Leadership ATI Proctored

Question 1 of 5

Which type of HMO contracts with two or more IPAs (Independent Practice Associations)?

A. Staff model B. Point of service model C. Network model D. Group model

Correct Answer: C

Rationale: The correct answer is C: Network model. A network model of HMOs contracts with two or more IPAs. In a network model, the HMO contracts with multiple IPAs to provide healthcare services to its members, offering a wider range of choices and flexibility in selecting healthcare providers.

Choices A, B, and D are incorrect because the staff model involves employing physicians and healthcare providers directly, the point of service model allows members to seek care both in-network and out-of-network, and the group model is not specifically associated with contracting IPAs.

Question 2 of 5

Staff are sometimes injured when a patient or visitor becomes agitated. If a staff member reports an injury, the following actions should take place: (EXCEPT)

A. Notify security. B. Complete an incident report. C. Notify the nursing supervisor. D. Ensure that staff has been examined.

Correct Answer: B

Rationale: When a staff member reports an injury resulting from an agitated patient or visitor, several actions should be taken. These actions include notifying security to ensure safety, notifying the nursing supervisor for appropriate follow-up, and ensuring that the injured staff member has been examined to assess the extent of the injury. Completing an incident report is not the correct action to exclude because documenting the incident is crucial for legal and healthcare purposes. Incident reports provide a detailed account of what occurred, which is essential for investigations, insurance claims, and improving safety protocols.
Therefore, all other options are necessary steps to take when a staff member reports an injury, making completing an incident report the correct answer for exclusion.

Question 3 of 5

A unit director at a local hospital knows even leadership may face ethical dilemmas. Which of the following should the director take into consideration when dealing with an employee who is incompetent?

A. The situation should be tolerated for as long as possible because of the amount of time and paperwork required to terminate an incompetent nurse. B. Incompetence only impacts the individual nurse. C. The director should follow her institution’s formal process for reporting and handling practices that jeopardize patient safety. D. Most nurse practice acts direct how to handle incompetent nurses.

Correct Answer: C

Rationale: Incompetence jeopardizes patient safety.
Therefore, the formal process for handling these practices should be followed.

Question 4 of 5

1. Which patient action indicates good understanding of the nurse’s teaching about administration of aspart (NovoLog) insulin?

A. The patient avoids injecting the insulin into the upper abdominal area B. The patient cleans the skin with soap and water before insulin administration. C. The patient stores the insulin in the freezer after administering the prescribed dose. D. The patient pushes the plunger down while removing the syringe from the injection site

Correct Answer: B

Rationale:

Question 5 of 5

The nurse is taking a health history from a 29-year-old pregnant patient at the first prenatal visit. The patient reports no personal history of diabetes but has a parent who is diabetic. Which action will the nurse plan to take first?

A. Teach the patient about administering regular insulin. B. Schedule the patient for a fasting blood glucose level. C. Discuss an oral glucose tolerance test for the twenty-fourth week of pregnancy. D. Provide teaching about an increased risk for fetal problems with gestational diabetes.

Correct Answer: B

Rationale: The correct answer is B. Given the family history of diabetes, the initial action the nurse should take is to schedule the patient for a fasting blood glucose level. This will help in assessing if the patient has developed gestational diabetes.
Choice A is incorrect because teaching about administering regular insulin is premature without confirming the diagnosis.
Choice C is incorrect as an oral glucose tolerance test is typically done earlier in pregnancy.
Choice D is incorrect as discussing fetal problems related to gestational diabetes should come after a confirmed diagnosis.

Nurselytic

ATI RN

ATI RN