ATI RN
ATI NURS 252 Leadership Comprehensive Exam Questions
Extract:
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A new manager discovers that their unit still follows outdated procedures.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: Unfreezing is the first stage in Lewin’s Stages of Change. This stage involves recognizing the need for change and preparing the organization to accept that change is necessary. It includes creating awareness about the current issues and the benefits of the proposed changes. In this scenario, the new manager has identified that the unit is following outdated procedures and is aware of the evidence against this practice. The eagerness to make a rapid change indicates that the manager is in the unfreezing stage, where the focus is on breaking down the existing status quo before building up a new way of operating. Reheating (
B) is not a stage, refreezing (
C) is about solidifying changes, and moving (
D) involves implementation, which has not yet started.
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: Gaining 2 pounds per week is the priority to address life-threatening malnutrition in anorexia nervosa. Control (
A), body image (
B), and family dynamics (
C) are secondary to stabilizing physical health.
Question 3 of 5
A staff nurse loses their job after reporting instances of patient abuse at their hospital to the State Board of Nursing. The nurse thinks they were unfairly dismissed and initiates a whistleblower lawsuit against their former employer. Which of these scenarios closely resembles employer retaliation?
Correct Answer: C
Rationale: Firing after filing a formal complaint is retaliation, as it’s a protected activity. Social media posts (
A) and media threats (
D) may violate policies, and progressive discipline (
B) is performance-based.
Question 4 of 5
As a result of Amy’s coaching, Sarah, a nursing graduate of 5 years, completes a ROLES assessment. This assessment is helpful in:
Correct Answer: A,B,C,D,E
Rationale: The ROLES assessment is helpful in all listed aspects: identifying weaknesses in clinical knowledge (
A), job responsibilities (
B), role development (
C), where to obtain support (
D), and determining job expectations (E). It supports professional growth by pinpointing areas for improvement, clarifying duties, fostering career advancement, highlighting resources, and aligning expectations with organizational goals.
Question 5 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: Determining if mentoring is in the position description clarifies expectations. Confidence (
B), student biases (
C), and measurability (
D) are secondary to role clarity.