ATI RN
ATI NURS 252 Leadership Exam Questions
Extract:
Question 1 of 5
At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment, the RN assumes:
Correct Answer: C
Rationale:
Correct
Answer: C
Rationale:
1. Accountability for tasks: The RN is responsible for carrying out their assigned tasks effectively and safely.
2. Overall responsibility: The charge nurse oversees the entire unit and maintains ultimate responsibility for patient care.
3. Division of roles: The RN is accountable for their specific duties, while the charge nurse holds the overall responsibility.
4. Legal implications: The charge nurse is ultimately accountable for patient outcomes and must ensure all tasks are completed correctly.
Summary:
A: Incorrect. The RN is not solely responsible for the patient's wellbeing as the charge nurse also plays a role.
B: Incorrect. While the RN is responsible for tasks, the charge nurse retains accountability.
D: Incorrect. Both responsibility and accountability are present in nursing care.
Question 2 of 5
Which of the following are notable benefits and characteristics of debriefing? Select all that apply.
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C.
A: Debriefing success is affected by the skills of the debriefer because a skilled debriefer can facilitate a productive discussion and help participants gain insights.
B: Debriefing encourages an analysis of the implications of our actions, which promotes learning and improvement.
C: Debriefing can result in cognitive reframing by providing new perspectives on a situation, leading to enhanced understanding and better decision-making.
Incorrect:
D: Debriefing is not a self-guided exploration and typically involves a trained facilitator to guide the process effectively.
E: Debriefing does not involve disregarding the meaning of actions but rather focuses on understanding and learning from them.
Question 3 of 5
A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?
Correct Answer: A
Rationale: The correct answer is A because reporting laboratory findings to a member of the client's family breaches confidentiality by disclosing private health information without the client's consent. This violates the client's right to privacy and confidentiality.
Choice B is not a violation as notifying the provider of examination findings is part of the client's care plan.
Choice C is not a violation as discussing a client's surgical procedure with the nurse manager is within the scope of healthcare team communication.
Choice D is not a violation as identifying the client by name when making a referral for home health services is necessary for continuity of care.
Question 4 of 5
At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment, the RN assumes:
Correct Answer: C
Rationale: The correct answer is C: The RN assumes accountability for their tasks, but overall responsibility lies with the charge nurse. This is because the charge nurse is ultimately responsible for the delegation of tasks and coordination of care for all patients on the unit. The RN is accountable for completing their assigned tasks effectively and safely, but the charge nurse holds the overall responsibility for the patients' wellbeing and outcomes. This division of responsibility allows for effective teamwork and oversight in providing quality patient care.
Choices A, B, and D are incorrect because they do not accurately reflect the hierarchical structure of nursing roles and the delegation of responsibilities within a healthcare team.
Choice A implies that the RN has sole responsibility, which is not the case in a team-based healthcare setting.
Choice B incorrectly assigns accountability solely to the charge nurse, undermining the individual responsibility of the RN.
Choice D is incorrect as it absolves the RN of any responsibility or accountability, which goes against the professional standards of nursing practice.
Question 5 of 5
A night shift nurse is assigning a specific component of care to an unlicensed nursing personnel (UNP) employee. The night nurse shift nurse understands that though the unlicensed personnel is for the task, the nurse would remain for the patient's wellbeing.
Correct Answer: D
Rationale: The correct answer is D: responsible, accountable. In this scenario, the nurse is delegating a specific task to the unlicensed personnel, making them responsible for completing it. However, the nurse remains ultimately accountable for the patient's wellbeing, ensuring that the care provided meets standards and addressing any issues that may arise. Accountability refers to answerability for the outcomes, while responsibility pertains to specific tasks.
Choices A and C are incorrect because they do not encompass both responsibility and accountability.
Choice B is incorrect as accountability cannot exist without responsibility.