ATI RN
ATI Leadership and Ethics NURS 252 Questions
Extract:
Question 1 of 5
One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he won't sign because he doesn't understand the nature of the surgery. You advise that:
Correct Answer: A,B
Rationale: Patients have the right to refuse consent and must not be coerced, respecting autonomy. Mandatory consent for life-saving surgery is not always true, doctor's wishes do not override patient rights, and minors generally cannot consent without guardians.
Question 2 of 5
A charge nurse allows a nurse an additional twenty minutes for his lunch break to take care of a personal matter. The charge nurse agrees to watch his patients for the additional twenty minutes, only if he agrees to help with the end-of-shift drug count. The charge nurse is demonstrating which of the following types of conflict management?
Correct Answer: B
Rationale: Compromising involves mutual concessions, as seen in the exchange of covering patients for help with the drug count. Avoiding ignores issues, cooperating lacks clear exchange, and competing prioritizes one party's needs.
Question 3 of 5
A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?
Correct Answer: B
Rationale: Paralysis is a severe adverse outcome, qualifying as a sentinel event requiring investigation. Prevented surgery, a non-injurious fall, or cultural insensitivity do not meet sentinel event criteria.
Question 4 of 5
The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What interventions might assist to reduce the number of falls on the unit?
Correct Answer: C
Rationale: Educating staff on best practices for fall prevention is evidence-based and effective. Restraints can cause harm, blaming individuals ignores systemic issues, and punishment creates a blame culture, all of which are ineffective.
Question 5 of 5
A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?
Correct Answer: A
Rationale: Involving staff aligns with complexity principles, promoting collaboration for effective change. Ignoring broader factors, mandating participation, or avoiding change do not address complexity or engage staff effectively.