ATI RN
ATI NURS 252 Leadership Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse manager is conducting an in-service session for a group of staff members on the topic of incivility. Which of the following scenarios should the nurse incorporate as an instance of lateral violence?
Correct Answer: C
Rationale: The correct answer is C because lateral violence, also known as horizontal violence, involves harmful behaviors directed at coworkers within the same hierarchical level. In this scenario, the charge nurse speaking with a demeaning tone to an assistive personnel (AP) is an instance of lateral violence as it demonstrates a power imbalance and disrespectful communication within peers.
Incorrect choices:
A: A charge nurse being rude to their nurse manager is not lateral violence as it involves different hierarchical levels.
B: A nursing supervisor refusing to help a charge nurse with staffing is not lateral violence but rather a conflict between different hierarchical positions.
D: A nurse rolling their eyes at another nurse is not an example of lateral violence as it lacks the power dynamics and harmful intent characteristic of lateral violence.
Question 2 of 5
An RN is delegating a task to an unlicensed assistive personnel. Which of the following scenarios best demonstrates appropriate delegation?
Correct Answer: D
Rationale: In scenario D, the RN delegates the task of assisting a patient back to bed after a shower. This task is appropriate for delegation to unlicensed personnel as it involves basic patient care and mobility assistance, which align with the scope of practice for unlicensed assistive personnel. The RN provides clear instructions on what needs to be done, including ensuring the patient's safety by bringing her cane. The RN also requests a report afterward for evaluation, ensuring accountability and follow-up. This scenario demonstrates appropriate delegation because it involves a task that is within the capabilities of the unlicensed personnel, clear instructions are provided, and follow-up is requested for quality assurance.
Question 3 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: C
Rationale: The correct answer is C: Conduct a root cause analysis. This is the most appropriate strategy to initiate first because it involves identifying the underlying causes of medication administration errors. By conducting a root cause analysis, the committee can identify systemic issues that contribute to errors, allowing for targeted interventions to be implemented. This approach focuses on addressing the root of the problem rather than just treating the symptoms.
Choice A is incorrect because simply reorienting nurses may not address the underlying issues that lead to medication errors.
Choice B is also incorrect as passing an examination may not necessarily address systemic issues within the medication administration process.
Choice D is incorrect as it focuses on remediation rather than prevention. Conducting a root cause analysis is the best first step as it lays the foundation for developing an effective quality improvement program based on identified causes.
Question 4 of 5
A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Providing the staff member the opportunity to disagree with the evaluation is essential for transparency and fairness in the performance appraisal process. It allows the staff member to express their perspective, provide additional insights, and address any discrepancies or misunderstandings. This fosters open communication, mutual understanding, and trust between the nurse and the staff member, leading to a more constructive appraisal discussion.
Summary of Other
Choices:
B: Conducting the performance appraisal in a public setting can increase tension and discomfort, potentially hindering open communication and leading to privacy concerns.
C: Evaluating employees based on duties outside their job description is irrelevant to the staff member's performance appraisal and may not accurately reflect their actual job performance.
D: Initiating a random time for the performance appraisal does not necessarily ensure authentic responses and may create unpredictability and stress for the staff member, impacting the appraisal process negatively.
Question 5 of 5
A staff nurse confronts a nurse manager expressing that she believes the manager's scheduling decisions are unfair. Which of the following responses by the nurse manager exhibits assertiveness?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale:
Choice A demonstrates assertiveness by acknowledging the staff nurse's concerns while also maintaining professionalism and seeking clarification. The nurse manager shows openness to feedback and a willingness to address the issue constructively. This response promotes effective communication and problem-solving.
Choice B lacks assertiveness as it dismisses the staff nurse's concerns and invalidates their emotions, which could escalate the conflict.
Choice C is passive-aggressive and unprofessional, shifting the blame onto the staff nurse rather than addressing the issue at hand.
Choice D lacks assertiveness as it is overly apologetic without addressing the specific concerns raised by the staff nurse.
In summary,
Choice A is the correct response because it demonstrates assertiveness, professionalism, and a willingness to address the issue constructively, while the other choices exhibit varying degrees of defensiveness, dismissiveness, and passivity.