ATI RN
ATI NURS 252 Leadership Comprehensive Exam Questions
Extract:
Question 1 of 5
A Medical-Surgical unit reports an unusually high incidence of falls in the previous quarter. Which of the following interventions made by the manager best reduces the occurrence of falls?
Correct Answer: D
Rationale: The correct answer is D, providing safety and fall prevention education. This intervention empowers staff with knowledge and skills to identify fall risks, implement preventive measures, and respond effectively. It promotes a proactive approach to reducing falls by addressing underlying causes rather than solely blaming individuals (
A), which can lead to a culture of fear and hinder reporting. Punishing staff (
B) creates a negative environment and discourages open communication. Restraining patients (
C) violates ethical principles and poses risks of physical and psychological harm. In summary, education promotes a culture of safety, empowers staff, and addresses systemic issues to effectively reduce falls.
Question 2 of 5
A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?
Correct Answer: D
Rationale: The correct answer is D: Gain 2 pounds of weight per week. For a client with anorexia nervosa, the priority goal is to address the physical health risks associated with severe weight loss. Rapid weight gain is crucial to prevent serious complications like organ damage or failure. The focus should be on restoring the client's nutritional status and stabilizing their physical health before addressing psychological or emotional aspects.
Choices A, B, and C are important but secondary to the immediate need for weight restoration. It is essential to prioritize the client's physical well-being in order to address other aspects of their care effectively.
Extract:
A hospital committee engages in a strategic planning process for the implementation of a facility-wide change that especially affects resident nurses. The committee insists on hosting regular Town Hall meetings, in which affected staff members and stakeholders are encouraged to attend.
Question 3 of 5
Read the scenario below and highlight the statement that demonstrates shared governance. Select all that apply.
Correct Answer: A,B
Rationale: The correct answers are A and B. In shared governance, decision-making is transparent and inclusive.
Choice A demonstrates shared governance by ensuring transparency through making meeting minutes publicly available to subscribed members.
Choice B shows shared governance by considering feedback and revising plans accordingly, reflecting a collaborative decision-making process.
Choices C and D are incorrect as they demonstrate a lack of shared governance by ignoring feedback and not addressing new problems raised by nurses.
Extract:
Question 4 of 5
In a performance evaluation, Nurse Manager Francis mentions that Raymond struggles with mentoring students on the unit. Raymond counters that it is not his job. When responding to Raymond, Francis must take into account:
Correct Answer: A
Rationale: Rationale for Correct Answer (
A): Nurse Manager Francis must consider whether mentoring is included in Raymond's position description because it defines his responsibilities. If mentoring is part of his job duties, Raymond cannot argue that it is not his job. By referring to the position description, Francis can clarify expectations and hold Raymond accountable. This ensures that Raymond fulfills all aspects of his role effectively.
Summary of Incorrect
Choices:
B: Raymond's level of confidence is not relevant to whether mentoring is his responsibility.
C: Potential biases of students are unrelated to Raymond's obligation to mentor.
D: The observability and measurability of mentoring do not affect whether it is part of Raymond's job description.
Question 5 of 5
A new graduate nurse is devising a discharge plan. Which of the following statements made by the nurse demonstrates the nurse's comprehension of when to initiate discharge planning?
Correct Answer: C
Rationale: The correct answer is C: "I will begin upon the client's admission to the facility." This is because discharge planning should ideally start as soon as the client is admitted to ensure a smooth transition after discharge. Initiating discharge planning at admission allows for comprehensive assessment of the client's needs and preferences, enabling the nurse to address any potential barriers to discharge early on. Starting discharge planning early also provides more time to involve the client and their family in the decision-making process, increasing the likelihood of successful post-discharge outcomes.
Incorrect explanations:
A: Initiating discharge planning based on insurance coverage approval may delay the process and compromise the quality of the plan.
B: Waiting until 48 hours before discharge is too late to adequately address the client's needs and preferences.
D: Waiting for the discharge order to be written may result in rushed planning and inadequate preparation for the client's discharge.