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ATI NURS 252 Leadership Comprehensive Exam Questions

Extract:


Question 1 of 5

The manager calls a staff meeting to discuss a situation in which an anxious family member of a gravely ill patient is taking up an excessive amount of the staff’s time. The manager proposes a solution and asks for the staff’s input. What is the role of the nurse manager in this situation?

Correct Answer: B

Rationale: Leader is the most appropriate role for the nurse manager in this situation. By calling a staff meeting, proposing a solution, and asking for input, the nurse manager is demonstrating leadership qualities. Effective leaders engage their team in problem-solving, encourage collaboration, and guide the team towards a resolution. This approach helps in addressing the issue effectively while fostering a supportive and inclusive work environment. Follower (
A) implies taking direction, manager (
C) focuses on administrative tasks, and regulator (
D) emphasizes rule enforcement, none of which fully capture the leadership role described.

Question 2 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: Consent should not be forced (
B) and the patient has every right to refuse (E) are correct. Forcing consent (
A) or proceeding without it (
C) violates patient autonomy and ethical principles. Administering a sedative to gain consent (
D) is coercive and unethical. Patients have the right to make informed decisions, and healthcare providers must respect refusals while providing information to support decision-making.

Question 3 of 5

In the intensive care unit, nurses disagree with a new policy imposed by the manager. The decision sparks mistrust among the team. What's the most likely outcome?

Correct Answer: B

Rationale: Diverted attention and energy from patient care may potentially impact patient well-being. In an ICU, where patient needs are critical, internal conflicts and mistrust can compromise focus on care, leading to negative outcomes. Identifying common values (
A) requires resolution efforts, assuming the policy’s correctness (
C) is premature, unity from favorable results (
D) is not immediate, and debriefing (E) is irrelevant.

Question 4 of 5

As the nurse manager, you are developing a patient education program aimed at offering guidance and supervision for patients with hypertension. To assist in your planning, you extract and present patient information from:

Correct Answer: A

Rationale: Internet sources provide comprehensive, evidence-based resources for patient education on hypertension, such as guidelines from reputable organizations. Email (
B) is for communication, biomedical technologies (
C) provide data, and clinical databases (
D) are for research, not education.

Question 5 of 5

A nurse manager of a 12-bed medical unit finds that the majority 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: C

Rationale: Engaging staff at all levels aligns with complexity principles, fostering collaboration and adaptability. Focusing only on the unit (
A) is narrow, and hiring a consultant (
B) may lack staff buy-in.

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