one of the most useful tools to determine reasons for turnover is

ATI RN

ATI Leadership Proctored

1. One of the most useful tools to determine reasons for turnover is:

A. Questioning.
B. Surveys.
C. Employee forums.
D. Telephone calls.

Correct answer: B

Rationale: Surveys are one of the most effective tools to determine reasons for turnover because they allow employees to provide feedback anonymously, leading to more truthful responses. While questioning can be part of the process, surveys provide a structured and standardized way to collect data. Employee forums may not always elicit honest responses due to peer pressure or fear of repercussions. Telephone calls may not reach all employees and do not guarantee anonymity, potentially leading to biased or incomplete information.

2. What information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?

A. Select flat-soled leather shoes
B. Apply heating pads on a low temperature.
C. Avoid using callus remover for corns or calluses.
D. Refrain from soaking feet in warm water for an hour each day.

Correct answer: A

Rationale: The correct answer is to select flat-soled leather shoes. Patients with peripheral arterial disease, type 2 diabetes, and sensory neuropathy are at risk for foot injuries due to decreased sensation and poor circulation. Flat-soled leather shoes can help prevent injuries and provide adequate support without causing pressure points. Choice B is incorrect as using heating pads can lead to burns for patients with sensory neuropathy. Choice C is wrong because using callus remover may lead to skin damage for patients with compromised circulation. Choice D is not recommended as soaking feet in warm water can further damage the skin due to decreased sensation.

3. What is the primary role of the nurse manager in risk management?

A. Ensure compliance with regulations
B. Report incidents to higher authorities
C. Minimize risks to patients and staff
D. Educate staff about safe practices

Correct answer: C

Rationale: The correct answer is C: Minimize risks to patients and staff. Nurse managers play a crucial role in risk management by identifying potential risks, implementing strategies to reduce or eliminate these risks, and ensuring a safe environment for patients and staff. Choice A is incorrect because while ensuring compliance with regulations is important, the primary role of the nurse manager in risk management is to minimize risks. Choice B is incorrect as reporting incidents is part of risk management but not the primary role of a nurse manager. Choice D is also a responsibility of nurse managers, but educating staff about safe practices is not the primary focus when it comes to risk management.

4. A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?

A. Is your pain constant or intermittent?
B. What would you rate your pain on a scale of 0 to 10?
C. Does the pain radiate?
D. Is your pain sharp or dull?

Correct answer: D

Rationale: When assessing the quality of pain, asking if the pain is sharp or dull helps the nurse understand the nature of the pain. Sharp pain is often associated with acute conditions like nerve irritation or injury, while dull pain may indicate a more chronic issue like inflammation or tissue damage. Choices A, B, and C focus on different aspects of pain assessment but do not specifically address the quality of pain, making them less relevant in this context.

5. During a physical assessment of adult clients, which of the following techniques should the nurse use?

A. Use the Face, Legs, Activity, Cry, and Consolability (FLACC) pain rating scale for a client experiencing pain.
B. Palpate the client's abdomen before auscultating bowel sounds.
C. Ensure the bladder of the blood pressure cuff surrounds 80% of the client's arm.
D. Obtain an apical heart rate by auscultating at the third intercostal space to the left of the sternum.

Correct answer: B

Rationale: When performing a physical assessment, it is essential to palpate the client's abdomen before auscultating bowel sounds. This sequence helps prevent altering bowel sound results due to the pressure applied during palpation. Choice A is incorrect because the FLACC pain rating scale is typically used for nonverbal or pediatric clients, not adults. Choice C is incorrect because the bladder of the blood pressure cuff should surround about 80% of the client's arm circumference, not the bladder of the cuff itself. Choice D is incorrect because to obtain an apical heart rate, auscultation should be done at the fifth intercostal space at the midclavicular line, not at the third intercostal space to the left of the sternum.