ATI LPN
Nursing Leadership and Management Questions Questions
Question 1 of 9
As a staff nurse, you participate in a unit meeting where staff discuss ways to improve discharge planning. You suggest creating a multidisciplinary team to coordinate care transitions. Your suggestion reflects:
Correct Answer: B
Rationale: A multidisciplinary team for discharge like nurses, docs, social workers ensures smooth transitions, reflecting patient-centered care by meeting needs holistically. It's not oversight, dissatisfaction, or shirking staff collaborate. In the meeting, this prioritizes patient success, aligning with care quality, cutting readmissions via teamwork, a nurse-led push for better outcomes rooted in comprehensive planning.
Question 2 of 9
A client with a history of heart failure is prescribed torsemide. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: For torsemide in HF, monitor potassium, not calcium, magnesium, or sodium. Loop diuretics dump potassium hypokalemia risks arrhythmias. Others shift less. Leadership watches this imagine cramps; it ensures safety, aligning with cardiac care effectively.
Question 3 of 9
You are asked to complete an occurrence report regarding a medication error on your patient. Occurrence reports primarily:
Correct Answer: A
Rationale: Occurrence reports document incidents like medication errors to analyze trends and improve processes here, contributing to unit quality by identifying error causes (e.g., workflow issues) for safer care. They're not about blame or discipline, though patterns might prompt action, nor collective bargaining, which focuses on labor terms. In this case, reporting a patient error feeds into system fixes, aligning with healthcare's push for continuous improvement, not punishment, ensuring lessons enhance practice across the unit.
Question 4 of 9
A nurse is considering applying for a management job that will require the nurse to make many difficult decisions. What question should the nurse ask when considering his or her ability to make difficult decisions?
Correct Answer: A
Rationale: Risk comfort is key for this nurse eyeing management, where tough calls like staffing cuts loom, over nursing process use, pleasing others, or speed. Decisions often lack ideal options; a risk-averse nurse might falter approving overtime, jeopardizing care. Process adaptability helps, but risk tolerance drives action. Pleasing everyone's impossible, and quick thinking varies deliberation can win. Leadership hinges on this self-assessment, ensuring the nurse can prioritize patient safety amid uncertainty, a critical trait for managing effectively.
Question 5 of 9
A nurse is caring for a client who has a history of severe multiple sclerosis and asks the nurse about completing a living will. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: A client with severe multiple sclerosis inquiring about a living will seeks control over future care, given potential progression. Responding I will provide you with the information you need to complete advance directives' fulfills the Patient Self-Determination Act, offering education on options like living wills or proxies, respecting autonomy. Deciding for the client usurps their right, age dismissal ignores relevance MS can debilitate young adults and limiting to terminal cases misstates applicability; advance directives suit chronic conditions. Providing information empowers the client, aligns with legal and ethical duties, and supports informed decision-making, critical for managing a progressive disease's uncertainties.
Question 6 of 9
During controlling and evaluating phase, which one of the following is quality improvement method utilized by institutions.
Correct Answer: D
Rationale: Benchmarking improves quality, unlike credentialing, standards, or pathways. Nurse managers like comparing falls use this, contrasting with static tools. It's key in healthcare for excellence, aligning leadership with best practices.
Question 7 of 9
As a member of a quality improvement team, you review data showing a high rate of readmissions for heart failure patients. You suggest involving staff nurses in developing a discharge education plan tailored to patient needs. Your suggestion reflects:
Correct Answer: A
Rationale: Involving staff to craft a tailored discharge plan uses evidence-based practice data (readmission rates) and nurse insights shape education, cutting returns. It's not discipline, teamwork flaws, or oversight cuts staff drive solutions. On the team, this leverages bedside wisdom, as in HAI fixes, aligning with EBP's focus on proven, customized care to improve outcomes, targeting heart failure gaps effectively.
Question 8 of 9
A client with a history of type 2 diabetes is prescribed metformin. Which instruction should the nurse include?
Correct Answer: A
Rationale: For metformin in type 2, taking it with meals reduces GI upset, not hypo monitoring (rare), refrigeration, or sugar intake. It's not insulin food timing cuts nausea, sugar worsens control. Leadership teaches this imagine bloating; it ensures adherence, aligning with diabetes care effectively.
Question 9 of 9
According to James and Mead, one's ___ is the aspect of self that is actively perceiving, thinking, and behaving while one's ___ is the object of one's own awareness
Correct Answer: B
Rationale: B I' acts, me' is observed. Nurse leaders reflect on their active decisions (I) versus perceived roles (me), contrasting with self-concept confusion. In healthcare, this clarity aids self-management, aligning leadership with introspective balance.