ATI RN
ATI Leadership Proctored
1. When a Nurse Manager leaves the facility, and one of the remaining managers is given that assignment in addition to her current load without the open position being filled, this is an example of which of the following?
- A. Job enlargement
- B. Proactive management
- C. Time log
- D. Prioritizing
Correct answer: A
Rationale: The correct answer is A, job enlargement. Job enlargement involves adding more tasks to a job without changing the level of skill required. In this scenario, the manager is given additional responsibilities without the position being filled, resulting in combining positions and increasing the number of employees to supervise. Choice B, proactive management, is incorrect as it does not relate to the situation described. Choice C, time log, is not relevant to the scenario. Choice D, prioritizing, is also incorrect as it does not reflect the concept of combining positions and increasing supervisory responsibilities.
2. In dealing with a conflict on a unit, the nurse manager decides to ask one of the staff nurses, who is not moving towards resolution, to transfer to another unit. What tactic has the manager implemented?
- A. Avoidance
- B. Withdrawal
- C. Suppression
- D. Competition
Correct answer: C
Rationale: The correct answer is C: Suppression. In this scenario, the nurse manager has implemented a suppression tactic by asking the staff nurse to transfer to another unit, which eliminates one of the conflicting parties from the current unit. This technique aims to resolve the conflict by physically separating the individuals involved. Choices A, B, and D are incorrect: Avoidance involves ignoring the conflict, withdrawal is the act of pulling out or retreating, and competition refers to a situation where one party's gain is at the expense of the other.
3. The staff nurse delegates AM care for two patients to the UAP (Unlicensed Assistive Person). What principle of delegation is the nurse following?
- A. Delegation requires a situation with clearly defined superiors.
- B. Delegation can only exist with a subordinate.
- C. Delegation is a tool used by various healthcare professionals.
- D. You can delegate only those tasks.
Correct answer: D
Rationale: The correct answer is D: 'You can delegate only those tasks.' Delegation in nursing involves transferring responsibility for the performance of a task while retaining accountability for the outcome. The principle of delegation does not require a situation with clearly defined superiors (choice A). Delegation can exist not only with a subordinate but also with colleagues or other healthcare team members (choice B). Delegation is not exclusive to nurses and is a tool used by various healthcare professionals (choice C). Therefore, the best choice is D as it accurately reflects the principle of delegation in nursing.
4. Which of the following indicators is viewed as important by the nurse manager in relation to a performance model?
- A. Patient outcomes
- B. Rapport with staff
- C. Daily job performance
- D. Flexibility
Correct answer: A
Rationale: The correct answer is A: Patient outcomes. In a performance model, one of the key indicators that a nurse manager would focus on is patient outcomes. Patient outcomes are a direct reflection of the quality of care provided by the staff, making it a crucial aspect of evaluating performance. Choice B, rapport with staff, though important for team dynamics, is not directly related to a performance model that primarily assesses job performance. Choice C, daily job performance, is relevant but more of an outcome rather than an indicator itself. Choice D, flexibility, is a valuable trait but not specifically highlighted in the context of a performance model.
5. A client is refusing a blood transfusion for religious reasons. The client's partner wants the client to have the blood transfusion. Which of the following actions should be taken?
- A. Ask the client to consider a direct donation
- B. Withhold the blood transfusion
- C. Ask the client to consider a direct donation
- D. Request a consultation with the ethics committee
Correct answer: A
Rationale: In this situation, the nurse should ask the client to consider a direct donation. This option respects the client's autonomy by exploring alternative options that align with the client's beliefs. Withholding the blood transfusion (choice B) goes against the client's wishes and autonomy. Requesting a consultation with the ethics committee (choice D) should be considered if there is a disagreement that cannot be resolved at the bedside, but it is not the initial step. Choice C is a duplicate of choice A and does not provide a different or additional action to address the situation.
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