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ATI Leadership Proctored Exam 2023
1. Which action demonstrates a coparticipative manner in the nursing model of care?
- A. Working with the patient and family to achieve the best outcome.
- B. Encouraging the shy student to participate in class discussions, demonstrating transpersonal caring.
- C. Finding a way for a patient to see a dog, understanding the patient's needs.
- D. Accepting individuals for who they are, maintaining a nonjudgmental attitude.
Correct answer: A
Rationale: A coparticipative manner in the nursing model of care involves collaborating with the patient and family to achieve the best outcome. This approach emphasizes working together as a team to address healthcare needs and make decisions. While encouraging a shy student, understanding a patient's needs, and maintaining a nonjudgmental attitude are all important aspects of nursing care, the coparticipative manner specifically focuses on partnership and shared decision-making in the care process.
2. When the nurse receives a shift report from the nurse going off shift and asks about a patient's state of mind and emotional needs, which aspect of Dr. Watson's theory is demonstrated?
- A. Intentionality
- B. Curiosity
- C. Caritas
- D. Holism
Correct answer: C
Rationale: The correct answer is C: Caritas. The act of inquiring about a patient's state of mind and emotional needs reflects the concept of Caritas in Dr. Watson's theory. Caritas involves showing deep concern, compassion, and love for the patient, going beyond just the physical aspects of care. Choice A, Intentionality, refers to the capacity for nurses to act deliberately with an ultimate goal in mind. Choice B, Curiosity, is not directly related to the specific action described in the question. Choice D, Holism, involves considering the patient as a whole being, including physical, emotional, social, and spiritual aspects, but it is not specifically demonstrated by inquiring about emotional needs and state of mind.
3. When the domain .edu is noted during the search for the term informatics, what should the individual determine about the site's affiliation?
- A. It's an internet service provider
- B. It's a commercial site
- C. It's a government agency
- D. It's an educational institution
Correct answer: D
Rationale: When a domain ends in .edu, it indicates that the site belongs to an educational institution. Therefore, if a user searching for the term informatics comes across a domain with .edu, it is likely an academic resource related to the field of informatics. Choice A, an internet service provider, is incorrect because the .edu domain is specifically reserved for educational institutions. Choice B, a commercial site, is incorrect as commercial sites typically use domains like .com. Choice C, a government agency, is incorrect as government agencies usually have domains ending in .gov.
4. The nursing assistant asks the nurse to explain the meaning of advocacy. The nurse explains that the fundamental principle of patient advocacy is what?
- A. Independence
- B. Caring
- C. Competence
- D. Protection
Correct answer: D
Rationale: The correct answer is D: Protection. Protection is the fundamental principle of patient advocacy, ensuring that patients' rights and interests are safeguarded. Advocacy involves actively speaking up for the patient, ensuring they receive proper care, their wishes are respected, and they are protected from harm or exploitation. It goes beyond independence, caring, and competence, focusing on safeguarding the patient's well-being and ensuring their rights are upheld. While independence, caring, and competence are important aspects of patient care, they do not encompass the core principle of advocacy, which is to protect the patient's rights and well-being.
5. A healthcare professional walks into the nurse's station and sees several staff members looking at the electronic medical record for a celebrity client on another unit. Which of the following actions should the healthcare professional take first?
- A. remind the staff members that this is a breach of confidentiality
- B. discuss the issue with the unit manager
- C. request that an administrative restriction be placed on the client's medical access
- D. prepare a report for the facility ethics committee
Correct answer: A
Rationale: The correct action for the healthcare professional to take first is to remind the staff members that accessing the electronic medical record of a celebrity client from another unit is a breach of confidentiality. This immediate action addresses the ethical and legal issue at hand, emphasizing the importance of patient confidentiality and privacy. Discussing the issue with the unit manager, requesting administrative restrictions, or preparing a report for the facility ethics committee can be considered after addressing the initial breach and reminding staff members of their obligations.
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