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ATI NURS 252 Leadership Comprehensive Exam Questions

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Question 1 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: Nursing knowledge and wisdom are irreplaceable by AI. These encompass critical thinking, clinical judgment, empathy, and the ability to make complex decisions based on a holistic understanding of the patient. AI can assist by providing data and recommendations, but it cannot replicate the nuanced understanding and experience that nurses bring to patient care. Emphasizing that AI should never replace nursing knowledge and wisdom ensures that the human element remains central to patient care. Manual data entry (
A), information management (
B), and simple tasks (
D) can be enhanced or automated by AI.

Question 2 of 5

In the intensive care unit, nurses disagree with a new policy imposed by the manager. The decision sparks mistrust among the team. What's the most likely outcome?

Correct Answer: B

Rationale: Diverted attention and energy from patient care may potentially impact patient well-being. In an ICU, where patient needs are critical, internal conflicts and mistrust can compromise focus on care, leading to negative outcomes. Identifying common values (
A) requires resolution efforts, assuming the policy’s correctness (
C) is premature, unity from favorable results (
D) is not immediate, and debriefing (E) is irrelevant.

Question 3 of 5

As a nurse manager, you initiate a pilot study that tests a new pain scale to be used on your unit. You compare the patient outcomes with the previously used scale. Feedback from staff suggests that the new scale is too difficult for non-English speaking patients. The difficulty in implementing the new scale refers to testing:

Correct Answer: D

Rationale: Effectiveness refers to how well an intervention works in real-world conditions. The feedback indicates that the new pain scale is not effective for non-English speaking patients, highlighting a gap between its theoretical efficacy and practical effectiveness. This makes effectiveness the correct answer. Practice failure (
A) implies implementation issues, efficacy (
B) focuses on ideal conditions, and comparative error (
C) relates to mistakes in comparison, none of which fit the scenario.

Question 4 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: Take all work matters personally' is NOT one of the four agreements. In fact, one of the actual agreements is 'Don’t take anything personally.' This agreement teaches that nothing others do is because of you; it is a reflection of their own reality. By not taking things personally, individuals can avoid unnecessary suffering and maintain their emotional well-being. The correct agreements are: Be impeccable with your word (
A), Do not make assumptions (
B), Always do your best (
D), and Don’t take anything personally.

Question 5 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.

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