ATI NURS 252 Leadership Exam

Question 1 of 5

At a staff meeting, a nurse manager introduces a new, cutting-edge voice communication device that the staff will be required to use in the upcoming months. The staff is hesitant to the change, expressing that the device is too difficult to use. Which of the following strategies and principles should the manager consider to assist with the successful adoption of the proposed change? Select all that apply.

A. Recipients of change must perceive that the change will be beneficial.B. The nurse manager should remain firm and not negotiate the change goal and process of change with the staff.C. The nature of the nurse manager's relationship with the group is a significant factor in accomplishing change.D. Recipients of change must participate in identifying the problem warranting the change.E. The manager should promote the sharing of ideas and honest reactions, but discourage the sharing of fears to preserve team morale.

Correct Answer: A,C,D

Rationale:
Correct Answer: A, C, D

Rationale:
A: Recipients must perceive benefits to overcome resistance. This helps staff see the value in using the new device.
C: Relationship with the group matters. Trust and open communication facilitate successful change implementation.
D: Involving staff in identifying problems fosters ownership and commitment, increasing the chances of successful adoption.

Summary:
B: Remaining firm without negotiation can lead to increased resistance and lack of buy-in from staff.
E: Encouraging the sharing of ideas and reactions is beneficial, but discouraging the sharing of fears may hinder open communication and trust within the team.

Question 2 of 5

A nurse is instructing a newly licensed nurse about the scope and standards of nursing practice. Which of the following characteristics best describes standards of practice?

A. Focuses only on the ethical expectations of the nursing profession.B. Lists a set of skills and responsibilities that every nurse is expected to provide regardless of their role.C. Establishes a protocol for care to provide for a specific health problem.D. Outlines the necessary criteria for nursing schools to receive accreditation.

Correct Answer: B

Rationale:
Rationale: The correct answer is B. Standards of practice list essential skills and responsibilities expected from all nurses, regardless of their role. This ensures consistent quality care delivery. Ethics (
A) are a part but not the sole focus. Protocols (
C) are specific to certain conditions. Accreditation criteria (
D) are not part of practice standards.

Choices E, F, and G are not provided in the question.

Question 3 of 5

The maintenance department wishes to have the nursing lounge renovated, so the lounge will be more 'user-friendly.' The department asks the nursing staff to make a wish list of everything that they would like to see in the new lounge. This process is an example of which part of the decision-making process?

A. Assessment/Data collectionB. Generating hypothesesC. PlanningD. Data interpretation

Correct Answer: A

Rationale: The correct answer is A: Assessment/Data collection. In the given scenario, the maintenance department is gathering information from the nursing staff to identify their needs and preferences for the renovation project. This step involves collecting data through the wish list to understand the current situation and gather insights for improvement. By involving the nursing staff in the process, the department is assessing their requirements to make informed decisions.

Choices B, C, and D are incorrect because generating hypotheses, planning, and data interpretation come after the assessment phase in the decision-making process.

Question 4 of 5

A nurse is caring for a client who is unconscious and has a living will. The client's family asks if they can make changes to lifesaving measures now that the client is unconscious. Which of the following statements should the nurse make?

A. The Patient Self-Determination Act (PSDA) will explain your rights to change lifesaving measures.'B. The durable power of attorney for health care can cancel the client's living will.'C. The living will can be changed by you at any time.'D. The living will states the client's wishes regarding lifesaving measures.'

Correct Answer: D

Rationale: The correct answer is D. The living will states the client's wishes regarding lifesaving measures. When a client is unconscious, the living will serves as a legal document that outlines their preferences for medical treatment, including lifesaving measures. This document must be followed by healthcare providers and cannot be changed by family members or healthcare proxies.
Choice A is incorrect because the PSDA does not grant the family the right to change the client's living will.
Choice B is incorrect because the durable power of attorney for health care does not have the authority to cancel a client's living will.
Choice C is incorrect as the living will cannot be changed by family members once the client is incapacitated.

Question 5 of 5

At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment, the RN assumes:

A. sole responsibility and accountability for the patient's wellbeing.B. responsibility for their tasks, but accountability lies with the charge nurse.C. accountability for their tasks, but overall responsibility lies with the charge nurse.D. neither responsibility nor accountability for the patient's wellbeing.

Correct Answer: C

Rationale:
Correct Answer: C

Rationale:
1. Accountability for tasks: The RN is responsible for carrying out their assigned tasks effectively and safely.
2. Overall responsibility: The charge nurse oversees the entire unit and maintains ultimate responsibility for patient care.
3. Division of roles: The RN is accountable for their specific duties, while the charge nurse holds the overall responsibility.
4. Legal implications: The charge nurse is ultimately accountable for patient outcomes and must ensure all tasks are completed correctly.

Summary:
A: Incorrect. The RN is not solely responsible for the patient's wellbeing as the charge nurse also plays a role.
B: Incorrect. While the RN is responsible for tasks, the charge nurse retains accountability.
D: Incorrect. Both responsibility and accountability are present in nursing care.

ATI NURS 252 Leadership Exam | Nurselytic

Nurselytic

ATI RN

ATI RN