ATI RN
ATI NURS 252 Leadership Comprehensive Exam Questions
Extract:
Question 1 of 5
After months of heavy patient loads and staffing issues in the Emergency Department, a natural disaster brings in many seriously injured individuals. A staff nurse appears to neglect some injured patients and is rude to two older adults. Upon noting this behavior of the staff, which of the following should the nurse manager suspect?
Correct Answer: C
Rationale: Burnout is a state of emotional, physical, and mental exhaustion caused by prolonged stress and overwork. It is characterized by feelings of cynicism, detachment from work, and a reduced sense of personal accomplishment. The nurse’s behavior of neglecting patients and being rude to older adults is consistent with the symptoms of burnout. Burnout can significantly impact the quality of care provided and the well-being of healthcare professionals. Role ambiguity (
A) involves unclear responsibilities, 'hardness' (
B) is not a recognized term, and depression (
D) is less specific to the described behaviors.
Question 2 of 5
The nurse manager understands that the primary consequence of absenteeism on the nursing unit is:
Correct Answer: A
Rationale: Unacceptable patient care may result from absenteeism because it leads to understaffing, compromising care quality. Encouraging absenteeism (
B) is secondary, reduced expenses (
C) are not positive, and substitute staff (
D) is less critical.
Question 3 of 5
A family is keeping vigil at a critically ill patient’s bedside. The nurse speaks with the family members and states she is referring them to the hospital social worker, who will work with the family. What role is the nurse assuming through this action?
Correct Answer: A
Rationale: In this scenario, the nurse is assuming the role of a manager. By referring the family to the hospital social worker, the nurse is coordinating care and ensuring that the family receives the necessary support and resources. This action demonstrates the nurse’s ability to manage the overall care plan, delegate tasks, and utilize the expertise of other healthcare professionals to provide comprehensive care. The managerial role involves overseeing patient care, making decisions, and facilitating communication among the healthcare team. While the nurse’s action could also be seen as demonstrating leadership qualities, the primary role in this context is managerial. Leadership involves guiding and inspiring others, which can be part of the nurse’s responsibilities. However, the specific action of referring the family to the social worker is more aligned with managing and coordinating care rather than leading a team or initiative. The laissez-faire leadership style is characterized by a hands-off approach, where leaders provide minimal direction and allow team members to make decisions independently. This style is not applicable in this scenario, as the nurse is actively involved in coordinating care and ensuring that the family receives appropriate support. The role of a follower involves taking direction from others and supporting the implementation of decisions made by leaders. In this scenario, the nurse is not merely following instructions but is actively managing the situation by referring the family to the social worker. This action demonstrates initiative and responsibility, which are characteristics of a managerial role rather than a follower role.
Question 4 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: Asking for elaboration while affirming policy adherence is assertive and open. Questioning emotions (
B) is dismissive, accusations (
C) are defensive, and apologizing (D, E) lacks assertiveness.
Question 5 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: A charge nurse speaking to an AP with a demeaning tone is lateral violence, creating a hostile environment. Rudeness to a manager (
A) is not peer-to-peer, refusing help (
B) is poor teamwork, and eye-rolling (
D) is subtle but less overt.