ATI RN
ATI Leadership Practice B
1. When a policy violation occurs, what are the necessary steps for the nurse manager? (EXCEPT)
- A. Describing the staff nurse's behavior that violated the policy
- B. Terminating the staff immediately
- C. Confrontation
- D. Determining the employee's awareness of the policy
Correct answer: B
Rationale: When a policy violation occurs, the necessary steps for the nurse manager include: describing the staff nurse's behavior that violated the policy, confrontation as a communication technique to address specific issues, and determining the employee's awareness of the policy. Terminating the employee immediately is not always the appropriate response to a policy violation, as there may be other corrective actions or interventions that can be taken to address the issue without resorting to termination. It is crucial to follow due process, provide guidance, and support to help employees understand and rectify their behavior.
2. What is the priority action for a patient with a fever?
- A. Administer an antipyretic medication as prescribed.
- B. Assess the patient's temperature regularly.
- C. Provide cooling measures such as a cool compress.
- D. Provide the patient with blankets for comfort.
Correct answer: B
Rationale: The priority action when a patient has a fever is to assess the patient's temperature regularly. Monitoring the temperature helps track the effectiveness of interventions and detect any worsening fever. Administering antipyretic medication (Choice A) should be done based on healthcare provider's orders after assessing the patient's condition. While providing cooling measures such as a cool compress (Choice C) can help reduce fever, assessing the temperature takes precedence. Providing blankets for comfort (Choice D) is not the priority when dealing with a fever.
3. The goal for a client with impaired mobility is to prevent atelectasis. What nursing intervention would best help the client meet this goal?
- A. Assist the client to orthopneic position
- B. Offer a protein-rich diet
- C. Offer the client a bedpan for toileting
- D. Turn the client every 4 hours
Correct answer: A
Rationale: Assisting the client to the orthopneic position is the best nursing intervention to help prevent atelectasis. This position improves lung expansion by allowing the chest to expand fully, aiding in the prevention of atelectasis. Offering a protein-rich diet (choice B) is important for overall nutrition but does not directly address preventing atelectasis. Offering a bedpan for toileting (choice C) and turning the client every 4 hours (choice D) are important for preventing pressure ulcers in immobile clients but do not directly prevent atelectasis.
4. A major limitation of systematic observation is that it __________.
- A. provides little information on how participants actually behave
- B. tells investigators little about the reasoning behind responses and behaviors
- C. underestimates the capacities of individuals who have difficulty putting their thoughts into words
- D. ignores participants with poor memories, who may have trouble recalling exactly what happened
Correct answer: B
Rationale: A major limitation of systematic observation is that it tells investigators little about the reasoning behind responses and behaviors. Systematic observation focuses more on recording observable behaviors rather than delving into the underlying reasons or thought processes driving those behaviors. Choices A, C, and D are incorrect because systematic observation can indeed provide detailed information on how participants actually behave, it doesn't necessarily underestimate the capacities of individuals who struggle with verbal expression, and it doesn't solely ignore participants with poor memories as it can capture behavior in real-time regardless of memory recall.
5. Who took the position that organisms tend to repeat responses that lead to positive outcomes and tend not to repeat responses that lead to neutral or negative outcomes?
- A. Sigmund Freud
- B. B.F. Skinner
- C. Carl Rogers
- D. Abraham Maslow
Correct answer: B
Rationale: The correct answer is B.F. Skinner. Skinner proposed the theory of operant conditioning, where behavior is shaped by its consequences. Positive outcomes increase the likelihood of a behavior being repeated, while neutral or negative outcomes decrease it. Sigmund Freud (choice A) is known for his psychoanalytic theory, Carl Rogers (choice C) for person-centered therapy, and Abraham Maslow (choice D) for the hierarchy of needs.
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