ATI RN
ATI Proctored Leadership Exam
1. What is the primary goal of patient advocacy in nursing?
- A. To ensure patient safety
- B. To provide emotional support
- C. To advocate for patient rights
- D. To provide financial assistance
Correct answer: C
Rationale: The primary goal of patient advocacy in nursing is to advocate for patient rights. While ensuring patient safety and providing emotional support are important aspects of nursing care, the core focus of patient advocacy is to uphold and protect the rights of patients. Providing financial assistance is not typically a primary goal of patient advocacy in nursing.
2. Which of the following is a trait that was found to be common among leaders in trait theory?
- A. Communication of duties assigned
- B. Adaptability and changing priorities
- C. Order giving and decision making for a group
- D. Communication of goal direction
Correct answer: D
Rationale: The correct answer is D, 'Communication of goal direction.' Trait theory suggests that effective leaders possess certain traits, one of which is the ability to clearly communicate the direction and goals of the group. This trait helps in aligning the efforts of the team towards a common objective. Choices A, B, and C are incorrect because while communication, adaptability, decision-making, and order giving are important skills for leaders, the specific trait commonly associated with leaders in trait theory is the ability to communicate the direction and goals.
3. A nurse is considering employment at a long-term care facility that has a functional nursing delivery system. Knowing this, the nurse could expect that:
- A. Each RN would coordinate care for a group of clients.
- B. One RN would pass meds for all clients on a unit.
- C. Each RN would deliver total care to an assigned group of clients.
- D. One RN, one LPN, and one unlicensed assistive personnel would share responsibility for a group of clients.
Correct answer: B
Rationale: In a functional nursing delivery system, tasks are divided among the staff based on their roles. One of these roles is medication administration, where one RN may pass medications for all clients on a unit. Option A is incorrect because coordinating care for a group of clients is more aligned with team nursing. Option C is incorrect as it describes total care nursing, not functional nursing. Option D is incorrect as it reflects team nursing with a mix of different roles sharing responsibility.
4. Which of the following indicators is viewed as important by the nurse manager in relation to a performance model?
- A. Patient outcomes
- B. Rapport with staff
- C. Daily job performance
- D. Flexibility
Correct answer: A
Rationale: The correct answer is A: Patient outcomes. In a performance model, one of the key indicators that a nurse manager would focus on is patient outcomes. Patient outcomes are a direct reflection of the quality of care provided by the staff, making it a crucial aspect of evaluating performance. Choice B, rapport with staff, though important for team dynamics, is not directly related to a performance model that primarily assesses job performance. Choice C, daily job performance, is relevant but more of an outcome rather than an indicator itself. Choice D, flexibility, is a valuable trait but not specifically highlighted in the context of a performance model.
5. After examining her client's abdomen and noting assessment of significant findings, even though the client says it doesn't hurt, the nurse says to a colleague, 'I think something is going on here; I am going to investigate further.' This nurse is using:
- A. Deductive reasoning.
- B. Intuition.
- C. Trial and error.
- D. Modified scientific method.
Correct answer: B
Rationale: The correct answer is B: Intuition. In this scenario, the nurse is relying on intuition, which refers to a 'gut feeling' or instinctive understanding without the conscious use of reasoning. Deductive reasoning (choice A) involves drawing specific conclusions from general principles. Trial and error (choice C) is a problem-solving method that involves trying various methods until the correct one is found. The modified scientific method (choice D) refers to a structured approach to conducting experiments in a scientific setting, which is not applicable in this situation where the nurse is relying on a hunch or intuition.
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