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ATI NURS 252 Leadership Comprehensive Exam Questions

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Question 1 of 5

When supervising a new graduate LPN who is responsible for colostomy care but mentions having limited experience and performs the task slowly, what should be your most appropriate action as the supervisor?

Correct Answer: D

Rationale: Watching the LPN and after they finish the task, offering constructive feedback is the most appropriate action. This approach ensures patient safety while providing the LPN with the opportunity to practice and improve their skills. Constructive feedback helps the LPN understand what they did well and what areas need improvement, fostering their professional growth and competence. Reassurance (
A) lacks supervision, refraining (
B) hinders learning, and observation (
C) limits hands-on practice.

Question 2 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: Physiologic monitoring systems allow for the identification of early changes prior to the occurrence of an adverse event. This is the most accurate description of the objective. These systems continuously monitor patients’ vital signs and other physiological parameters, providing real-time data that can alert healthcare providers to early signs of deterioration. By identifying these changes early, interventions can be made promptly to prevent adverse events, thereby improving patient safety and outcomes. Documentation (
A), readability (
C), and human error (
D) are relevant but secondary to early detection via monitoring systems.

Question 3 of 5

Planning is intended to attain objectives in ever-changing, competitive settings. As a new manager, what is the most appropriate initial step in creating a strategic plan of action for a fall prevention program?

Correct Answer: C

Rationale: Analyzing the environment with a SWOT analysis is the initial step, providing a foundation for strategic planning. Formulating strategy (
A), creating vision/mission (
B), and implementing plans (
D) follow this analysis.

Question 4 of 5

A family is keeping vigil at a critically ill patient’s bedside. The nurse speaks with the family members and states she is referring them to the hospital social worker, who will work with the family. What role is the nurse assuming through this action?

Correct Answer: A

Rationale: In this scenario, the nurse is assuming the role of a manager. By referring the family to the hospital social worker, the nurse is coordinating care and ensuring that the family receives the necessary support and resources. This action demonstrates the nurse’s ability to manage the overall care plan, delegate tasks, and utilize the expertise of other healthcare professionals to provide comprehensive care. The managerial role involves overseeing patient care, making decisions, and facilitating communication among the healthcare team. While the nurse’s action could also be seen as demonstrating leadership qualities, the primary role in this context is managerial. Leadership involves guiding and inspiring others, which can be part of the nurse’s responsibilities. However, the specific action of referring the family to the social worker is more aligned with managing and coordinating care rather than leading a team or initiative. The laissez-faire leadership style is characterized by a hands-off approach, where leaders provide minimal direction and allow team members to make decisions independently. This style is not applicable in this scenario, as the nurse is actively involved in coordinating care and ensuring that the family receives appropriate support. The role of a follower involves taking direction from others and supporting the implementation of decisions made by leaders. In this scenario, the nurse is not merely following instructions but is actively managing the situation by referring the family to the social worker. This action demonstrates initiative and responsibility, which are characteristics of a managerial role rather than a follower role.

Question 5 of 5

The chief director of nursing of a metropolitan hospital develops classes to improve the translation of research into practice (TRIP). Which of the following selections best describes TRIP?

Correct Answer: A

Rationale: Applying strategies to adopt research in practice defines TRIP, ensuring evidence-based care. Providing results (
B) is dissemination, integrative reviews (
C) synthesize data, and systematic reviews (
D) are research, not implementation.

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