ATI RN
ATI Leadership Practice B
1. 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.
2. There are many ways to ensure that your appraisal system is nondiscriminatory. Which of the following is one way to ensure this?
- A. Giving the appraisal once per year
- B. Having no appeal process
- C. Withholding information from the employee
- D. Not allowing any input from the employee
Correct answer: A
Rationale: To ensure that an appraisal system is nondiscriminatory, one important step is to provide the appraisal once per year. This allows for ongoing evaluation and helps prevent bias. Choice B is incorrect because having no appeal process can lead to unfair treatment without a chance for review. Choice C is incorrect as withholding information from the employee can hinder transparency and objectivity. Choice D is incorrect as not allowing any input from the employee can overlook valuable insights and perspectives that could contribute to a fair evaluation process.
3. Successful professional nurses benefit from working with mentors. What mutually rewarding outcomes are realized in mentoring relationships? (EXCEPT)
- A. Instilling a sense of accomplishing a meaningful effort
- B. Assuming each other's characteristics
- C. Fostering an interdependent relationship
- D. Promoting self-esteem
Correct answer: B
Rationale: Professional nurses who seek mentoring relationships work with their mentors to gain objective feedback, guidance, and confidence. A mentoring relationship is critical when making job decisions, establishing goals, discussing professional judgment, considering ethical issues, and in determining challenges for growth. Choice B, "Assuming each other's characteristics," is incorrect because mentoring is about learning, guidance, and support to develop one's own professional identity, not about assuming someone else's characteristics. Choices A, C, and D are all beneficial outcomes of mentoring relationships, including instilling a sense of accomplishment, fostering interdependence, and promoting self-esteem, respectively.
4. A 32-year-old patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the nurse discuss using for mealtime coverage?
- A. Lispro (Humalog)
- B. Glargine (Lantus)
- C. Detemir (Levemir)
- D. NPH (Humulin N)
Correct answer: A
Rationale: For mealtime coverage in intensive insulin therapy, rapid-acting insulins like Lispro (Humalog) are used. Lispro has a quick onset of action, making it suitable for covering the rise in blood sugar levels after meals. Glargine (Lantus), Detemir (Levemir), and NPH (Humulin N) are all long-acting insulins and are not appropriate for mealtime coverage as they do not act quickly enough to manage postprandial glucose spikes.
5. Two RNs are discussing the benefits of professional liability insurance. Which of the following is a reason for an RN to have a professional liability insurance policy?
- A. No expenses are involved in frivolous lawsuits.
- B. If a nurse is found guilty of malpractice, the institution cannot sue the nurse.
- C. Liability policies may also cover charges of libel, slander, assault, and HIPAA violations.
- D. Only doctors are sued for malpractice.
Correct answer: C
Rationale: The correct answer is C. Liability policies can cover charges of libel, slander, assault, and HIPAA violations, in addition to malpractice claims. Choice A is incorrect as there are expenses involved in frivolous lawsuits. Choice B is incorrect because institutions can sue nurses found guilty of malpractice. Choice D is incorrect as nurses, not just doctors, can be sued for malpractice.
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