Practice Question
A nurse is caring for a client who requires partial assistance with ADLs. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Determine the client's preferences.
Rationale:
🛁 Understanding the client’s preferences promotes client-centered care and encourages participation in ADLs, which supports autonomy and dignity.
🛁 Tailoring care to preferences can increase the client’s motivation and cooperation during assistance.
🛁 Postponing care or eliminating non-essential activities can lead to decreased independence and potential decline in function.
🛁 Informing the client about timing is important but comes after assessing their preferences to individualize care.
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This question is from ATI RN Concept Based Assessment level 1 which contains 121 questions.
More Questions from This Exam
A nurse is teaching an older adult client about safety in the home environment. Which of the following actions should the nurse recommend?
Answer Choices:
A. Place throw rugs over thresholds between rooms.
B. Set the water heater to 54.5° C (130° F).
C. Set the home thermostat to 26° C (79° F).
D. Replace the shower head with a hand-held nozzle.
A nurse is managing nutrition for a client who is receiving intermittent enteral feedings through a nasogastric tube. Which of the following actions should the nurse take first?
Answer Choices:
A. Draw up the formula into a syringe.
B. Determine the pH level of gastric contents.
C. Flush the nasogastric tube with 30 mL of water.
D. Measure the total volume of gastric residual.
A nurse is preparing to apply a bed alarm for a client who is at risk for falls and attempts to get out of bed without assistance. After explaining the procedure to the client, which of the following actions should the nurse take next?
Answer Choices:
A. Instruct the client to use the call light for assistance.
B. Document the type of alarm used.
C. Test the alarm and battery of the device.
D. Apply the sensor pad to the client's bed.
A nurse in a community health center is consulting with a client who lost her home in a fire a few days ago. Which of the following responses should the nurse make?
Answer Choices:
A. "Let's focus on something positive and not discuss the fire today."
B. "I think you should move in with your parents temporarily."
C. "I don't believe that you will experience long-term effects from this."
D. "Tell me how I can best help you right now."
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Concept-Based Assessment Level Exam(s)
- Answer Choices: 4