ATI RN
ATI Proctored Leadership Exam
1. Which of the following best describes the role of a nurse navigator?
- A. Provide direct patient care
- B. Coordinate complex care
- C. Assist with administrative tasks
- D. Manage clinical trials
Correct answer: B
Rationale: A nurse navigator's primary role is to coordinate complex care for patients, guiding them through the healthcare system. Choice A is incorrect because nurse navigators do not provide direct patient care like nurses in clinical settings. Choice C is incorrect as nurse navigators focus on patient care coordination rather than administrative tasks. Choice D is incorrect as managing clinical trials is typically not within the scope of a nurse navigator's responsibilities.
2. Which best describes the role of a community health nurse in promoting health?
- A. Advocating for health policy changes
- B. Providing direct care to individuals and families
- C. Educating the community about healthy lifestyles
- D. Conducting research on community health issues
Correct answer: A
Rationale: A community health nurse plays a vital role in promoting health by advocating for health policy changes. By advocating for policy changes that support healthy environments, access to care, and addressing social determinants of health, community health nurses work towards improving the overall health and well-being of the community they serve. While providing direct care to individuals and families, educating the community about healthy lifestyles, and conducting research on community health issues are important aspects of nursing practice, advocating for health policy changes has a broader impact on population health outcomes.
3. Which goal is a priority for a client with a DSM-IV-TR diagnosis of delirium and the nursing diagnosis Acute confusion related to recent surgery secondary to traumatic hip fracture?
- A. The client will complete activities of daily living.
- B. The client will maintain safety.
- C. The client will remain oriented.
- D. The client will understand communication.
Correct answer: B
Rationale: The correct answer is B: 'The client will maintain safety.' For a client with delirium, especially in the context of acute confusion post-surgery, safety is the top priority. Delirium can lead to disorientation, impaired decision-making, and increased risk of falls or accidents. Ensuring the client's safety by implementing measures to prevent harm is crucial. Choices A, C, and D are important but not the priority in this scenario. Completing activities of daily living, remaining oriented, and understanding communication are relevant goals but come after ensuring the client's safety in the presence of delirium and acute confusion.
4. Freud's psychosexual stage that occurs between the ages of 3 and 5 is the ________ stage.
- A. oral
- B. anal
- C. phallic
- D. genital
Correct answer: C
Rationale: Freud's psychosexual stage that occurs between the ages of 3 and 5 is the phallic stage. During this stage, children focus on the genitals and start to identify with the same-sex parent while developing the superego. Choice A, the oral stage, occurs during infancy (0-1 year), where gratification is centered around the mouth. Choice B, the anal stage, occurs between the ages of 1 and 3, focusing on toilet training. Choice D, the genital stage, is the final stage in Freud's theory, occurring from puberty onwards, where the focus is on mature sexual relationships.
5. A client who has burn injuries covering their upper body is concerned about their altered appearance. Which of the following statements should the nurse make?
- A. It is okay to not want to touch the burned areas of your body.
- B. Cosmetic surgery should be performed within the next year to be effective.
- C. Reconstructive surgery can completely restore your previous appearance.
- D. It could be helpful for you to attend a support group for people who have burn injuries.
Correct answer: D
Rationale: The nurse should encourage the client to attend a support group for individuals who have burn injuries. Support groups can provide emotional support, shared experiences, and coping strategies for accepting their altered appearance. Choice A is not the best response as it does not offer proactive support. Choice B is not appropriate as the timing of cosmetic surgery should be determined by healthcare providers, not immediate. Choice C is misleading as reconstructive surgery may improve appearance but may not completely restore the previous look.
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