ATI RN
ATI Leadership Proctored Exam 2019
1. Which of the following best describes the concept of patient-centered care?
- A. Care that is directed solely by healthcare providers
- B. Care that involves coordination among multiple healthcare providers
- C. Care that prioritizes the patient's preferences, needs, and values
- D. Care that strictly adheres to the latest clinical guidelines
Correct answer: C
Rationale: Patient-centered care is a healthcare approach that places the patient at the center of decision-making, emphasizing their preferences, needs, and values. This approach ensures that care is tailored to individual patients, taking into account their unique circumstances and actively involving them in their own care. Choice A is incorrect because patient-centered care focuses on the patient's needs rather than being solely directed by healthcare providers. Choice B is incorrect as involving multiple healthcare providers doesn't necessarily mean care is patient-centered; instead, it's about tailoring care to the patient's individual needs. Choice D is also incorrect as patient-centered care goes beyond just following clinical guidelines to encompass individual patient preferences and values.
2. To best reduce the potential for risk, what type of atmosphere is needed to be developed?
- A. Nurse-focused
- B. Physician-focused
- C. Family-focused
- D. Patient-focused
Correct answer: D
Rationale: The correct answer is 'Patient-focused.' When aiming to reduce the potential for risk, it is essential to prioritize the needs and well-being of the patients. Creating a patient-focused atmosphere helps ensure that decisions and actions are made with the patients' best interests in mind. Choices A, B, and C are incorrect because while nurses, physicians, and families play essential roles in healthcare, when it comes to reducing risks, the primary focus should be on the patients themselves.
3. How can a staff nurse recognize they are experiencing burnout? (EXCEPT)
- A. They are spending more time talking to staff on other units.
- B. Staff is questioning their clinical judgment.
- C. They sleep longer hours, sometimes coming in late to work.
- D. They are drinking alcohol more frequently to relax.
Correct answer: A
Rationale: Recognizing burnout is essential to maintaining quality patient care. Spending more time talking to staff on other units is a common practice and does not necessarily indicate burnout. On the other hand, staff questioning their clinical judgment, sleeping longer hours or coming in late to work, and resorting to alcohol to relax are signs of burnout. These behaviors can impact patient care and indicate the professional is struggling to cope with stressors.
4. Which statement to a patient newly diagnosed with type 2 diabetes is correct?
- A. Complications of type 2 diabetes are less serious than those of type 1 diabetes.
- B. Insulin is not used to control blood glucose in patients with type 2 diabetes.
- C. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
- D. Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma.
Correct answer: C
Rationale: Choice C is the correct statement to convey to a patient newly diagnosed with type 2 diabetes. Lifestyle modifications, such as changes in diet and exercise, are essential components of managing type 2 diabetes. These changes can help control blood glucose levels and improve overall health. Options A, B, and D are incorrect statements. While complications of type 2 diabetes can be serious, they are different from those of type 1 diabetes. Some patients with type 2 diabetes may require insulin therapy, but it is not true that insulin is not used at all. Type 2 diabetes is not typically diagnosed during a hyperglycemic coma, as it is usually identified through routine screenings or symptoms unrelated to a coma.
5. An RN�s current patient and family have presented her with an ethical dilemma. What is the first step the RN should take to find a workable solution to the problem?
- A. Planning
- B. Assessment
- C. Evaluation
- D. Implementation
Correct answer: B
Rationale: The first step is assessment and identification of the problem.
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