Leadership ATI Proctored - Nurselytic

Correct Answer: D

Rationale:
Step 1: Tying the problem to clients' care is crucial in coaching to ensure the client sees the relevance and importance of addressing the issue.

Step 2: This step helps create motivation and engagement for the client to actively work towards solving the problem.

Step 3: By connecting the problem to the client's values and well-being, it enhances the client's commitment to the coaching process.

Step 4: This step also promotes a deeper understanding of the impact the problem has on the client's life, driving them towards meaningful change.

Step 5: Overall, tying the problem to clients' care is essential for effective coaching by fostering a client-centered approach and facilitating meaningful progress.

Summary:
A: Stating the target is important but not as overlooked as tying the problem to clients' care.
B: Jumping to conclusions is a common mistake to avoid in coaching.
C: Asking for suggestions can be beneficial, but it is not the often overlooked step in coaching.

Correct Answer: A

Rationale: The correct answer is A, "Measure the ankle-brachial index." This task involves using a blood pressure cuff and Doppler ultrasound to assess blood flow in the lower extremities, which is within the scope of practice for UAPs. It is a non-invasive procedure that does not require specialized training.


Choice B, "Check for changes in skin pigmentation," involves assessing for potential skin changes related to circulation issues, which requires more in-depth knowledge and interpretation than what UAPs are trained for.


Choice C, "Assess for unilateral or bilateral foot drop," involves evaluating muscle strength and nerve function, which requires clinical judgment and knowledge beyond the scope of UAP practice.


Choice D, "Ask the patient about symptoms of depression," involves assessing mental health and requires communication skills and training that UAPs do not typically have.

Correct Answer: D

Rationale: The correct answer is D: Report the error to the supervisor immediately. This action prioritizes patient safety and prevents harm. It follows ethical guidelines by promoting transparency and accountability. Reporting the error also upholds professional standards and fosters a culture of continuous learning and improvement. Ignoring the error (
A) risks patient harm. Administering the medication anyway (
B) compromises patient safety. Correcting the error without informing the nurse (
C) overlooks the importance of addressing the root cause and preventing future mistakes.

Correct Answer: C

Rationale: The correct answer is C because shared governance involves staff nurses and CNAs collaborating in decision-making processes, such as creating schedules. This promotes autonomy, teamwork, and mutual respect. Option A involves delegation, not shared decision-making. Option B shows centralized authority by nurse managers. Option D indicates hierarchical decision-making, not shared governance. In summary, choice C aligns with the principles of shared governance, while the other options do not involve the active involvement of both staff nurses and CNAs in decision-making.

Correct Answer: C

Rationale: The correct answer is C: monitor blood glucose every 4 hours and notify the clinic if it continues to rise. In this scenario, the patient is experiencing an illness (sore throat and runny nose) which can lead to elevated blood glucose levels due to increased stress hormones. It is essential to closely monitor blood glucose levels to prevent hyperglycemia-related complications. The nurse's advice aligns with the goal of closely monitoring the patient's condition and seeking medical attention if blood glucose levels continue to rise.


Choice A is incorrect because using only lispro insulin may not be sufficient to manage the elevated blood glucose levels caused by illness.
Choice B is incorrect as limiting calorie intake may not be the appropriate action to take in this situation.
Choice D is incorrect because decreasing carbohydrate intake based on glycosylated hemoglobin levels is not an immediate solution to address the current elevated blood glucose levels due to illness.