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ATI Leadership Proctored Exam 2019
1. Which historical figure is honored for working to improve care of the mentally ill in mental health nursing?
- A. Clara Barton
- B. Florence Nightingale
- C. Dorothea Dix
- D. Lillian D. Wald
Correct answer: C
Rationale: Dorothea Dix is the correct answer. She is recognized for her significant contributions in advocating for the improvement of care for the mentally ill. Dix played a crucial role in establishing mental health institutions and reforming the care provided to individuals with mental health conditions. Clara Barton is known for founding the American Red Cross, Florence Nightingale is renowned as the founder of modern nursing, and Lillian D. Wald is recognized for her work in public health nursing. However, none of them are specifically honored for their work in improving care for the mentally ill in mental health nursing, unlike Dorothea Dix.
2. Nurses and community officials are working together to ensure that churches and schools have needed supplies to provide shelter for a large number of individuals in the event of a natural or man-made disaster. These activities represent which phase of a disaster continuum?
- A. Crisis Intervention
- B. Preparedness
- C. Recovery
- D. Relief Response
Correct answer: B
Rationale: The scenario described in the question, where nurses and community officials are preparing churches and schools with supplies for potential disaster situations, falls under the Preparedness phase of a disaster continuum. Preparedness involves planning, organizing, and equipping to handle potential disasters before they occur. This phase aims to enhance the readiness of individuals, organizations, and systems to respond effectively when a disaster strikes. Choices A, C, and D are incorrect because they do not align with the activities of preparing for a disaster before it happens; Crisis Intervention deals with immediate response during or after a disaster, Recovery focuses on rebuilding and restoring after a disaster, and Relief Response involves providing immediate assistance in the aftermath of a disaster.
3. What theme of critical thinking is demonstrated when an individual decides to return to school to obtain a bachelor of science degree in nursing?
- A. Critical thinking involves both productive and positive activities.
- B. Critical thinking is a process, not an outcome.
- C. Manifestations of critical thinking vary based on the context in which they occur.
- D. Critical thinking is triggered by both positive and negative events.
Correct answer: D
Rationale: The decision to return to school to obtain a bachelor of science degree in nursing can be triggered by various factors, both positive (like a desire for career advancement) and negative (like feeling limited without the degree). This decision reflects critical thinking as it involves a thoughtful evaluation of personal and professional goals, weighing potential benefits and consequences. Therefore, the theme of critical thinking demonstrated in this scenario is that critical thinking is triggered by both positive and negative events. Choices A, B, and C are incorrect because they do not specifically address the concept of critical thinking being influenced by positive and negative events as demonstrated in the scenario.
4. During preoperative teaching for a client scheduled for a total knee arthroplasty who speaks a different language than the nurse, which interprofessional team member should the nurse include in the discussion?
- A. Interpreter
- B. Social worker
- C. Occupational therapist
- D. Spiritual advisor
Correct answer: A
Rationale: In this scenario, the nurse should include an interpreter in the discussion to facilitate clear and accurate communication between the nurse and the client who speaks a different language. The interpreter plays a crucial role in ensuring that the client fully understands the preoperative teaching and can express any concerns or questions effectively. Choice B, a social worker, is not the most appropriate option in this context as the primary need is language interpretation rather than social support. Choice C, an occupational therapist, is also not the best option as their role does not directly address the language barrier issue. Choice D, a spiritual advisor, is not relevant to the situation at hand and would not assist in overcoming the language barrier.
5. The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient's behavior but can avoid being judgmental by understanding what?
- A. Motivation
- B. State laws
- C. The patient's social history
- D. Code of ethics
Correct answer: A
Rationale: In this scenario, the nurse is experiencing negative emotions towards the patient's behavior. By understanding the patient's motivation, the nurse can gain insight into the underlying factors that led to the behavior, helping to avoid being judgmental. This approach allows the nurse to provide care and support without letting personal feelings interfere. Understanding motivation can also aid in developing a therapeutic relationship and providing appropriate care tailored to the patient's needs. Choices B, C, and D are incorrect as while state laws, the patient's social history, and the code of ethics are important aspects to consider in healthcare, they do not directly address the nurse's feelings of disgust and the need to avoid being judgmental towards the patient's behavior.
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