ATI RN
ATI NURS 252 Leadership and Ethics Exam Questions
Question 1 of 5
An organization is developing a strategy to address recent staffing shortages. Which of the following interventions BEST secures patient safety and reduces cost?
Correct Answer: B
Rationale: The correct answer is B: Developing a centralized staffing pool of float nurses. This intervention is the best choice as it allows for flexibility in allocating staff to areas with shortages while maintaining patient safety. Float nurses are trained to work in various units, ensuring that patient care standards are upheld. Recruiting volunteers (
A) may not have the necessary skills and expertise to provide quality care. Assigning nurses from less busy units (
C) may compromise patient safety due to differences in patient acuity levels. Implementing mandatory overtime (
D) can lead to burnout and decreased staff morale, impacting patient safety.
Question 2 of 5
A Fars-speaking patient is admitted to the Medical unit due to complications related to uncontrolled diabetes. The staff expresses frustration because the patient is frequently readmitted, despite having been explained the medication regimen several times. The patient's failure to follow the regimen indicates
Correct Answer: C
Rationale: The correct answer is C: lack of health literacy. This patient's frequent readmissions despite being explained the medication regimen suggest a lack of understanding of health information. Health literacy involves the ability to comprehend and act upon health information. In this case, the patient may not fully understand the importance of adhering to the medication regimen, leading to non-compliance. Worsening health state (
A) could be a consequence of non-compliance rather than the root cause. Lack of motivation (
B) may play a role, but the primary issue seems to be understanding. Early cognitive impairment (
D) is not indicated without further assessment.
Question 3 of 5
A clinical instructor is assessing a student nurse's ability to promote patient engagement. Which of the following interventions made by the student suggests a NEED FOR FURTHER TEACHING?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Option B, where the student advises the patient on which treatment options to choose, suggests a need for further teaching. This intervention does not promote patient engagement as it undermines patient autonomy and decision-making. Nurses should facilitate informed decision-making by providing information and supporting patients in making choices that align with their values and preferences. Advising the patient limits their autonomy and may not result in the best outcomes for the patient.
Summary of Other
Choices:
A: Educating the patient about their diagnosis is a positive intervention as it promotes patient understanding and involvement in their care.
C: Arranging for the doctor to visit the patient and family is a supportive action that involves multiple stakeholders in decision-making.
D: Asking the patient about their treatment preferences demonstrates patient-centered care and promotes patient engagement.
Question 4 of 5
Lee the nurse manager, offers personalized coaching sessions for Jillian (a new graduate nurse) to help her develop interpersonal skills. However, Jillian's schedule conflicts with Lee's and is unable to meet. In order to work with Jillian's schedule. Lee sacrifices his personal time. Which of the following conflict management strategies is Lee demonstrating?
Correct Answer: A
Rationale: The correct answer is A: accommodation. Lee is accommodating Jillian's schedule by sacrificing his personal time to ensure she receives the coaching sessions. This strategy involves prioritizing the needs of the other party over one's own. In this scenario, Lee is showing flexibility and understanding towards Jillian's constraints, which is key in conflict management.
Incorrect
Choices:
B: Avoiding - Lee is not avoiding the conflict or the situation, but actively seeking a solution by sacrificing his time.
C: Compromising - Lee is not meeting halfway with Jillian or finding a mutually acceptable solution, but rather adjusting his schedule entirely.
D: Competing - Lee is not trying to win over Jillian or assert his own needs, but rather focusing on accommodating her needs.
Question 5 of 5
During a team meeting, a head nurse (the superior) and a staff nurse (the subordinate) are having a disagreement over the unit's dressing change procedure. The staff nurse wishes to use a new procedure based on newly released nursing research. The head nurse disagrees. The head nurse later makes comments to other staff members questioning the credibility of the staff nurse. This behavior is associated with:
Correct Answer: B
Rationale: The correct answer is B: bullying. The head nurse's behavior of questioning the credibility of the staff nurse in front of other staff members constitutes bullying. Bullying involves using power differentials to undermine, intimidate, or belittle others. In this scenario, the head nurse is using their authority to discredit the staff nurse's professional opinion and damage their reputation, which is a form of workplace bullying.
Incorrect choices:
A: Horizontal violence typically involves aggression or mistreatment between colleagues at the same hierarchical level. In this scenario, the behavior is coming from a superior to a subordinate, making it more accurately classified as bullying.
C: Confrontation refers to addressing a disagreement or conflict directly, which is not the case here as the head nurse is not engaging in a constructive dialogue with the staff nurse.
D: Mediation involves a neutral party facilitating conflict resolution between two parties, which is not applicable in this scenario as there is no attempt at mediation.