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ATI NURS 252 Leadership Comprehensive Exam Questions

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Question 1 of 5

A new manager discovers that their unit still follows outdated procedures. You are aware of the evidence against this practice and are eager to make a rapid change on your unit. In terms of Lewin’s Stages of Change, which stage are you in?

Correct Answer: A

Rationale: The correct answer is A: Unfreezing. In Lewin's Stages of Change model, unfreezing is the initial stage where individuals become aware of the need for change and are open to new ideas. In this scenario, the manager's realization of outdated procedures indicates the awareness of the need for change. Unfreezing involves breaking down the existing mindset and preparing individuals for change. Reheating, Refreezing, and Moving are not stages in Lewin's model. Reheating and Refreezing do not align with the process of change, and Moving is not a recognized stage in the model.
Therefore, the correct stage in this situation is Unfreezing based on the manager's recognition of the need for change.

Question 2 of 5

During an annual performance evaluation, a manager is mindful to avoid favoritism, which could result in a biased and unfair performance review. Which ethical principle is best demonstrated in this scenario?

Correct Answer: D

Rationale: The correct answer is D: Justice. Justice involves fairness and impartiality in decision-making. In this scenario, the manager is ensuring fairness by avoiding favoritism, which could lead to biased evaluations. Nonmaleficence (
A) is about avoiding harm, not necessarily related to fairness. Confidentiality (
B) pertains to keeping information private. Autonomy (
C) is about respecting individuals' right to make their own choices, not directly related to fairness in evaluations.

Question 3 of 5

In Don Miguel’s 'The Four Agreements,' a collection of agreements is outlined to foster personal development and consciousness. Which of the following is NOT among the four agreements?

Correct Answer: C

Rationale: The correct answer is C: Take all work matters personally. This is not among the four agreements outlined in 'The Four Agreements.' The first agreement is to be impeccable with your word, emphasizing the power of our language. The second agreement is to not make assumptions, highlighting the importance of clear communication. The third agreement is to always do your best, encouraging individuals to give their best effort in all situations. Taking all work matters personally is not one of the agreements and can lead to unnecessary stress and conflict.

Question 4 of 5

After months of heavy patient loads and staffing issues in the Emergency Department, a natural disaster brings in many seriously injured individuals. A staff nurse appears to neglect some injured patients and is rude to two older adults. Upon noting this behavior of the staff, which of the following should the nurse manager suspect?

Correct Answer: C

Rationale: The correct answer is C: Burnout. The nurse manager should suspect burnout because the staff nurse's neglect of patients and rude behavior could be signs of emotional exhaustion, depersonalization, and reduced personal accomplishment - key components of burnout. Burnout can result from chronic workplace stress, such as heavy patient loads and staffing issues, compounded by the added stress of a natural disaster. Role ambiguity (
A) refers to uncertainty about job responsibilities, not exhibited in this scenario. Staff hardness (
B) is not a recognized term in the context of healthcare. Staff depression (
D) is possible, but the behavior described aligns more closely with burnout symptoms.

Question 5 of 5

A nurse manager orders a mandatory in-service to train staff nurses on how to use a new, AI-enhanced technology. The nurse manager must emphasize to the staff that AI should never replace:

Correct Answer: C

Rationale: The correct answer is C: Nursing knowledge and wisdom. This is because while AI technology can assist with data entry, information management, and simple tasks, it should never replace the critical thinking, clinical judgment, and expertise that come from nursing knowledge and wisdom. Nurses provide holistic care that goes beyond what AI can offer, such as empathy, emotional support, and personalized patient care. By emphasizing the importance of nursing knowledge and wisdom, the nurse manager ensures that staff understand the value of their unique skills in providing quality patient care. The other choices are incorrect because manual data entry, information management, and simple nursing tasks can be effectively and efficiently automated by AI technology, freeing up nurses to focus on higher-level tasks that require human touch and critical thinking.

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