an rn enters a patients room to place an indwelling urinary catheter as ordered by the health care professional the client is alert and oriented and t

ATI RN

ATI Leadership Practice A

1. An RN enters a patient’s room to place an indwelling urinary catheter, as ordered by the health-care professional. The client is alert and oriented and tells the RN he wants to leave the hospital now and not receive further treatment. Which of the following actions by the RN would be considered false imprisonment?

A. The RN tells the client he is not allowed to leave until the physician has released him.
B. The RN asks the client why he wishes to leave.
C. The RN asks the client to explain what he understands about his medical diagnosis.
D. The RN asks the client to sign an against medical advice discharge form.

Correct answer: A

Rationale: The RN tells the client he is not allowed to leave until the physician has released him would be considered false imprisonment.

2. A unit manager has been working to decrease the incidence of catheter-associated urinary tract infections on his unit, spending extra time on the unit researching best practices and conducting training. Having completed training, the manager decides to take a couple of days off. Which of the following leadership traits is this unit manager displaying?

A. Perseverance
B. Balance
C. Generosity
D. Ability to handle stress

Correct answer: B

Rationale: The correct answer is 'Balance.' The unit manager is displaying balance by recognizing the importance of taking time off to rest and recharge after working diligently to decrease infections. 'Perseverance' is not the correct choice because the manager is taking time off, not persisting in the face of challenges. 'Generosity' and 'Ability to handle stress' are also incorrect as they do not align with the situation described.

3. The nurse has been teaching a patient with type 2 diabetes about managing blood glucose levels and taking glipizide (Glucotrol). Which patient statement indicates a need for additional teaching?

A. “If I overeat at a meal, I will still take the usual dose of medication.”
B. “Other medications besides the Glucotrol may affect my blood sugar.”
C. “When I am ill, I may have to take insulin to control my blood sugar.”
D. “My diabetes won’t cause complications because I don’t need insulin.”

Correct answer: D

Rationale:

4. Which type of HMO contracts with two or more IPAs (Independent Practice Associations)?

A. Staff model
B. Point of service model
C. Network model
D. Group model

Correct answer: C

Rationale: The correct answer is C: Network model. A network model of HMOs contracts with two or more IPAs. In a network model, the HMO contracts with multiple IPAs to provide healthcare services to its members, offering a wider range of choices and flexibility in selecting healthcare providers. Choices A, B, and D are incorrect because the staff model involves employing physicians and healthcare providers directly, the point of service model allows members to seek care both in-network and out-of-network, and the group model is not specifically associated with contracting IPAs.

5. A recent ethical issue has resulted in uneasiness and discomfort for several nurses on a unit. The unit manager has decided to discuss the issues at the next team meeting. The situation has resulted in which of the following for some of the nurses?

A. Moral suffering
B. Moral distress
C. Ethical dilemma
D. Veracity

Correct answer: A

Rationale: Moral suffering occurs when a situation results in a feeling of uneasiness or concern because of behaviors or circumstances that challenge one’s own morals and beliefs.