ATI RN
ATI NURS 252 Leadership Exam Questions
Extract:
Question 1 of 5
A charge nurse is observing the actions of an assistive personnel (AP). Which of the following actions by the AP is appropriate?
Correct Answer: A
Rationale: The correct answer is A because logging off the computer after entering client information ensures patient confidentiality and data security. By logging off, the AP prevents unauthorized access to sensitive information.
Choice B violates patient privacy as medical diagnoses should not be publicly displayed.
Choice C is inappropriate as it risks breaching patient confidentiality by leaving sensitive information accessible to others.
Choice D is a violation of security protocols as sharing passwords compromises data integrity and confidentiality.
Question 2 of 5
By following a shared leadership model, the nurse manager believes that staff members will learn to function synergistically. Some teams function synergistically because members:
Correct Answer: C
Rationale: The correct answer is C: actively listen to each other. In a synergistic team, members actively listen to each other's perspectives, ideas, and feedback. This fosters collaboration, creativity, and mutual respect, leading to better decision-making and problem-solving.
Choice A is incorrect because not speaking unless absolutely sure may hinder open communication and idea exchange.
Choice B is incorrect as it promotes hierarchy over collaboration.
Choice D is incorrect as withholding information can impede team productivity.
Question 3 of 5
In the cardiac intensive care unit, a group of nurses is disgruntled by a recent policy change enacted by the new unit manager. The new manager insists that this decision is 'right,' and for critics to adopt the policy immediately. Though many nurses agree with the change, many others feel the decision was made without their consent, fostering mistrust of the manager and each other. Which of the following statements demonstrates the most probable result of this situation?
Correct Answer: B
Rationale: The correct answer is B: Patient care may suffer because attention and energy is being diverted. In this scenario, the nurses are divided due to the new policy change, leading to conflict and mistrust. This division can divert their attention and energy away from focusing on patient care, potentially impacting the quality of care provided. The emphasis on the disagreement and conflict among the nurses instead of collaboration and teamwork may lead to a decrease in patient care standards. This choice is the most probable result as it highlights the negative consequences of internal discord on patient outcomes.
Other choices are incorrect:
A: This statement assumes that the disagreeing nurses will eventually come around and support the policy change, leading to intergroup cohesiveness. However, this outcome is not guaranteed, especially if the disagreement is rooted in valid concerns or lack of involvement in the decision-making process.
C: While conflict can sometimes help clarify shared values, in this case, the conflict seems to have arisen due to lack of communication and unilateral decision-making,
Question 4 of 5
Planning is a process designed to achieve goals in dynamic, competitive environments. As a new manager, what is the first step you will undertake to develop a strategic plan of action for a congestive heart failure program?
Correct Answer: B
Rationale: The correct answer is B: Establish a vision and mission statement for the impending change. This is the first step in developing a strategic plan as it sets the direction and purpose of the program. It provides clarity on the goals and objectives to be achieved. By establishing a vision and mission statement, the new manager can align the team towards a common goal, inspire motivation, and guide decision-making.
Incorrect choices:
A: Implement an evidence-based plan of action - This is an important step in the planning process but comes after establishing a vision and mission.
C: Search the environment for its strengths, weaknesses, opportunities, and threats - This is part of the strategic analysis phase, which comes after setting the vision and mission.
D: Develop a strategy with an interdisciplinary team - This step follows after setting the vision and mission to create a detailed plan.
Question 5 of 5
As a new manager, you are shocked to learn that your unit is still using heparin in heparin locks. You are aware of evidence related to this practice and want to change this practice as quickly as possible on your unit. You are in which stage of Lewin's stages of change?
Correct Answer: C
Rationale: The correct answer is C: Unfreezing. In Lewin's stages of change, unfreezing is the initial stage where individuals become aware of the need for change and are open to new ideas. In this scenario, as a new manager, realizing the outdated practice of using heparin in heparin locks indicates the need for change. The shock signifies the beginning of awareness and readiness for change. Refreezing (
A) occurs after the change has been implemented and stabilized, not at the initial stage. Moving (
B) and Experiencing the change (
D) are stages that come after Unfreezing, where actual change is implemented and integrated.