ATI RN
ATI Leadership Practice A
1. An RN cared for a state senator during the day shift. Later that day he was having dinner with friends when the news mentioned the senator had been hospitalized. The RN’s friends asked if he knew what was wrong with the senator. Which ethical principle should the RN consider when replying?
- A. Fidelity
- B. Confidentiality
- C. Veracity
- D. Accountability
Correct answer: B
Rationale: The RN should consider the ethical principle of confidentiality when replying.
2. During a home safety assessment, a nurse is evaluating a client who is receiving supplemental oxygen. Which observation should the nurse identify as a proper safety protocol?
- A. The client has a weekly inspection checklist for oxygen equipment.
- B. The client stores an extra oxygen tank on its side under their bed.
- C. The client identifies the location of a fire extinguisher.
- D. The client uses a wool blanket on their bed.
Correct answer: A
Rationale: The correct answer is A because having a weekly inspection checklist for oxygen equipment ensures that the client can monitor the safety and functionality of the oxygen equipment regularly. This is crucial for maintaining a safe environment. Choice B is incorrect because storing an extra oxygen tank on its side under the bed can pose a safety hazard, as tanks should be stored upright. Choice C is a good safety practice, but it is not directly related to oxygen use. Choice D is incorrect because wool blankets are flammable and should not be used by clients receiving supplemental oxygen due to the increased risk of fire.
3. In order to assist an older diabetic patient to engage in moderate daily exercise, which action is most important for the nurse to take?
- A. Determine what type of activities the patient enjoys.
- B. Remind the patient that exercise will improve self-esteem.
- C. Teach the patient about the effects of exercise on glucose levels.
- D. Give the patient a list of activities that are moderate in intensity.
Correct answer: A
Rationale: The correct answer is to determine what type of activities the patient enjoys. This approach is crucial as it helps in personalizing the exercise plan to the patient's preferences, making it more likely for them to adhere to it. Choice B is incorrect because focusing on self-esteem may not directly motivate the patient to engage in exercise. Choice C, although important, may not be the initial step as understanding the patient's preferences comes first. Choice D limits the patient's autonomy by not involving them in the decision-making process.
4. Which of the following leaders would be considered a transformational leader?
- A. The supervisor of a unit who requests staff to work overtime.
- B. The unit secretary who encourages staff to use the proper forms.
- C. A unit manager who reminds a CNA (Certified Nursing Assistant) to work on time management skills.
- D. The Advanced Practice Nurse who encourages a staff nurse to pursue additional education for career advancement.
Correct answer: D
Rationale: The correct answer is D because transformational leaders are known for inspiring and motivating their followers to reach their full potential. They focus on fostering a positive work environment, encouraging growth, and supporting career development. In this scenario, the Advanced Practice Nurse is displaying characteristics of a transformational leader by encouraging a staff nurse to pursue additional education for career advancement. Choices A, B, and C do not align with the traits of a transformational leader as they involve more routine tasks or directives without the inspirational and visionary approach typical of transformational leadership.
5. The changes brought forth by the state boards of nursing are an example of which type of change agent?
- A. Resistance
- B. Empirical–rational
- C. Normative–reeducative
- D. Power–coercive
Correct answer: D
Rationale: The changes implemented by state boards of nursing typically fall under the category of Power–coercive change agents. State boards of nursing have the authority to enforce changes through regulations and policies, making use of their legitimate power. Resistance (choice A) is not the correct answer as it refers to opposition to change rather than the entity driving change. Empirical–rational (choice B) focuses on convincing individuals through empirical evidence and rational arguments, which is not reflective of the state boards' authority. Normative–reeducative (choice C) involves persuading individuals to change based on shared values and beliefs, which is not the primary approach of state boards of nursing.
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