ATI RN
ATI Leadership Proctored Exam 2019
1. What innate tendency influences staff to act in a certain way?
- A. Instinct
- B. Appreciation
- C. Control
- D. Esteem
Correct answer: A
Rationale: The correct answer is A: Instinct. Instinct theory suggests that behaviors are influenced by inherited or innate tendencies, guiding individuals to act in specific ways without conscious reasoning. In the context of staff behavior, instinct can play a significant role in shaping their actions and responses. Choices B, C, and D are incorrect. Appreciation, control, and esteem are external factors that may influence staff behavior, but in this context, the question specifically asks for an innate tendency that influences staff to act in a certain way, which aligns more closely with instinctive tendencies rather than external factors like appreciation, control, or esteem.
2. Which theory emphasizes the long-range plan rather than rewards?
- A. Equity theory.
- B. Development.
- C. Goal setting.
- D. Extinction.
Correct answer: C
Rationale: The correct answer is C, Goal setting. Goal-setting theory emphasizes that it is the goal itself that motivates a person to exert effort, not just the rewards or outcomes. This theory focuses on setting specific and challenging goals to enhance performance. Choices A, B, and D are incorrect because Equity theory relates to fairness in social exchanges, Development theory concerns personal growth and advancement, and Extinction refers to the disappearance of a behavior when it is no longer reinforced.
3. For a 55-year-old female patient with type 2 diabetes and a nursing diagnosis of imbalanced nutrition: more than body requirements, which goal is most important?
- A. The patient will reach a glycosylated hemoglobin level of less than 7%.
- B. The patient will follow a diet and exercise plan that results in weight loss.
- C. The patient will choose a diet that distributes calories throughout the day.
- D. The patient will state the reasons for eliminating simple sugars in the diet.
Correct answer: A
Rationale: The most important goal for a 55-year-old female patient with type 2 diabetes and imbalanced nutrition due to more than body requirements is to reach a glycosylated hemoglobin level of less than 7%. This goal directly addresses the management of diabetes and is crucial in preventing complications associated with high blood sugar levels. Choice B focuses on weight loss, which may be beneficial but is not as critical as controlling blood sugar levels. Choice C, distributing calories throughout the day, is important for glycemic control but not as immediate as reaching a target HbA1c level. Choice D, stating the reasons for eliminating simple sugars, is a good educational goal but not as urgent as achieving glycemic control.
4. In dealing with conflict, the manager knows that feelings or perceptions about the situation will have an effect. According to Filey, what is this effect known as?
- A. Conflict suppression
- B. Resolution aftermath
- C. Antecedent conditions
- D. Manifest behavior
Correct answer: D
Rationale: Feelings or perceptions about the situation initiate behavior, known as manifest behavior. Antecedent conditions refer to preexisting conditions that may have led to the conflict but are not the immediate effect of feelings or perceptions. Resolution aftermath pertains to the consequences or outcomes following conflict resolution. Conflict suppression refers to the action of suppressing conflict without addressing its root causes, which is a subsequent step after the manifestation of behavior.
5. Which of the following best describes the concept of just culture in a healthcare organization?
- A. A culture of blaming individuals for mistakes
- B. A culture of encouraging reporting and learning from errors
- C. A culture of punishing individuals for errors
- D. A culture of ignoring errors
Correct answer: B
Rationale: Just culture in a healthcare organization promotes a blame-free environment where individuals are encouraged to report errors and focus on learning from them to improve patient safety and quality of care. Choice A is incorrect as just culture does not involve blaming individuals. Choice C is incorrect as it goes against the principles of just culture by advocating for punishment rather than learning. Choice D is incorrect as just culture aims to address errors constructively rather than ignore them.
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