ATI RN
ATI Leadership Proctored Exam 2019 Quizlet
1. Which of the following clients would most likely be selected for case management?
- A. An adolescent with a gunshot wound who is in the ER.
- B. A young adult with a fractured pelvis.
- C. An elderly client awaiting a hip replacement.
- D. A 41-year-old client admitted for outpatient tonsillectomy.
Correct answer: C
Rationale: The correct answer is C, an elderly client awaiting a hip replacement. This choice is most likely selected for case management because hip replacements are common surgical procedures with high volume in hospitals, making it appropriate for case management. Choices A, B, and D involve acute care conditions but do not typically require the same level of coordination and management that a hip replacement case would. Therefore, they are less likely to be selected for case management.
2. Which of the following best describes the role of an informatics nurse specialist?
- A. Managing electronic health records
- B. Providing technical support
- C. Educating nursing staff
- D. Improving patient care through technology
Correct answer: D
Rationale: An informatics nurse specialist focuses on improving patient care through technology by implementing, optimizing, and leveraging healthcare information systems. While managing electronic health records and providing technical support may be part of their responsibilities, the primary goal is to enhance patient outcomes and healthcare delivery through the strategic use of technology. Educating nursing staff, although important, is typically not the core role of an informatics nurse specialist.
3. After discussing alternatives to dressing change procedures to minimize discomfort, the nursing staff accepted a new procedure. This is an example of which stage of Havelock's model of change?
- A. Moving
- B. Self-renewal
- C. Refreezing
- D. Unfreezing
Correct answer: A
Rationale: The correct answer is A: Moving. In the moving stage of Havelock's model of change, the focus is on selecting a solution or alternative. In this scenario, the nursing staff accepting a new procedure after discussing alternatives aligns with the moving stage, where the decision to adopt a change is made. Choices B, C, and D are incorrect. Self-renewal refers to personal growth, refreezing involves stabilizing the change, and unfreezing is related to preparing for change, none of which directly correspond to the situation described in the question.
4. Knowing the different modes of communication used by men and women is important for the nurse manager. Which of the following is a difference in communication in unpleasant situations?
- A. Men tend to talk more, and women withdraw.
- B. Men tend to use tag questions.
- C. Women disagree more.
- D. Women talk longer and faster, men disclose more.
Correct answer: A
Rationale: The correct answer is A. In unpleasant situations, men tend to talk more, while women tend to withdraw. Women are more likely to use tag questions and disclose more. Men, on the other hand, tend to talk longer and may be more inclined to disagree. Therefore, option A is the most accurate choice that highlights a difference in communication styles between men and women in unpleasant situations.
5. Selye's stress theory explains that a person stressed for long periods of time will:
- A. Face exhaustion and be more susceptible to illnesses.
- B. Become fatigued and become stronger.
- C. Become more assertive.
- D. Safety needs.
Correct answer: A
Rationale: Selye's stress theory posits that individuals experiencing prolonged stress are likely to face exhaustion and become more susceptible to illnesses. This is because the body's response to chronic stress can lead to physical and psychological depletion, increasing the risk of health problems. Choice B is incorrect as becoming stronger is not a typical outcome of prolonged stress according to Selye's theory. Choice C, becoming more assertive, is not directly related to the physical implications of chronic stress. Choice D, safety needs, is unrelated to Selye's stress theory and does not reflect the expected outcomes of prolonged stress.
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