ATI RN
ATI Leadership Practice B
1. The belief that effort will lead to a specific performance level in an individual is known as:
- A. Rewards.
- B. Expectancy.
- C. Valence.
- D. Instrumentality.
Correct answer: B
Rationale: The correct answer is B: Expectancy. Expectancy refers to the perceived probability that effort will lead to a specific performance level. This aligns with the concept of expectancy theory in psychology, which emphasizes the importance of individuals' beliefs regarding the link between effort and outcomes. Choices A, C, and D are incorrect. Rewards (choice A) typically refer to incentives given after achieving a goal, valence (choice C) is the value a person places on a particular outcome, and instrumentality (choice D) is the belief that a particular outcome is contingent on achieving a specific level of performance.
2. The length of a coaching session should be no longer than:
- A. 15 minutes.
- B. 60 minutes.
- C. 10 minutes.
- D. 30 minutes.
Correct answer: C
Rationale: The correct answer is C: '10 minutes.' Coaching sessions are recommended to last between 5-10 minutes to ensure they are concise and impactful. Choice A ('15 minutes') is incorrect because it exceeds the recommended duration. Choice B ('60 minutes') is incorrect as it is too long for an effective coaching session, leading to decreased engagement. Choice D ('30 minutes') is also incorrect as it surpasses the optimal time frame for a coaching session.
3. The nurse has administered 4 oz of orange juice to an alert patient whose blood glucose was 62 mg/dL. Fifteen minutes later, the blood glucose is 67 mg/dL. Which action should the nurse take next?
- A. Give the patient 4 to 6 oz more orange juice.
- B. Administer the PRN glucagon (Glucagon) 1 mg IM.
- C. Have the patient eat some peanut butter with crackers.
- D. Notify the healthcare provider about the hypoglycemia.
Correct answer: A
Rationale: The correct action for the nurse to take next is to give the patient 4 to 6 oz more orange juice. The patient's blood glucose has increased from 62 mg/dL to 67 mg/dL after consuming the initial 4 oz of orange juice, indicating that the treatment is effective. Providing additional orange juice will help further raise the blood glucose levels. Administering glucagon (Choice B) is not necessary as the patient's blood glucose is already rising. Having the patient eat peanut butter with crackers (Choice C) is a slower-acting option compared to orange juice. Notifying the healthcare provider about the hypoglycemia (Choice D) is not needed at this point since the patient's blood glucose is improving.
4. Which of the following best describes the concept of evidence-based practice (EBP)?
- A. Clinical expertise as the primary basis for decision making
- B. Research findings as the sole basis for decision making
- C. Combining clinical expertise with the best available research evidence
- D. Following institutional guidelines for patient care
Correct answer: C
Rationale: The correct answer is C: 'Combining clinical expertise with the best available research evidence.' Evidence-based practice (EBP) emphasizes integrating clinical expertise with the most current and relevant research evidence when making decisions about patient care. Choice A is incorrect because EBP does not rely solely on clinical expertise. Choice B is incorrect as EBP considers research evidence alongside clinical expertise, not as the sole basis. Choice D is incorrect because EBP is not about blindly following institutional guidelines, but rather about integrating research evidence with clinical judgment to provide the best possible care.
5. Which of the following is an example of a primary prevention strategy?
- A. Administering vaccinations
- B. Performing a surgical procedure
- C. Teaching healthy lifestyle choices
- D. Prescribing medication
Correct answer: A
Rationale: Administering vaccinations is indeed an example of a primary prevention strategy. Primary prevention aims to prevent the occurrence of a disease or injury before it occurs by targeting the entire population or specific high-risk groups. Vaccinations help prevent the initial development of a disease by enhancing immunity against specific pathogens. Choices B, C, and D are not examples of primary prevention strategies. Performing a surgical procedure (Choice B) is a treatment intervention, not a preventive measure. Teaching healthy lifestyle choices (Choice C) falls under health promotion and education, which is more aligned with secondary prevention. Prescribing medication (Choice D) is typically associated with treatment rather than preventing the initial onset of a disease.
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