ATI RN
ATI NURS 252 Leadership Comprehensive Exam Questions
Extract:
Question 1 of 5
In your role as the head nurse responsible for choosing patient surveillance systems for your unit, one of your objectives is to prevent adverse events by deploying suitable technology. This specific objective acknowledges that:
Correct Answer: B
Rationale: The correct answer is B because physiologic monitoring systems enable early detection of subtle changes in a patient's condition, allowing for timely intervention to prevent adverse events. This technology provides real-time data on vital signs, trends, and alerts healthcare providers to potential issues before they escalate. Other choices are incorrect as A talks about data systems providing additional documentation, not prevention; C focuses on data readability, not prevention; and D addresses human errors, not technology's role in early detection.
Question 2 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: The correct answer is D: Effectiveness. In this scenario, the difficulty in implementing the new pain scale for non-English speaking patients pertains to the effectiveness of the new scale. Effectiveness refers to the extent to which an intervention achieves the desired outcomes in real-world settings. The feedback from staff indicates that the new scale is not effective in improving patient outcomes for non-English speaking patients due to its difficulty.
A: Practice failure does not accurately describe the situation as it implies a failure in the application of a known practice, rather than the effectiveness of a new intervention.
B: Efficacy refers to how well an intervention works in ideal conditions, not necessarily in real-world settings like this scenario.
C: Comparative error is not relevant here as there is no comparison being made between two different interventions.
Therefore, the correct answer is D because it directly addresses the issue of the new pain scale's effectiveness in improving patient outcomes for non-English speaking patients.
Question 3 of 5
A charge nurse is observing the actions of an assistive personnel (AP). Which of the following actions by the AP is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Signing out of the computer system after recording a client’s intake and output measurements. This action is appropriate because it follows the principles of confidentiality and data security. By signing out of the computer system, the AP ensures that unauthorized individuals cannot access sensitive client information. This helps to maintain the privacy and security of the client's health information.
Choices A, B, and D are incorrect because they all involve actions that compromise patient confidentiality and violate data security protocols. Displaying the client's medical diagnosis, sharing passwords, and disposing of nursing activity worksheets in public areas all increase the risk of unauthorized access to sensitive information.
Therefore, these actions are not appropriate in a healthcare setting.
Question 4 of 5
A nurse is getting ready to use electrical equipment. What actions should the nurse take to avoid electrical dangers?
Correct Answer: A,B,C,E
Rationale: The correct actions to avoid electrical dangers are to unplug the cord by grasping the plug, ensuring the plug has three prongs, avoiding rolling equipment over cords, and not running additional cords under carpeting. Grasping the plug when unplugging prevents accidental shock. Three-pronged plugs are grounded for safety. Rolling equipment over cords can damage them, leading to potential hazards. Running cords under carpeting can cause wear and tear, increasing the risk of electrical fires.
Therefore, these actions prioritize safety by minimizing the risk of electrical accidents.
Question 5 of 5
A new graduate nurse asks their manager for guidance on how to respond to a patient who refuses to sign a surgical consent form. The patient says that she won’t sign because she wishes to explore other options. Which of the following responses made by the manager are most appropriate?
Correct Answer: B,E
Rationale:
Correct
Answer: B,E
Rationale:
B: Consent should not be forced. It is essential to respect the patient's autonomy and right to make informed decisions about their healthcare. Pressuring or forcing a patient to sign a consent form goes against ethical principles.
E: Offering alternative options or further information to the patient is crucial in supporting their decision-making process. This approach demonstrates empathy, respect, and a commitment to patient-centered care.
Summary:
A: Incorrect. Patients have the right to refuse treatment even if it is necessary for survival. Coercion is not ethical.
C: Incorrect. Proceeding without consent violates the patient's autonomy and legal rights.
D: Incorrect. Using sedatives to manipulate a patient's decision is unethical and disregards their autonomy and right to make informed choices.