ATI RN
ATI NURS 252 Leadership Comprehensive Exam Questions
Extract:
Question 1 of 5
The unit leader on an inpatient psychiatric unit of a large hospital has been in the position for 3 months. The unit leader is frustrated by how little time is available to work with clients and how few changes have been implemented in that time. The phase of role transition being experienced is the role of:
Correct Answer: A
Rationale: The role of acceptance is a phase in the transition process where new leaders begin to understand and accept the realities of their new position. This phase often involves recognizing the limitations and challenges of the role, such as time constraints and the slow pace of change. During this period, leaders may feel frustrated as they adjust their expectations and develop strategies to navigate their new responsibilities effectively. Discrepancy (
B) involves recognizing gaps, internalization (
C) is about full integration, and negotiation (
D) focuses on establishing norms, none of which fully capture the frustration and adjustment described.
Question 2 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: Signing out of the computer system after recording a client’s intake and output measurements is an appropriate action. This practice ensures that patient information is secure and that the system is not left open for unauthorized access. It also helps maintain the accuracy and integrity of patient records by ensuring that only authorized personnel can make entries. Displaying diagnoses (
A) violates HIPAA, password sharing (
B) risks security, and improper disposal (
D) breaches confidentiality.
Question 3 of 5
A nurse manager is planning to request two new mechanical ventilators at a cost of approximately $50,000 each. This item would typically be included in which budget?
Correct Answer: B
Rationale: A capital budget is specifically designed for the purchase of durable goods and significant investments, such as new equipment, infrastructure improvements, or technology upgrades. Mechanical ventilators, being high-cost medical equipment, fall under this category. Capital budgets ensure that funds are allocated for essential investments that enhance the hospital’s ability to provide quality care. Strategic budgets (
A) focus on long-term goals, operating budgets (
C) cover daily expenses, and unit of service budgets (
D) allocate costs by service volume.
Question 4 of 5
A caregiver is caring for a client who is uncooperative, verbally abusive, and disrespectful towards the nurse. The nurse responds defensively and threatens to withhold the client’s meal tray if they do not cooperate. Which of the following intentional torts has the nurse demonstrated?
Correct Answer: C
Rationale: Assault is the threat of harm or unwanted physical contact that causes the patient to fear for their safety. By threatening to withhold the client’s meal tray, the nurse is using intimidation to coerce the patient into compliance. This threat can cause the patient to feel fearful and anxious, which constitutes assault. The key element here is the threat of harm, not the actual physical act. Abandonment (
A) involves terminating care without notice, battery (
B) requires physical contact, and false imprisonment (
D) involves restraining a patient without justification, none of which apply here.
Question 5 of 5
The nurse manager understands that the primary consequence of absenteeism on the nursing unit is:
Correct Answer: B
Rationale: Unacceptable patient care may result from absenteeism due to understaffing, which can lead to errors and compromised care quality. Substitute staff (
A) may disrupt culture but is secondary, reduced expenses (
C) are not positive in healthcare, and encouraging further absenteeism (
D) is a lesser consequence.