ATI RN
ATI Leadership Practice A
1. A new nurse manager is attempting to solve a management issue by using one solution after another until she solves the problem. This would be known as what type of method?
- A. Decision making
- B. Trial and error
- C. Experimentation
- D. Analysis
Correct answer: B
Rationale: The correct answer is B. Trial and error is a method used by new managers to solve problems by trying different solutions until one is successful. In this scenario, the nurse manager is using a trial and error approach by attempting various solutions until the issue is resolved. Choices A, C, and D are incorrect because decision making involves making choices based on available information, experimentation involves testing hypotheses in a controlled setting, and analysis entails examining data and information to gain insights or draw conclusions, none of which directly reflect the iterative process of trial and error.
2. A registered nurse (RN) is caring for a patient who is one of Jehovah�s Witnesses and has refused a blood transfusion even though her hemoglobin is dangerously low. After providing information about all the alternatives available and risks and benefits of each, the health-care provider allows the patient to determine which course of treatment she would prefer. The RN knows this is an example of which ethical principle?
- A. Autonomy
- B. Nonmaleficence
- C. Beneficence
- D. Distributive justice
Correct answer: A
Rationale: This is an example of the ethical principle of autonomy.
3. What is the term for working on a schedule within the unit, involving only those who are working within that unit?
- A. Flexible staffing
- B. Self-staffing
- C. Internal pools
- D. Management scheduling
Correct answer: B
Rationale: The correct answer is B, self-staffing. Self-staffing is the model where staff entirely manage staffing and scheduling themselves, without external involvement. Choices A, C, and D are incorrect. Flexible staffing refers to adjusting staffing levels based on demand. Internal pools involve a group of staff who can be drawn upon for scheduling needs. Management scheduling typically involves supervisors or managers creating and managing schedules for the unit.
4. A nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should the nurse implement for this client?
- A. Have the client wear a mask when receiving visitors.
- B. Limit the client's time with visitors to no more than 30 minutes per day.
- C. Assign the client to a room with negative-pressure airflow exchange.
- D. Wear a gown when caring for the client.
Correct answer: B
Rationale: The correct answer is B because limiting the client's time with visitors helps prevent the spread of shigella infection to others. Shigella is transmitted through the fecal-oral route, so minimizing contact time reduces the risk of transmission. Choice A is incorrect as there is no need for the client to wear a mask in this situation. Choice C is also incorrect as negative-pressure airflow exchange rooms are typically used for clients with airborne infections. Choice D is incorrect as wearing a gown is not the primary precaution needed for shigella infection.
5. What is the main purpose of a healthcare proxy?
- A. To manage financial affairs
- B. To make medical decisions on behalf of the patient
- C. To provide legal representation
- D. To oversee patient discharge planning
Correct answer: B
Rationale: The main purpose of a healthcare proxy is to make medical decisions on behalf of the patient when they are unable to do so. Choice A is incorrect as managing financial affairs is typically handled by a power of attorney for finances. Choice C is incorrect as a healthcare proxy is not meant to provide legal representation. Choice D is incorrect as overseeing patient discharge planning is a responsibility of healthcare providers, not a healthcare proxy.
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