhospitalizationkrequireskm
orekassistancekthankthekfamilykiskablektokprovide.kAnapartmentksettingkandkthekusekofkhomekhealthk
visitskareknotkappropriatekbecauseklivingkatkhomekiskunsafe.
Dementiakisknotkaktimekofkinactivitykbutkankimpairmentkofkintellectualfunctioning.

7. A nurse is caring for an older adult. Which goal is priority?
k k k k k k k k k k k


a. Adjusting to career
k k




b. Adjustingktokdivorce
c. Adjustingktokretirement

d. Adjustingktokgrandchildren

ANS:kC
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