ATI RN
ATI Leadership Proctored Exam 2023
1. Where do many people get medical insurance from?
- A. The primary care physician
- B. The local clinic
- C. Social security office
- D. The employer
Correct answer: D
Rationale: Many people obtain medical insurance through their employer. This is a common practice where employers offer health insurance benefits to their employees as part of their employment package. Choice A, primary care physician, is incorrect as they provide medical care, not insurance. Choice B, the local clinic, is incorrect as clinics offer medical services, not insurance. Choice C, social security office, is incorrect as it is not a typical source for obtaining medical insurance.
2. Which statement about the U.S. healthcare system made by the nurse is untrue and inaccurate?
- A. There is no central agency governing the healthcare system.
- B. Access to healthcare is available to all persons regardless of ability to pay.
- C. Legal risk must be considered when providing healthcare.
- D. High-tech equipment is available but payment for its use is troublesome to the system.
Correct answer: B
Rationale: The correct answer is B. Access to healthcare is not universally available to all persons in the U.S.; it is often influenced by the ability to pay. Choice A is accurate as there is no single central agency governing the entire U.S. healthcare system. Choice C is a valid consideration as legal risks are important in healthcare provision. Choice D highlights a common issue in the U.S. healthcare system where high-tech equipment is available, but the payment for its use can be problematic.
3. A nurse is caring for a client after knee replacement surgery. The nurse discovers that the consent was not signed before the surgery. Which of the following charges could be filed?
- A. False imprisonment
- B. Libel
- C. Battery
- D. Malpractice
Correct answer: C
Rationale: The correct answer is C: Battery. Battery occurs when an individual is touched without consent. Performing surgery without a signed consent constitutes battery as it involves touching the patient's body without proper authorization. False imprisonment (choice A) involves restraining someone against their will, which is not applicable in this scenario. Libel (choice B) refers to written defamation, which is not relevant to the situation described. Malpractice (choice D) involves negligence or incompetence in providing professional services, which is different from the lack of consent issue presented in this case.
4. As a new graduate employed in a high-volume maternity unit that uses differentiated practice as its staffing model, what can the nurse expect?
- A. Evidence-based practice guides risk management principles.
- B. Client teaching is the responsibility of the team leader.
- C. The initial level of practice responsibility will be limited.
- D. Seniority is the main determinant of client assignments.
Correct answer: C
Rationale: In a differentiated practice model, the scope of nursing practice and responsibility are tailored to different levels of experience. As a new graduate with limited experience, the nurse can expect that the initial level of practice responsibility will be limited to match their skill level and knowledge. This allows for a gradual increase in responsibilities as the nurse gains more experience and expertise. Choice A is incorrect because evidence-based practice is related to clinical decision-making, not the staffing model. Choice B is incorrect as client teaching is typically a shared responsibility among the healthcare team, not solely the team leader's. Choice D is incorrect as differentiated practice models focus on skill level and competence rather than seniority when determining client assignments.
5. Who were the first public health nurses who provided care for the sick and the poor?
- A. The Presbyterian Church
- B. Salerno
- C. Jewish scholars
- D. Convent deaconesses
Correct answer: D
Rationale: The correct answer is D, Convent deaconesses. Deaconesses from local convents were the first public health nurses who provided care for the sick and the poor. They exemplified care guided by the Christian belief in compassion and helping others. The other choices (A, B, C) are incorrect because the Presbyterian Church, Salerno, and Jewish scholars were not specifically mentioned as the pioneers of public health nursing. The extract highlights the significant role of convent deaconesses in laying the foundation for modern public health nursing.
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