ATI RN
ATI Leadership and Ethics NURS 252 Questions
Question 1 of 5
A manager notes that the incidence of medication errors has increased since the implementation of staffing changes. What strategy should the manager consider to reduce errors?
Correct Answer: B
Rationale: The correct answer is B: Include the bedside nurses in the decision-making process involving their practice. By involving the nurses in decision-making, the manager can gain valuable insights into the root causes of the medication errors and collaboratively develop solutions to address them. This participatory approach fosters ownership, accountability, and engagement among the nurses, leading to a sense of empowerment and motivation to improve patient care.
A: Deter mistakes by emphasizing the consequences of committing a medication error - This approach may create a culture of fear and discourage open communication about errors, hindering the identification and resolution of underlying issues.
C: Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart - While incident reporting is important for learning from errors, placing them in the patient's chart may not address the systemic issues contributing to the errors.
D: Relinquish responsibility by asking a separate department to oversee quality improvement - This approach shifts accountability away from the nursing staff and may not effectively address
Question 2 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: A
Rationale: The correct answer is A: Review the events leading up to each medication administration error. This is the first strategy the committee should initiate because it helps identify root causes of errors. By conducting a thorough review of the events leading up to each error, the committee can identify systemic issues, communication breakdowns, and other factors contributing to errors. This information is crucial for developing targeted interventions to prevent future errors.
Choice B is incorrect because competency testing alone may not address underlying system issues leading to errors.
Choice C is incorrect because focusing solely on nurses involved in errors may overlook broader system issues.
Choice D, providing an inservice, is also not as effective as reviewing events leading to errors, as it may not address specific causes of errors.
Question 3 of 5
To help nurse managers better manage their time, the chief nursing officer suggests that they:
Correct Answer: D
Rationale: The correct answer is D: Decline requests that are not in alignment with their priorities. This is the best option for nurse managers to manage their time effectively. By focusing on tasks that align with their priorities, they can ensure they are using their time efficiently and effectively. Progressing without a plan (choice
A) is not recommended as it can lead to disorganization and inefficiency. Putting off important tasks (choice
B) is counterproductive and can lead to increased stress and missed deadlines. Only accepting projects that fit exact specifications (choice
C) may limit opportunities for growth and development. In summary, by declining requests that do not align with priorities, nurse managers can optimize their time management and focus on what truly matters.
Question 4 of 5
Which of the following is an effective approach in the appraisal of research studies?
Correct Answer: A
Rationale: The correct answer is A: Evaluate the quality of the research against the standards for that type of research. This approach is effective because it considers the specific criteria and guidelines relevant to the particular type of research being appraised. By assessing the research against established standards, one can determine the rigor, validity, and reliability of the study. This method ensures that the evaluation process is objective and systematic, leading to a more accurate assessment of the research's quality.
Summary:
B: Selecting studies based solely on sample size is not a comprehensive approach as other factors also influence research quality.
C: Discarding systematic reviews and meta-analyses is incorrect as they provide valuable synthesized evidence.
D: Accepting only randomized controlled trials may limit the scope of research appraisal, excluding other valid study designs.
Question 5 of 5
Volunteers in a study are assigned randomly to groups. Some of the volunteers receive an herbal supplement that is reputed to control nausea, and some of the volunteers are assigned to a control group where a placebo is administered. This is an example of a(n):
Correct Answer: D
Rationale: The correct answer is D: RCT (Randomized Controlled Trial). In this study design, volunteers are randomly assigned to groups to receive either the herbal supplement or a placebo, allowing for comparison of the effects. This random assignment helps minimize bias and ensures that any observed differences between the groups are likely due to the treatment. A longitudinal study (
A) follows subjects over an extended period, which is not described here. An appraisal tool (
B) is used to evaluate research quality, not a study design. Meta-analysis (
C) involves combining results from multiple studies, not assigning treatments.