The patient tells the nurse that his insurance company requires him to pick a primary provider and asks what that means. The nurse explains that a primary provider means choosing what?

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ATI Leadership Proctored Exam 2023 Questions

Question 1 of 9

The patient tells the nurse that his insurance company requires him to pick a primary provider and asks what that means. The nurse explains that a primary provider means choosing what?

Correct Answer: A

Rationale: A primary provider is typically a doctor, nurse practitioner, or physician's assistant who is responsible for overseeing and coordinating the patient's comprehensive healthcare needs. This healthcare professional serves as the main point of contact for the patient, managing preventive care, treatments, referrals to specialists, and overall health management. Choice B, a staff nurse, is incorrect as a primary provider is usually a more advanced healthcare professional managing comprehensive care. Choice C, one insurance provider, is incorrect as a primary provider refers to a healthcare professional, not an insurance company. Choice D, a hospital, is incorrect as the primary provider is an individual healthcare professional responsible for coordinating the patient's care, not a healthcare facility.

Question 2 of 9

In the traditional rating scale, what is the time period typically used for evaluation?

Correct Answer: A

Rationale: The correct answer is A: Twelve months. In traditional rating scales, a 12-month period is commonly used for evaluation as it allows for a comprehensive assessment of an individual's performance over a significant timeframe. This duration provides a more accurate reflection of the individual's overall performance, considering various factors like consistency, growth, and achievement. Choice B: Six months is not as ideal as it may not capture long-term trends and changes in performance effectively. Choice C: Three months is too short a timeframe to evaluate performance comprehensively. Choice D: One month is insufficient for a thorough evaluation and may not provide a holistic view of the individual's performance.

Question 3 of 9

12. A patient receives aspart (NovoLog) insulin at 8:00 AM. At which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?

Correct Answer: A

Rationale: Rationale: Aspart insulin has a rapid onset of action, typically within 15 minutes. Monitoring for hypoglycemia is crucial around 2-3 hours after administration, which aligns with choice A (10:00 AM). At this time, the peak effect of the insulin is likely to occur, increasing the risk of hypoglycemia. Choices B, C, and D are incorrect as they are farther away from the insulin administration time and do not align with the peak action of aspart insulin.

Question 4 of 9

Employees are eligible to take a leave of absence if they have worked for the employer for at least: (EXCEPT)

Correct Answer: C

Rationale: The correct answer is C: At least six months. This is because eligibility for a leave of absence typically requires a minimum tenure with the employer to ensure the employee has established some level of commitment and loyalty. Options A, B, and D do not address the duration of employment specifically, focusing instead on hours worked, physical location, and total months. Option A relates to minimum hours worked, not tenure. Option B specifies a timeframe but doesn't directly address duration of employment. Option D pertains to the size and proximity of the work site, not tenure. Thus, the correct choice is C as it directly addresses the minimum duration of employment required for leave eligibility.

Question 5 of 9

A healthcare professional is reviewing the plan of care for a client following a total hip arthroplasty. Which of the following procedural plans is the healthcare professional following?

Correct Answer: C

Rationale: The correct answer is C: Care map / clinical practice guideline. In this scenario, the healthcare professional is using a Care Map or clinical practice guideline to review the plan of care for the client post total hip arthroplasty. Care maps provide a structured, step-by-step approach to care delivery based on evidence-based practices, ensuring consistency and quality of care. Choice A, patient classification categories, does not involve a specific plan of care but rather categorizes patients based on acuity levels. Choice B, diagnostic related groups, is a payment classification system that groups patients with similar diagnoses and treatments for reimbursement purposes, not for developing care plans. Choice D, functional nursing, is a care delivery system where tasks are divided among staff based on their function, which is not the same as following a procedural plan like a care map.

Question 6 of 9

A registered nurse (RN) who usually uses public transportation has not renewed her driver’s license. During a recent car trip with a friend, she took over driving when her friend became tired. Which of the following is true?

Correct Answer: B

Rationale: The correct answer is B because driving without a valid license is illegal and goes against the professional standards expected of a registered nurse. RNs are held to high ethical and legal standards, and not having a valid driver's license could potentially lead to disciplinary action, including the possibility of losing her RN license. Choice A is incorrect as driving without a license is not considered professional behavior. Choice C, while advisable, does not address the immediate issue of driving without a valid license. Choice D is incorrect as the circumstances do not excuse the illegal act of driving without a license.

Question 7 of 9

Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient's choice without condemning or frightening them.

Correct Answer: C

Rationale: The correct answer is C because it aligns with the definition of caring provided in the question stem. By including the patient in planning care, the nurse demonstrates a genuine concern for the patient's needs and preferences, which is a key aspect of caring. This approach acknowledges the patient as a unique individual and respects their autonomy. Choice A is incorrect because while finding a way for the patient to see the dog may be a kind gesture, it does not directly relate to the core concept of caring as described in the question. Choice B is incorrect as it mentions the importance of a nonjudgmental attitude, which is indeed a part of transpersonal caring but does not directly address the specific aspect of including the patient in planning care. Choice D is incorrect as it introduces a different concept of curative nursing care, which is not relevant to the definition of caring provided in the question.

Question 8 of 9

A registered nurse (RN) is caring for a patient who is one of Jehovah’s Witnesses and has refused a blood transfusion even though her hemoglobin is dangerously low. After providing information about all the alternatives available and risks and benefits of each, the health-care provider allows the patient to determine which course of treatment she would prefer. The RN knows this is an example of which ethical principle?

Correct Answer: A

Rationale: The correct answer is A: Autonomy. Autonomy is the ethical principle that upholds an individual's right to make their own decisions about their healthcare, even if those decisions go against medical advice. In this scenario, the healthcare provider respects the patient's autonomy by allowing her to make an informed decision about her treatment, despite the potential risks involved. Summary of other choices: B: Nonmaleficence - This principle focuses on the healthcare provider's duty to do no harm to the patient. While it is important, in this case, the patient's autonomy takes precedence. C: Beneficence - This principle emphasizes the healthcare provider's duty to do good for the patient. In this scenario, respecting the patient's autonomy is considered more important than imposing what the provider thinks is best for the patient. D: Distributive justice - This principle is about fair distribution of healthcare resources. It is not directly applicable in this scenario where the focus is on respecting the patient's autonomy.

Question 9 of 9

If a nurse accepts the role of charge nurse on the evening shift, what effect will unionization have on the nurse's new position?

Correct Answer: B

Rationale: The correct answer is B because the charge nurse is considered part of the management team. As a member of the management team, participating in union activities would create a conflict of interest since the charge nurse is responsible for overseeing and directing other nurses. The charge nurse's role involves making decisions that impact the work environment and staffing, which aligns more closely with management responsibilities. Therefore, union participation would be inappropriate for the charge nurse as it could compromise their ability to effectively carry out their managerial duties. Choices A, C, and D are incorrect because they do not accurately reflect the relationship between the charge nurse role and unionization. Choice A suggests automatic arbitration of grievances by the Union, which may not be the case for a charge nurse. Choice C states the nurse is not eligible for collective bargaining activities, which is not specifically tied to the charge nurse role. Choice D suggests that the nurse can be represented by the union, which is inaccurate for a charge nurse who is typically considered part of the management team

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