a nurse is preparing to delegate client care tasks to an assistive personnel ap which of the following tasks should the nurse delegate

ATI RN

ATI Leadership Proctored Exam 2019

1. A healthcare professional is preparing to delegate client care tasks to an assistive personnel (AP). Which of the following tasks should the healthcare professional delegate?

A. Confirming that a client's pain has decreased after receiving an analgesic
B. Ambulating a client who is postoperative
C. Inserting an indwelling urinary catheter for a client
D. Demonstrating the use of an incentive spirometer to a client

Correct answer: A

Rationale: The correct answer is option A: 'Confirming that a client's pain has decreased after receiving an analgesic.' This task involves assessing the effectiveness of the medication, which can be delegated to the assistive personnel. Options B, C, and D involve skills that should be performed by licensed healthcare professionals due to their complexity and potential risks if not done correctly. Ambulating a postoperative client requires monitoring for signs of distress or complications, inserting a urinary catheter involves an invasive procedure with infection risks, and demonstrating the use of medical devices like an incentive spirometer requires specialized knowledge to ensure correct usage.

2. What is dysfunctional turnover?

A. Retaining all employees.
B. Losing employees consistently.
C. Losing highly skilled employees who are hard to replace.
D. Hiring new employees.

Correct answer: C

Rationale: Dysfunctional turnover refers to the loss of valuable, skilled employees who are challenging to replace. This turnover can be detrimental to an organization's performance and productivity. Choices A, B, and D are incorrect because dysfunctional turnover specifically involves losing high-quality employees, not retaining all employees, losing employees consistently, or hiring new employees.

3. Which of the following best describes the concept of cultural humility in nursing?

A. A fixed set of cultural competencies
B. Recognizing and addressing power imbalances
C. Adapting care to fit different cultural contexts
D. Learning from patients and adapting to their needs

Correct answer: D

Rationale: Cultural humility in nursing is about approaching patient care with an open mind, being willing to learn from patients, and adapting to their individual needs. Choice A is incorrect as cultural humility is not about a fixed set of competencies, but rather an ongoing process of self-reflection and learning. Choice B, recognizing and addressing power imbalances, is related to cultural competence but not the core concept of cultural humility. Choice C, adapting care to fit different cultural contexts, is more aligned with cultural competence rather than cultural humility.

4. What is the major difference between managers and leaders?

A. Leaders usually have legitimate power.
B. Leaders do not necessarily make good managers.
C. Managers are not always leaders.
D. Managers always have legitimate power.

Correct answer: D

Rationale: The major difference between managers and leaders is that managers always have legitimate power. This is because managers derive their authority from their position within an organization, giving them legitimate power over subordinates. On the other hand, leaders do not always have legitimate power; their influence may come from various sources such as expertise, charisma, or the ability to inspire others. Choice A is incorrect because not all leaders necessarily have legitimate power. Choice B is incorrect as it is a generalization that leaders do not make good managers, which is not always the case. Choice C is incorrect as there can be managers who are also effective leaders.

5. The nurse manager is talking with the CNA about her time management. Which of the following is an example of a nurse manager as a coach?

A. Your timely response to patients' call lights is exemplary.
B. Your appearance is seldom professional.
C. You must get the vital signs taken on time or you will be disciplined.
D. You never report AM blood sugar levels on time.

Correct answer: A

Rationale: The correct answer is A: 'Your timely response to patients' call lights is exemplary.' This choice reflects a positive reinforcement approach, providing feedback that praises and encourages good behavior. A coach in a professional setting aims to motivate, guide, and support staff rather than focusing on negative aspects or threats of discipline. Effective coaching involves recognizing and acknowledging employees' strengths and achievements to inspire continuous improvement and development. Choices B, C, and D are not examples of coaching as they either focus on criticism regarding appearance, use threatening language, or highlight a negative behavior without offering guidance or support.