ATI RN
ATI Leadership Practice B
1. The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia) through a restricted access medication program. What is most important for the nurse to report immediately to the health care provider?
- A. The patient's blood pressure is 154/92.
- B. The patient has a history of emphysema
- C. The patient's blood glucose is 86 mg/dL.
- D. The patient has chest pressure when walking
Correct answer: D
Rationale: Chest pressure while walking may indicate heart-related issues such as angina or a heart attack. Rosiglitazone (Avandia) has been associated with increased risks of cardiovascular events like heart failure. Given these risks, chest pressure is an urgent symptom that must be reported immediately to prevent potentially life-threatening complications.
2. What is the main purpose of a utilization review?
- A. Evaluate patient outcomes
- B. Ensure compliance with regulations
- C. Reduce hospital readmissions
- D. Assess financial impact
Correct answer: A
Rationale: The main purpose of a utilization review is to evaluate patient outcomes and ensure that patients receive appropriate care based on medical necessity and quality standards. While ensuring compliance with regulations, reducing hospital readmissions, and assessing financial impact are important aspects of healthcare management, the primary goal of utilization review is to focus on the quality and effectiveness of patient care.
3. Behavioral leadership theory recognizes three styles of leadership. Which of the following best describes democratic leadership?
- A. The democratic leader communicates meaning and purpose.
- B. The democratic leader gives orders and makes decisions for the group.
- C. The democratic leader does little planning or decision making.
- D. The democratic leader makes plans and decisions with the team.
Correct answer: D
Rationale: Democratic leadership involves the leader working collaboratively with the team to make plans and decisions. This style values input from team members, encourages participation in the decision-making process, and fosters a sense of ownership among the team. Choice A is incorrect because simply communicating meaning and purpose does not capture the essence of democratic leadership. Choice B is incorrect as giving orders and making decisions for the group is more characteristic of an autocratic leadership style. Choice C is incorrect as democratic leaders are actively involved in planning and decision-making processes, contrary to doing little of it.
4. When considering virtue ethics, which of the following is true?
- A. Virtue ethics attributes behaviors to moral rules.
- B. Virtue ethics attributes behaviors to knowledge of consequences.
- C. Virtue ethics focuses on moral character, rather than rules for behavior.
- D. Virtue ethics is a formal statement of rules for behavior.
Correct answer: C
Rationale: The correct answer is C: Virtue ethics focuses on moral character, rather than rules for behavior. Virtue ethics is a branch of ethical theory that emphasizes an individual's character and virtues rather than focusing on specific rules or consequences. Choice A is incorrect as virtue ethics does not attribute behaviors to moral rules; instead, it emphasizes developing virtuous character traits. Choice B is incorrect because virtue ethics does not attribute behaviors to knowledge of consequences; it looks at the moral character of the individual. Choice D is incorrect as virtue ethics is not a formal statement of rules for behavior but rather a perspective that emphasizes the importance of developing virtuous character traits.
5. When a policy violation occurs, what are the necessary steps for the nurse manager? (EXCEPT)
- A. Describing the staff nurse's behavior that violated the policy
- B. Terminating the staff immediately
- C. Confrontation
- D. Determining the employee's awareness of the policy
Correct answer: B
Rationale: When a policy violation occurs, the necessary steps for the nurse manager include: describing the staff nurse's behavior that violated the policy, confrontation as a communication technique to address specific issues, and determining the employee's awareness of the policy. Terminating the employee immediately is not always the appropriate response to a policy violation, as there may be other corrective actions or interventions that can be taken to address the issue without resorting to termination. It is crucial to follow due process, provide guidance, and support to help employees understand and rectify their behavior.
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