ATI PN Medical Surgical Leadership

Extract:

Question 1 of 5

A nurse is working with two assistive personnel (AP). The nurse notes that one of the APs has been taking long breaks and making personal phone calls. Which of the following statements should the nurse make to resolve this conflict?

A. Several staff members have commented that you don't do your fair share of the work.B. You have been very inconsiderate of others by not completing your share of the work.C. If you don't do your share of the work, I will have to inform the nurse manager.D. I need to talk to you about unit expectations regarding the timely completion of tasks.

Correct Answer: D

Rationale: Addressing unit expectations professionally opens a constructive dialogue without escalating conflict.

Question 2 of 5

A nurse is receiving a change-of-shift report for four clients. Which of the following findings should the nurse identify as the priority?

A. A client who had a blood transfusion and has a blood pressure of 138/76 mm Hg.B. A client who has skeletal traction for a femur fracture and reports incisional discomfort of 4 on a scale of 0 to 10.C. A client who is 4 hours postoperative following a total hip arthroplasty and has a urinary output of 15 ml/hr.

Correct Answer: C

Rationale: Low urinary output post-surgery suggests potential complications like hypovolemia or kidney injury, making it the priority for immediate assessment.

Question 3 of 5

A nurse is working with an assistive personnel (AP) who refuses a client assignment. When resolving this conflict, which of the following comments is appropriate for the nurse to make?

A. You always get your choice of assignment and don't work your fair share.B. I have to let the human resources department know about this situation.C. I feel that you are being inconsiderate of the other nursing assistants.D. I need to talk to you about the unit policies regarding client assignments.

Correct Answer: D

Rationale: Discussing unit policies professionally addresses the issue and clarifies expectations without confrontation.

Question 4 of 5

A medical-surgical unit has implemented a policy change. The nurse manager has noticed that one of the nurses, who has a history of being resistant to change, is not delivering care according to the new policy. Which of the following actions should the nurse manager take?

A. Encourage the nurse to verbalize the reasons for resistance to the change.B. Ignore the resistance and allow peer pressure to facilitate a change in the nurse's behavior.C. Explain the importance and rationale of implementing the new policy to the nurse.D. Indicate that there will be disciplinary consequences if the nurse does not implement the new policy.

Correct Answer: A

Rationale: Encouraging dialogue about resistance helps identify concerns and fosters policy acceptance.

Question 5 of 5

A nurse is working with two assistive personnel (AP). The nurse notes that one of the APs has been taking long breaks and making personal phone calls. Which of the following statements should the nurse make to resolve this conflict?

A. Several staff members have commented that you don't do your fair share of the work.B. You have been very inconsiderate of others by not completing your share of the work.C. If you don't do your share of the work, I will have to inform the nurse manager.D. I need to talk to you about unit expectations regarding the timely completion of tasks.

Correct Answer: D

Rationale: Addressing unit expectations professionally opens a constructive dialogue without escalating conflict.

ATI PN Medical Surgical Leadership | Nurselytic

Nurselytic

ATI LPN

ATI LPN