ATI RN
ATI NURS 252 Leadership Final Exam Questions
Extract:
Question 1 of 5
During the performance appraisal session, the manager should:
Correct Answer: A,C,D
Rationale: The correct answer is A, C, and D.
A: Allowing the employee to express opinions orally and in writing promotes open communication and understanding of perspectives.
C: Maintaining a relaxed and professional manner creates a comfortable environment for discussion, enhancing the effectiveness of the appraisal.
D: Setting follow-up dates to monitor progress ensures accountability and helps track improvements or areas needing further attention.
Other choices are incorrect:
B: Inquiring about the employee's personal life is not relevant to the performance appraisal and may invade their privacy.
E: Planning to give specific examples only for poor performance limits the scope of feedback and may overlook areas of strength and improvement.
Question 2 of 5
A recent nursing graduate in a busy Emergency Department triages a patient who has sustained a large, deep puncture wound in his foot while working at a construction site. He is bleeding and is in pain. The nurse enters the triage data that she has obtained from the patient into a computerized, standard emergency patient-classification system. After she enters the assessment data, she notices an alert on the computer screen that prompts her to ask the patient about the status of his tetanus immunization. What system of technology is involved in generating the alert?
Correct Answer: C
Rationale: The correct answer is C: Clinical decision support. In this scenario, the nurse entered the patient's assessment data into a computerized emergency patient-classification system. The alert generated on the screen prompting her to ask about the patient's tetanus immunization status is an example of clinical decision support system technology. This system uses algorithms and guidelines to assist healthcare providers in making clinical decisions. In this case, the alert is triggered based on the type of injury (puncture wound) and the potential need for tetanus immunization due to the nature of the injury.
Other choices are incorrect:
A: Computerized provider order - This system is used for ordering medications, tests, and procedures, not for generating alerts related to patient assessment.
B: Electronic health record - While an EHR stores patient data, it does not actively prompt the nurse to inquire about specific information like tetanus immunization status.
D: WL technology - This term does not relate to the situation described and is not a recognized healthcare
Question 3 of 5
In a nurse managers' meeting, the chief nursing officer encourages the managers to brainstorm ways to reduce costs. Nurse managers have the greatest impact on reducing costs by managing:
Correct Answer: C
Rationale: The correct answer is C: Staffing. Nurse managers have the greatest impact on reducing costs by managing staffing levels efficiently. By optimizing staffing, they can ensure proper utilization of resources, prevent unnecessary overtime, and minimize labor costs. This directly impacts the budget and overall financial health of the organization. Managing medication costs (
A) and supplies (
B) are important but usually under the purview of pharmacy and supply chain departments. Fixed costs (
D) are typically predetermined and less flexible for nurse managers to influence. Hence, staffing is the most direct and impactful area for nurse managers to control costs.
Question 4 of 5
The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say:
Correct Answer: B
Rationale: The correct answer is B: "I'm sorry, but you will have to enter the information using your own password." This response is appropriate because it upholds the principles of confidentiality and accountability in healthcare. By requiring the resident to enter the information using their own password, the nurse ensures that any actions taken in the client's chart are traceable to the responsible individual. This helps maintain the integrity of the client's medical record and protects the client's privacy.
Choices A, C, and D are incorrect because they involve the nurse either allowing the resident to use her login credentials or inputting information on his behalf. This breaches confidentiality and accountability protocols, as it would be unclear who made the entry and could lead to potential errors or unauthorized access to sensitive information.
Therefore, option B is the most appropriate response in this scenario.
Question 5 of 5
A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Move any clients in the immediate vicinity. This is the priority action because it ensures the safety of the clients by removing them from potential harm. By moving clients away from the smoldering wastepaper basket, the nurse reduces the risk of smoke inhalation and potential burns. Using a fire extinguisher (
Choice
A) can be considered once clients are safely relocated. Closing fire doors (
Choice
B) and activating the fire alarm (
Choice
D) are important steps in a fire emergency but not as immediate as moving clients to safety.