ATI RN
ATI Leadership Practice B
1. A nurse manager is using the nominal group technique to gather input from the staff on a new policy. What is the primary method of exchange in this technique?
- A. Oral presentations
- B. Email exchanges
- C. Written reports
- D. Group discussions
Correct answer: C
Rationale: In the nominal group technique, the primary method of exchange is through written reports. Participants independently generate ideas in writing, which are then shared and discussed within the group. This structured process allows for equal participation and prevents dominant individuals from influencing the group's outcome. Oral presentations (choice A) involve speaking rather than written communication, making it less suitable for the nominal group technique. Email exchanges (choice B) are also not the primary method as they lack the structured approach of the nominal group technique. Group discussions (choice D) do occur in the nominal group technique but are secondary to the initial written idea generation phase.
2. The complexities of the current health care delivery systems require a variety of leadership styles. Which of the following is one that has emerged in response to these changes?
- A. Quantum
- B. Servant
- C. Autocratic
- D. Democratic
Correct answer: A
Rationale: The correct answer is A: Quantum. The quantum theory of leadership addresses complexity in organizations, making it suitable for the challenges posed by the current health care delivery systems. Servant leadership (choice B) focuses on serving others rather than traditional hierarchies, but it is not specifically tailored to address complexities. Autocratic leadership (choice C) and Democratic leadership (choice D) are more traditional styles that may not be as effective in handling the intricacies of modern health care systems.
3. A client with limited mobility in their lower extremities is at risk for skin breakdown. Which of the following actions should the nurse take to prevent skin breakdown?
- A. Place the client in high-Fowler's position.
- B. Increase the client's intake of carbohydrates.
- C. Massage areas of skin that are darker than the surrounding skin tissue with unscented lotion.
- D. Have the client use a trapeze bar when changing position
Correct answer: B
Rationale: The correct answer is B: Increase the client's intake of carbohydrates. Adequate nutrition, including carbohydrates, is essential for tissue repair and preventing skin breakdown. Placing the client in high-Fowler's position (choice A) may help with respiratory function but does not directly prevent skin breakdown. Massaging areas of darker skin (choice C) can cause further damage to the skin. Using a trapeze bar (choice D) may assist with changing positions but does not directly address skin breakdown prevention.
4. A typical budget takes time to prepare. What timetable should the nurse manager plan for the budgeting process?
- A. 9-12 months
- B. 3-6 months
- C. 1-2 months
- D. Over two years
Correct answer: B
Rationale: The correct answer is B: 3-6 months. The process of preparing a typical budget usually takes around 3-6 months. This allows enough time for gathering financial data, analyzing expenses, projecting revenues, and finalizing the budget. Choice A (9-12 months) is too long for a typical budgeting process in most settings. Choice C (1-2 months) is too short to adequately complete all the necessary steps in the budgeting process. Choice D (Over two years) is excessive and not practical for the timeline of a standard budget preparation.
5. What is the primary objective of healthcare accreditation programs?
- A. To increase financial profitability
- B. To ensure patient safety and quality care
- C. To streamline healthcare operations
- D. To reduce hospital readmissions
Correct answer: B
Rationale: The primary objective of healthcare accreditation programs is to ensure patient safety and quality care by meeting established standards. Choice A is incorrect because while financial aspects may be indirectly impacted, the main focus is on patient care. Choice C is incorrect as the primary goal is not operational efficiency but rather quality of care. Choice D is incorrect as reducing hospital readmissions is a specific goal that may be influenced by accreditation but not the primary objective.
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