a nurse manager has left the facility and one of the remaining managers is given that assignment in addition to her current load she is told that the

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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. Which level in Maslow's hierarchy is rarely met?

A. Esteem
B. Safety
C. Self-actualization
D. Belongingness

Correct answer: C

Rationale: The correct answer is C, 'Self-actualization.' Self-actualization, the highest level in Maslow's hierarchy, involves developing one's full potential and achieving personal growth. It is considered rarely met because it requires a deep understanding of oneself, a strong sense of purpose, and the ability to pursue intrinsic goals. Esteem (choice A) focuses on respect, recognition, and self-esteem, which are more commonly achieved than self-actualization. Safety (choice B) and belongingness (choice D) are also more commonly attained as they relate to basic needs for security and social connections, which are essential for overall well-being.

3. The nurse is taking a health history from a 29-year-old pregnant patient at the first prenatal visit. The patient reports no personal history of diabetes but has a parent who is diabetic. Which action will the nurse plan to take first?

A. Teach the patient about administering regular insulin.
B. Schedule the patient for a fasting blood glucose level.
C. Discuss an oral glucose tolerance test for the twenty-fourth week of pregnancy.
D. Provide teaching about an increased risk for fetal problems with gestational diabetes.

Correct answer: B

Rationale: The correct answer is B. Given the family history of diabetes, the initial action the nurse should take is to schedule the patient for a fasting blood glucose level. This will help in assessing if the patient has developed gestational diabetes. Choice A is incorrect because teaching about administering regular insulin is premature without confirming the diagnosis. Choice C is incorrect as an oral glucose tolerance test is typically done earlier in pregnancy. Choice D is incorrect as discussing fetal problems related to gestational diabetes should come after a confirmed diagnosis.

4. There are several pitfalls that should be avoided when using social media of any type. For example, a nurse or student could be found guilty of libel in which of the following scenarios?

A. Snapping a selfie with a patient
B. Posting a positive review of the hospital where the student completed clinicals
C. Creating a closed online forum where students can discuss clinical experiences without providing client information
D. Complaining about her nurse preceptor on social media, discussing the preceptor�s unprofessional characteristics.

Correct answer: D

Rationale: Statements about individuals encountered in one�s professional or educational life that could damage that person�s reputation may be slander or libel and can be prosecuted as quasi-intentional torts.