which of the following best describes the concept of shared decision making in healthcare which of the following best describes the concept of shared decision making in healthcare
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Nursing Elites

ATI RN

ATI Leadership Practice A

1. Which of the following best describes the concept of shared decision-making in healthcare?

Correct answer: B

Rationale: The correct answer is B. Shared decision-making in healthcare involves a collaborative process between patients and providers to make healthcare decisions together. This approach considers the patient's preferences, values, and the best available evidence to reach a decision that aligns with the patient's goals. Choice A is incorrect because shared decision-making does not involve patients making decisions on their own. Choice C is incorrect as it describes a paternalistic approach where providers dictate treatment plans to patients without involving them in the decision-making process. Choice D is incorrect as it refers to the use of evidence-based guidelines, which is important but not the sole focus of shared decision-making.

2. Which statement demonstrates a well-structured attempt at limit setting?

Correct answer: A

Rationale: Choice A, 'Hitting me when you are angry is unacceptable,' demonstrates a well-structured attempt at limit setting because it clearly defines the unacceptable behavior without ambiguity. This statement sets a clear boundary and clearly communicates the consequence for the behavior. In contrast, choices B, C, and D are less effective in setting limits as they are either vague expectations or commands without specific consequences for crossing the limit.

3. The humanistic perspective focuses primarily upon the capacity of the individual to ________.

Correct answer: D

Rationale: The humanistic perspective, as highlighted by proponents like Carl Rogers and Abraham Maslow, emphasizes the inherent drive of individuals to achieve self-actualization and positive self-growth. It focuses on the individual's potential for growth, self-improvement, and fulfilling their highest capabilities. Choice A is incorrect as the humanistic perspective is more concerned with personal growth than with addressing the fear of death. Choice B is associated with the psychodynamic perspective, which focuses on unconscious motives. Choice C is related to cognitive-behavioral approaches that emphasize the rational understanding of behavior.

4. Which discharge instruction should the nurse teach the client diagnosed with varicose veins who has received sclerotherapy?

Correct answer: A

Rationale: The correct answer is to instruct the client to walk 15 to 20 minutes three times a day. Walking is beneficial as it helps improve circulation and reduces the risk of complications following sclerotherapy. Choice B is incorrect because keeping the legs in the dependent position when sitting can lead to increased venous pressure, worsening varicose veins. Choice C is incorrect as compression bandages should typically be worn continuously, especially during the initial healing phase. Choice D is incorrect as Berger-Allen exercises are not commonly associated with post-sclerotherapy care.

5. Which strategy is most likely to promote positive behavior in children?

Correct answer: C

Rationale: Improving the child's competence and creating a positive environment is the most effective strategy to promote positive behavior in children. This approach focuses on enhancing the child's skills and abilities while fostering a supportive and encouraging atmosphere. By empowering the child and surrounding them with positivity, they are more likely to exhibit positive behaviors as they feel competent, valued, and motivated. This strategy emphasizes support and reinforcement over punitive measures, leading to long-lasting behavioral improvements.

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