ATI RN
Nursing Leadership And Management Practice Questions Questions
Question 1 of 9
Which of the following describes the ability to enter into a contract with an employer?
Correct Answer: A
Rationale: The correct answer is A: Certification to contract. Certification to contract refers to having the legal capacity and authority to enter into a contract with an employer. This means the individual meets the necessary requirements and is legally allowed to engage in contractual agreements. Rationale: 1. Certification implies that the individual has met specific qualifications or criteria, ensuring they have the necessary skills and knowledge to engage in contract negotiations. 2. To contract indicates the ability to enter into a legally binding agreement, which is essential when establishing an employer-employee relationship. 3. The term "certification to contract" specifically addresses the ability to form contracts, distinguishing it from the other choices which do not directly relate to contractual agreements. Summary of Incorrect Choices: B: Certification to represent - While representation may be involved in contract negotiations, this choice does not directly address the ability to enter into a contract with an employer. C: Bargaining agreement - This refers to an agreement between labor and management, not the individual's ability to enter into
Question 2 of 9
As part of your hospital's effort to achieve Magnet® status, you are asked to join a council that addresses staff retention. You note that staff often leave due to lack of recognition and limited input into scheduling. You suggest a program that includes staff in scheduling decisions and recognizes staff achievements monthly. Your suggestion is likely to:
Correct Answer: B
Rationale: Your program staff input on scheduling and monthly recognition targets retention killers, boosting job satisfaction by valuing nurses' voices and efforts, a Magnet® cornerstone. Research shows this cuts turnover, not raises it, and lifts morale without harming patients or teamwork care quality often rises. On the council, this dual fix addresses exit reasons directly, fostering a supportive culture, aligning with Magnet's aim to keep skilled staff engaged and fulfilled.
Question 3 of 9
The manager of a medical-surgical unit is very task-motivated. Using Fiedler's Contingency Theory, under what circumstances would the manager be most effective?
Correct Answer: C
Rationale: According to Fiedler's Contingency Theory, task-motivated leaders are most effective in highly structured situations. This is because in such environments, the leader can focus on task accomplishment and clearly defined goals without needing to rely heavily on interpersonal relationships. In contrast, in loosely structured situations, task-motivated leaders may struggle as the lack of clear direction and ambiguity can hinder their task-oriented approach. Therefore, the correct answer is C. Choices A and B are incorrect as they focus on stress levels, which are not directly related to the effectiveness of task-motivated leaders. Choice D is incorrect because loosely structured situations are not ideal for task-motivated leaders according to Fiedler's theory.
Question 4 of 9
The nurse is caring for a client with a history of chronic kidney disease. Which dietary recommendation should the nurse provide?
Correct Answer: A
Rationale: For chronic kidney disease, limiting protein intake is key, not more sodium, avoiding carbs, or adding phosphorus. Excess protein strains kidneys reducing it cuts waste buildup, unlike sodium or phosphorus, which worsen fluid and bone issues. Leadership advises this imagine less fatigue; it supports renal function, aligning with CKD care effectively. This reflects nursing's focus on dietary management in chronic illness.
Question 5 of 9
A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation?
Correct Answer: A
Rationale: Rationale: Option A is correct because medication reconciliation involves comparing the client's home medications with the provider's prescriptions to ensure accuracy and prevent medication errors. This step helps identify discrepancies and allows for proper management of the client's medication regimen. Summary: - Option B is incorrect as it does not address the process of medication reconciliation. - Option C is incorrect as calling the pharmacy does not directly relate to verifying medication information. - Option D is incorrect as verifying the client's name on their identification bracelet does not specifically pertain to medication reconciliation.
Question 6 of 9
A nurse in a community health clinic is planning an in-service staff training session on nationally notifiable infectious conditions. Which of the following conditions should the nurse include in the teaching?
Correct Answer: A
Rationale: Nationally notifiable infectious conditions are tracked by the CDC to monitor public health threats, and varicella (chickenpox) is among them due to its contagiousness and vaccine-preventable status. Including it in training ensures staff recognize its reportable nature, aiding outbreak control and surveillance. Strep throat, while bacterial and treatable, isn't nationally notifiable unless linked to severe sequelae like rheumatic fever, which isn't specified. Influenza is tracked via sentinel surveillance, not mandatory individual reporting, and the common cold lacks public health significance for notification. Varicella's inclusion educates staff on legal reporting duties, supports vaccination efforts, and protects vulnerable populations, aligning with community health priorities and regulatory requirements for infectious disease management.
Question 7 of 9
Factors that may contribute to workplace violence in a health care setting include:
Correct Answer: B
Rationale: The correct answer is B because continuous loud noises and poorly monitored entrances can create a stressful environment, leading to heightened emotions and potential triggers for violence. Loud noises can increase agitation, while poorly monitored entrances can allow unauthorized individuals to enter, posing a security risk. The other choices are incorrect because lack of armed security (A) is not a direct cause of workplace violence, poor staff interactions (C) may contribute to a negative work environment but not necessarily violence, and tense shoulders and clenched fists (D) are physical signs of stress but do not directly cause workplace violence.
Question 8 of 9
A nurse is caring for a male client who is scheduled for a procedure. The client's son asks the nurse what medication is being given to the client. Which of the following responses should the nurse provide?
Correct Answer: B
Rationale: HIPAA mandates protecting client health information, restricting disclosure to those not directly providing care unless authorized. Responding I am sorry, but you'll need to ask your father for that information' upholds confidentiality, redirecting the son to the client the information's owner respecting autonomy and privacy without hostility. Giving the medication name breaches confidentiality, offering specifics only the client can share. A blunt I can't tell you' lacks tact, potentially straining relations, while deferring to the provider shifts responsibility unnecessarily. The chosen response balances legal duty with professionalism, reinforcing the client's control over their data, a cornerstone of trust in nurse-client interactions.
Question 9 of 9
As a nurse manager, you introduce a mentorship program pairing experienced nurses with new graduates to improve unit cohesion and retention. Your rationale is that mentorship:
Correct Answer: B
Rationale: Mentorship pairing veterans with newbies boosts job satisfaction, as support and guidance ease transition stress, fostering belonging and retention. It doesn't cut accountability, harm safety, or spark conflict cohesion rises. In your unit, with turnover risks, this builds a supportive culture, aligning with evidence that mentored nurses stay longer, enhancing team stability and morale, a strategic lift for both staff and care quality.