ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 6 : Leadership Roles and Management Functions Questions
Question 1 of 5
A nurse is caring for a client with stage IV colon cancer and multiple-stage two wounds on the coccyx area. The client confides feeling very weak and wanting to discontinue further aggressive treatment. Which nursing action best demonstrates the nurse in the role of the client advocate?
Correct Answer: D
Rationale: Advocacy means promoting the cause of another person. The nurse functions as a client advocate by supporting the client and the client's decisions. Offering to support the client as the client expresses healthcare decisions is the best example of a client advocate. Relaying the message to the physician and asking for an antidepressant does not demonstrate supporting the client. Opening conversation related to family response is appropriate for discussion but is not the best choice to support the client. The nurse would not ask the client to reconsider because this is a block to communication.
Question 2 of 5
An LPN, serving as team leader to a team consisting of LPNs and nursing assistants, is making client assignments. Which client situation should prompt the team leader to use acuity measures to reduce an LPN's assignment?
Correct Answer: A
Rationale: Acuity refers to the severity of the illness and the rapidity of change in the client, and thus the intensity of medical and nursing care and other therapies required. A client who desaturates with minimal exertion is at risk for respiratory compromise and respiratory arrest. This will require careful and frequent assessment that will limit the time the nurse will have for other client interactions. Dementia is a chronic condition making daily activities such as medication administration, but it does not require the frequent assessment that the client who demonstrates oxygen desaturation requires. The client who requires assistance with ambulation also is not at risk for severe complications like the client with oxygen desaturation. A client with multiple intravenous antibiotics should improve as treatment progresses and does not require the level of assessment and care that the client with oxygen desaturation will require.
Question 3 of 5
A new client charting system is in the education phase at a healthcare facility. Much discussion has been prompted regarding the new system. With which statement does the nurse best exhibit the integrated leader/manager traits?
Correct Answer: B
Rationale: The traits of an integrated leader/manager combine understanding the daily operations on a clinical unit while seeing the big picture, thinking in the long term, and embracing change. Better serving the client and sharing records as needed demonstrates the willingness to think positively and take risks on improvement for the future. Focusing only on the daily benefits or only on the future impact of using the new technology each only look at one aspect of leadership and management. Stating that the new technology will not be helpful in client care is a negative statement and does not show that the manager is able to embrace change.
Question 4 of 5
Staff is assembling for shift assignments. Which of the following nursing action(s) identifies the manager's responsibility on the clinical unit? Select all that apply.
Correct Answer: B,D
Rationale: The key feature of the manager's position is the individual responsibility and accountability for the accomplishment of tasks on the clinical unit. Part of this responsibility includes assuring that adequate care is given by the staff and assessing the flow of activities on the clinical unit. A manager attending faculty meeting and setting objectives also reflects manager and leadership duties. The other options are task oriented, and, although the manager may assist staff, it is not the focus of the manager's responsibility.
Question 5 of 5
A nurse is caring for clients on a surgical unit. Which nursing action(s) positively impacts the goal of healthcare cost containment? Select all that apply.
Correct Answer: A,B,C,E,F
Rationale: Cost-consciousness measures include prudent use of expensive supplies, careful monitoring of clients to reduce potential complications and lengths of stay, and reduction of waste of limited resources. Completing client wound dressing change prior to physician rounds is not an example of cost containment.