ATI RN
ATI Leadership Practice A Questions
Question 1 of 9
A nurse recognizes which of the following as a primary goal of nursing?
Correct Answer: A
Rationale: The primary goal of nursing is to promote health, prevent illness, alleviate suffering, and care for the sick. Assisting patients to achieve a peaceful death is an essential aspect of nursing care, ensuring dignity and comfort in the end-of-life phase. While improving personal knowledge and advocating for quality of life are important aspects of nursing, the primary goal remains the well-being and comfort of patients, even in death. Working to control costs, while a consideration in healthcare, is not the primary goal of nursing, which is centered on patient care and well-being.
Question 2 of 9
A staff nurse is working with a patient who is on a critical pathway for education in preparation for home care. Which one of the following responsibilities would the nurse address first?
Correct Answer: D
Rationale: The correct answer is D. Reviewing the information with the client and family should be addressed first. This step involves ensuring that the client and family fully understand the information provided, which is crucial before proceeding with any other responsibilities. Taking vital signs (choice A) is important but not the priority in this scenario. Answering the client's questions (choice B) and evaluating client teaching (choice C) can come after reviewing the information to ensure effective communication and understanding.
Question 3 of 9
What is the term for working on a schedule within the unit, involving only those who are working within that unit?
Correct Answer: B
Rationale: The correct answer is B, self-staffing. Self-staffing is the model where staff entirely manage staffing and scheduling themselves, without external involvement. Choices A, C, and D are incorrect. Flexible staffing refers to adjusting staffing levels based on demand. Internal pools involve a group of staff who can be drawn upon for scheduling needs. Management scheduling typically involves supervisors or managers creating and managing schedules for the unit.
Question 4 of 9
How did the Social Security Act of 1935 impact public health nursing?
Correct Answer: A
Rationale: The Social Security Act of 1935 impacted public health nursing by containing provisions for care for disabled children. This helped in improving the health and well-being of this vulnerable population. The Act did not specifically address care for mentally disabled individuals, older adults, or opioid addicts. Therefore, the correct answer is disabled children.
Question 5 of 9
What is the primary focus of case management in nursing?
Correct Answer: A
Rationale: The primary focus of case management in nursing is direct patient care, which involves providing and coordinating services for patients. While resource management, financial planning, and quality assurance are important aspects of healthcare, they are not the primary focus of case management. Resource management deals with optimizing resources, financial planning involves managing financial aspects, and quality assurance focuses on maintaining high standards of care.
Question 6 of 9
Which of the following best describes the purpose of benchmarking in healthcare?
Correct Answer: B
Rationale: The correct answer is B: 'To identify best practices and implement them.' Benchmarking in healthcare aims to compare performance metrics across organizations to identify the most effective practices and implement them. This helps healthcare providers improve their performance and outcomes by adopting proven successful strategies. Choices A, C, and D are incorrect because while benchmarking may involve comparing performance metrics and ensuring standards compliance, its primary purpose is to identify and implement best practices.
Question 7 of 9
A 26-year-old patient with diabetes rides a bicycle to and from work every day. Which site should the nurse teach the patient to administer the morning insulin?
Correct Answer: C
Rationale: The correct answer is the abdomen. When a patient engages in physical activities like riding a bicycle, the abdomen is a suitable site for insulin administration due to the consistent absorption rate. The subcutaneous tissue in the abdomen allows for more predictable insulin absorption compared to other sites. The thigh is also a common site for insulin injection but may not be ideal for this patient due to the physical activity involved. The buttock and upper arm are not preferred sites for insulin injection as they can have variable absorption rates and may not be as convenient for self-administration.
Question 8 of 9
In order to assist an older diabetic patient to engage in moderate daily exercise, which action is most important for the nurse to take?
Correct Answer: A
Rationale: The correct answer is to determine what type of activities the patient enjoys. This approach is crucial as it helps in personalizing the exercise plan to the patient's preferences, making it more likely for them to adhere to it. Choice B is incorrect because focusing on self-esteem may not directly motivate the patient to engage in exercise. Choice C, although important, may not be the initial step as understanding the patient's preferences comes first. Choice D limits the patient's autonomy by not involving them in the decision-making process.
Question 9 of 9
The nurse manager has two employees with a longstanding conflict that is affecting the group's productivity and cohesiveness. She decides to meet with the employees in private, bring the conflict out into the open, and attempt to resolve it through knowledge and reason. Which conflict management strategy did she employ?
Correct Answer: A
Rationale: The nurse manager employed the conflict management strategy of 'Confrontation.' Confrontation involves bringing the conflict out into the open and attempting to resolve it through knowledge and reason, making it the most effective means of resolving conflict in this scenario. Choice B, 'Suppression,' involves ignoring or avoiding the conflict, which is not what the nurse manager did. Choice C, 'Collaboration,' refers to working together to find a mutually acceptable solution and was not explicitly mentioned in the scenario. Choice D, 'Intervention,' typically involves a third party stepping in to help resolve the conflict, which was not the case here.