ATI RN
ATI NURS 252 Leadership Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is looking after a client who has signed an informed consent form for a procedure. Hours before the procedure, the client now says, 'I've changed my mind and don't want the procedure.' What should the nurse do in response?
Correct Answer: C
Rationale: The correct answer is C: Inform the provider that the client is withdrawing consent. This is the appropriate response because the client has the right to withdraw consent at any time, even after signing the form. The nurse's duty is to respect the client's autonomy and communicate the withdrawal of consent to the healthcare provider to ensure the client's wishes are honored.
Explanation for other choices:
A: Explaining why the procedure is necessary may be important but not the immediate action when a client withdraws consent.
B: Reminding the client that the consent form has been signed does not address the client's current decision to withdraw consent.
D: Discussing alternatives to the procedure may be relevant in some cases but not the priority when a client is withdrawing consent.
Question 2 of 5
During a meeting of nurse managers, the chief nursing officer urges them to come up with ideas for cutting expenses. Nurse managers can have the most significant influence on cost reduction by effectively overseeing:
Correct Answer: C
Rationale: The correct answer is C: Staffing. Nurse managers are responsible for scheduling and managing staff, which directly impacts labor costs, the largest expense in healthcare. By optimizing staff utilization, nurse managers can reduce overtime, agency costs, and unnecessary labor expenses. This can be achieved through efficient scheduling, workload management, and appropriate staffing levels based on patient acuity.
Choice A: Medication costs are typically controlled by pharmacists and physicians who prescribe medications. Nurse managers may have some influence, but it is not their primary responsibility.
Choice B: Fixed costs, such as rent and utilities, are not directly managed by nurse managers. These costs are usually determined at a higher organizational level.
Choice D: Supplies management is important, but typically falls under the responsibility of materials management or supply chain departments. Nurse managers may have some input, but it is not their main focus for cost reduction.
Question 3 of 5
A manager plans to address the high turnover rate amongst RNs. Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?
Correct Answer: C
Rationale:
Correct
Answer: C - Hire additional staff so individual workloads are lessened.
Rationale:
1. High turnover rate suggests staff may be overworked.
2. Hiring additional staff can reduce workload, leading to better job satisfaction.
3. Lower workload can enhance work-life balance and job engagement.
4. This strategy addresses the root cause of the turnover issue.
Incorrect
Choices:
A: Advocating for higher salaries may not directly address workload issues.
B: Praise is important but may not solve underlying workload problems.
D: Allowing tasks beyond scope of practice can compromise patient safety and staff satisfaction.
Question 4 of 5
When examining the present healthcare delivery model, the nurse manager acknowledges that a demographic shift with substantial implications for future healthcare delivery systems is:
Correct Answer: A
Rationale: The correct answer is A: The growing proportion of the population that will surpass the age of 65. This demographic shift is significant as it leads to an increase in healthcare utilization and demand for services due to age-related health issues. The aging population also requires specialized care and resources, impacting healthcare delivery systems.
Choices B, C, and D are incorrect because while workplace violence, healthcare expenses, and staffing patterns are important factors in healthcare management, they do not directly address the demographic shift towards an aging population and its implications on healthcare delivery systems.
Question 5 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.