Questions 31

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ATI NURS 252 Leadership Exam Questions

Extract:


Question 1 of 5

Planning is a process designed to achieve goals in dynamic, competitive environments. As a new manager, what is the first step you will undertake to develop a strategic plan of action for a congestive heart failure program?

Correct Answer: B

Rationale: The correct answer is B: Establish a vision and mission statement for the impending change. This is the first step in developing a strategic plan as it sets the direction and purpose of the program. It provides clarity on the goals and objectives to be achieved. By establishing a vision and mission statement, the new manager can align the team towards a common goal, inspire motivation, and guide decision-making.

Incorrect choices:
A: Implement an evidence-based plan of action - This is an important step in the planning process but comes after establishing a vision and mission.
C: Search the environment for its strengths, weaknesses, opportunities, and threats - This is part of the strategic analysis phase, which comes after setting the vision and mission.
D: Develop a strategy with an interdisciplinary team - This step follows after setting the vision and mission to create a detailed plan.

Question 2 of 5

As a new manager, you are shocked to learn that your unit is still using heparin in heparin locks. You are aware of evidence related to this practice and want to change this practice as quickly as possible on your unit. You are in which stage of Lewin's stages of change?

Correct Answer: C

Rationale: The correct answer is C: Unfreezing. In Lewin's stages of change, unfreezing is the initial stage where individuals become aware of the need for change and are open to new ideas. In this scenario, as a new manager, realizing the outdated practice of using heparin in heparin locks indicates the need for change. The shock signifies the beginning of awareness and readiness for change. Refreezing (
A) occurs after the change has been implemented and stabilized, not at the initial stage. Moving (
B) and Experiencing the change (
D) are stages that come after Unfreezing, where actual change is implemented and integrated.

Question 3 of 5

The chief nursing officer utilizes the hospital's workplace advocacy program to assist the overwhelmed Emergency Department staff. Workplace advocacy is designed to assist nurses by:

Correct Answer: C

Rationale: The correct answer is C: equipping them to practice in a rapidly changing environment. Workplace advocacy programs aim to provide nurses with the necessary support, resources, and training to navigate and excel in dynamic healthcare settings. This includes staying up-to-date with advancements in the field, adapting to new technologies, and managing increased patient acuity levels. This choice directly aligns with the purpose of workplace advocacy programs.
Option A is incorrect because representing nurses in labor-management disputes falls under the realm of union or legal representation, not workplace advocacy.
Option B is incorrect as negotiating employment contracts is typically handled by HR or legal departments, not specifically part of workplace advocacy initiatives.
Option D is incorrect as creating professional practice climates is more about fostering a positive work environment and promoting professional growth, rather than specifically preparing nurses for rapid changes in the healthcare landscape.

Question 4 of 5

A mediator suggests that the nurse manager and staff members establish a group agreement before resolving conflicts. It is important to have agreements about how team members will work together because:

Correct Answer: B

Rationale: The correct answer is B because without agreements, implicit permission is granted for people to behave in any manner they see fit. Establishing group agreements sets clear expectations for behavior and creates a framework for resolving conflicts. It helps prevent misunderstandings and ensures that all team members are on the same page regarding acceptable conduct. This promotes a positive work environment and helps maintain professionalism within the team.


Choice A is incorrect because it assumes that people are inherently dishonest, which is a negative and generalized assumption.
Choice C is incorrect as it minimizes the importance of setting clear agreements by suggesting that conflicts are inevitable and should be overlooked.
Choice D is incorrect because agreements are not meant to label team members but rather to guide their behavior.

Question 5 of 5

At a staff meeting, a nurse manager introduces a new, cutting-edge voice communication device that the staff will be required to use in the upcoming months. The staff is hesitant to the change, expressing that the device is too difficult to use. Which of the following strategies and principles should the manager consider to assist with the successful adoption of the proposed change? Select all that apply.

Correct Answer: A,C,D

Rationale:
Correct
Answer: A, C, D


Rationale:
A: Recipients must perceive benefits to overcome resistance. This helps staff see the value in using the new device.
C: Relationship with the group matters. Trust and open communication facilitate successful change implementation.
D: Involving staff in identifying problems fosters ownership and commitment, increasing the chances of successful adoption.

Summary:
B: Remaining firm without negotiation can lead to increased resistance and lack of buy-in from staff.
E: Encouraging the sharing of ideas and reactions is beneficial, but discouraging the sharing of fears may hinder open communication and trust within the team.

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