ATI RN
ATI Leadership Proctored Exam 2019 Quizlet Questions
Question 1 of 9
Which of the following theories best describes current health care delivery systems?
Correct Answer: D
Rationale: The correct answer is D: Contingency theory. Contingency theory suggests that there is no one best way to organize and manage a healthcare system. It emphasizes that the effectiveness of a healthcare delivery system depends on various factors such as the environment, technology, and organizational structure. This theory acknowledges the complexity of healthcare systems and the need for flexibility and adaptation to changing circumstances. A: Open system theory focuses on the system's interaction with its environment, but it does not specifically address the best way to organize and manage a healthcare system. B: Closed system theory suggests that a system is self-contained and not influenced by external factors, which is not suitable for describing healthcare delivery systems. C: Chaos theory emphasizes the unpredictability and complexity of systems, but it does not provide a framework for organizing and managing healthcare systems effectively.
Question 2 of 9
Selye's stress theory explains that a person stressed for long periods of time will:
Correct Answer: A
Rationale: Selye's stress theory, also known as the General Adaptation Syndrome, consists of 3 stages: alarm, resistance, and exhaustion. Long-term stress leads to exhaustion as the body's resources are depleted, making a person more susceptible to illnesses. Option A is correct as it aligns with this theory. Option B is incorrect as prolonged stress weakens the body, not makes it stronger. Option C is incorrect because stress does not necessarily lead to increased assertiveness. Option D is unrelated to Selye's stress theory.
Question 3 of 9
When a patient who takes metformin (Glucophage) to manage type 2 diabetes develops an allergic rash from an unknown cause, the healthcare provider prescribes prednisone (Deltasone). The nurse will anticipate that the patient may
Correct Answer: C
Rationale: Rationale for Correct Answer C (require administration of insulin while taking prednisone): 1. Prednisone can increase blood glucose levels by reducing insulin sensitivity. 2. Metformin alone may not control blood glucose levels adequately in the presence of prednisone. 3. Therefore, the patient may require insulin to manage blood glucose levels while on prednisone. Summary of Incorrect Choices: A: This is incorrect because insulin administration is not necessary due to the rash or the interaction between metformin and prednisone. B: This is incorrect because prednisone can actually increase blood glucose levels, leading to hyperglycemia rather than hypoglycemia. D: This is incorrect because the rash is not likely caused by an interaction between metformin and prednisone, but rather an allergic reaction to an unknown cause.
Question 4 of 9
A manager identifies that he is spending more time than desired on completing repetitive paperwork. Which of the following would be appropriate ways to address this issue? (EXCEPT)
Correct Answer: B
Rationale: The correct answer is B because delegating staff evaluations to the staff nurse with the most experience is not an appropriate solution to reduce repetitive paperwork for the manager. Delegating evaluations may not necessarily address the issue of spending too much time on paperwork. A: Combining data reports can help reduce duplication and streamline the paperwork process. C: Assigning the preliminary draft of the schedule to a subcommittee can distribute the workload and free up time for the manager. D: Saying no to inappropriate paperwork assignments is a valid approach to manage workload effectively. In summary, B is the correct answer as it does not directly address the issue of spending excessive time on paperwork compared to the other options provided.
Question 5 of 9
A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's family questions the nurse about the reasons for the transfer. Which of the following responses made by the nurse is appropriate?
Correct Answer: A
Rationale: Step 1: The nurse's response should be professional and informative. Step 2: Response A provides a clear and professional explanation for the transfer. Step 3: Mentioning the provider's decision conveys expertise and reassurance to the family. Step 4: It shows respect for the provider's judgment and helps build trust with the family. Step 5: Responses B, C, and D do not directly address the family's concerns or provide a suitable explanation for the transfer.
Question 6 of 9
On a voting ballot, the individuals who are to be elected during a vote are called:
Correct Answer: B
Rationale: The correct answer is B: Candidates. Candidates are individuals who are running for election and seeking to be elected to a specific position. They are the ones whose names appear on the voting ballot for voters to choose from. Representatives (A) are individuals who have already been elected to represent a group or constituency. Bargaining agents (C) are individuals who negotiate on behalf of others, typically in labor relations. The electorate (D) refers to all the eligible voters in a particular election, not the individuals who are running for election. Therefore, B is the correct answer as it specifically identifies the individuals seeking election on a voting ballot.
Question 7 of 9
Which of the following best describes the concept of shared governance?
Correct Answer: C
Rationale: The correct answer is C: Shared decision making. Shared governance involves collaborative decision-making among healthcare professionals, including nurses, to improve patient care and organizational outcomes. This approach empowers frontline staff to have a voice in decisions that affect their work environment and patient care. Nurse-led committees (option B) may be a part of shared governance but do not fully encompass the concept. Top-down management (option A) and hierarchical structure (option D) are opposite to the principles of shared governance as they involve centralized decision-making and lack of employee involvement in decision-making processes.
Question 8 of 9
What behaviors can be observed before a person becomes violent? (EXCEPT)
Correct Answer: A
Rationale: The correct answer is A because wandering is not typically associated with violent behavior. Tense shoulders and clenched fists (B), blank stare (C), and positioned with one foot in back and an arm pulled back (D) are commonly observed behaviors before a person becomes violent. Tense shoulders and clenched fists indicate agitation, a blank stare can indicate aggression, and the specific body positioning described in D suggests readiness for physical aggression. Wandering, however, is more likely to indicate confusion or aimlessness rather than impending violence.
Question 9 of 9
While caring for a client with tuberculosis, which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Use antimicrobial sanitizer for hand hygiene. Hand hygiene is crucial in preventing the spread of tuberculosis. TB is transmitted through respiratory droplets, not contact, so wearing a mask (choice B) is not effective. Limiting visitor time (choice C) may help reduce exposure, but hand hygiene is more critical. Wearing gloves for oral care (choice D) is important for standard precautions, but hand hygiene is the priority for TB prevention.