ATI RN
ATI NURS 252 Leadership Comprehensive Exam Questions
Extract:
Question 1 of 5
A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Allowing disagreement fosters transparency and trust in appraisals. Public settings (
B) are inappropriate, extra duties (
C) are not primary, and random timing (
D) reduces preparation.
Question 2 of 5
Upon examining her monthly budget report, the nurse manager observes a shortfall, leading her to modify the staffing schedule. Which of the following pieces of information exemplifies a negative variance?
Correct Answer: D
Rationale: Fewer nurses working than planned is a negative variance, indicating understaffing that impacts care. Declining supply costs (
A) is positive, excess nurses (
B) is neutral, and satisfaction (
C) is non-financial.
Question 3 of 5
A nurse manager is introducing new staff members to computerized charting, which requires an understanding of informatics. Informatics, in essence, concerns three fundamental principles:
Correct Answer: A
Rationale: Informatics revolves around data, information, and knowledge, enabling decision-making. Decision-making (
B) is an outcome, technologies (
C) are tools, and hardware (
D) is infrastructure.
Question 4 of 5
Which of the following approaches is best to determine the quality and strength of a research study?
Correct Answer: B
Rationale: The conflict can help nurses better identify their common values. While conflict can sometimes lead to positive outcomes, such as a deeper understanding of shared values and improved communication, it often requires effective conflict resolution strategies and a supportive environment. In the context of a new policy that has already sparked mistrust, it is less likely that the immediate outcome will be positive without deliberate efforts to address the underlying issues.Diverted attention and energy from patient care may potentially impact patient well-being. This is a significant concern in healthcare settings, especially in intensive care units where patient needs are critical. When nurses are preoccupied with internal conflicts and mistrust, their focus on patient care can be compromised, leading to potential negative outcomes for patients. Ensuring that the team remains cohesive and focused on patient care is essential for maintaining high standards of care and patient safety.The policy change, being the correct choice, will improve the overall unit performance. This statement assumes that the policy change is inherently beneficial and that its positive effects will be immediately apparent. However, even well-intentioned policies can face resistance if not properly communicated and implemented. The initial mistrust and conflict may hinder the potential benefits of the policy, at least in the short term.When observing the favorable results of the decision, the dissenting nurses may recognize their previous stance was mistaken, promoting unity within the group. While this outcome is possible, it is not the most likely immediate outcome given the initial mistrust and conflict. It often takes time for the positive effects of a policy change to become evident and for dissenting team members to change their perspectives. Effective leadership and communication are crucial in facilitating this process.
Question 5 of 5
Two nurses approach their manager with a patient assignment conflict, speaking loudly and simultaneously. What should the manager do to exhibit effective negotiation skills?
Correct Answer: C
Rationale: Requesting each nurse, individually, to state their position is an effective negotiation strategy. This approach allows the manager to understand each nurse’s perspective and the specifics of the conflict. By listening to each nurse separately, the manager can gather all relevant information, reduce the emotional intensity, and facilitate a more structured and productive discussion. This method promotes fairness and ensures that both parties feel heard and respected. Advising self-resolution (
A) may escalate conflict, dismissing complaints (
B) avoids resolution, and threatening discipline (
D) is punitive.