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ATI Leadership Proctored Exam 2019
1. Why is critical thinking necessary for identifying and understanding paradigms that exist in nursing practice?
- A. Critical thinking allows for the nurse to make superficial decisions.
- B. Critical thinking allows the nurse to thoroughly examine situations and issues.
- C. Critical thinking provides the nurse with quick answers.
- D. Critical thinking allows the nurse to accept information without needing to check its validity.
Correct answer: B
Rationale: Critical thinking is essential for nurses to identify and understand paradigms in nursing practice because it enables them to thoroughly examine complex situations and issues. By critically analyzing information and considering various perspectives, nurses can gain a deeper understanding of the underlying paradigms that shape nursing practice. This thorough examination helps nurses make informed decisions and provide high-quality care to patients. Choice A is incorrect because critical thinking involves deeper analysis, not superficial decisions. Choice C is incorrect because critical thinking does not provide quick answers; it involves a systematic and thoughtful approach. Choice D is incorrect because critical thinking encourages nurses to question information and verify its validity rather than accepting it blindly.
2. What is a crucial issue a healthcare worker in the late industrialization era would need to address to promote health?
- A. Reducing the spread of infection
- B. Promoting physical activity
- C. Educating on medication administration
- D. Promoting child safety in transportation
Correct answer: A
Rationale: During the late industrialization era, communicable diseases were rampant due to poor sanitation and lack of infection control measures. Healthcare workers, including nurses, played a critical role in reducing the spread of infections to prevent disease transmission and improve public health. This focus on infection control was crucial to address the prevalent health issues of the time. Choices B, C, and D, while important in healthcare, were not as pressing during the late industrialization era compared to the urgent need to control the spread of infections.
3. Which historical figure is honored for working to improve care of the mentally ill in mental health nursing?
- A. Clara Barton
- B. Florence Nightingale
- C. Dorothea Dix
- D. Lillian D. Wald
Correct answer: C
Rationale: Dorothea Dix is the correct answer. She is recognized for her significant contributions in advocating for the improvement of care for the mentally ill. Dix played a crucial role in establishing mental health institutions and reforming the care provided to individuals with mental health conditions. Clara Barton is known for founding the American Red Cross, Florence Nightingale is renowned as the founder of modern nursing, and Lillian D. Wald is recognized for her work in public health nursing. However, none of them are specifically honored for their work in improving care for the mentally ill in mental health nursing, unlike Dorothea Dix.
4. Who were the first public health nurses who provided care for the sick and the poor?
- A. The Presbyterian Church
- B. Salerno
- C. Jewish scholars
- D. Convent deaconesses
Correct answer: D
Rationale: The correct answer is D, Convent deaconesses. Deaconesses from local convents were the first public health nurses who provided care for the sick and the poor. They exemplified care guided by the Christian belief in compassion and helping others. The other choices (A, B, C) are incorrect because the Presbyterian Church, Salerno, and Jewish scholars were not specifically mentioned as the pioneers of public health nursing. The extract highlights the significant role of convent deaconesses in laying the foundation for modern public health nursing.
5. What may the patient's statement, 'I cannot read until I get my glasses,' indicate?
- A. The patient is embarrassed about needing glasses
- B. The patient has visual impairment
- C. The patient may be illiterate
- D. The patient is being uncooperative
Correct answer: C
Rationale: The patient stating they cannot read until they get their glasses suggests a potential issue with literacy rather than visual impairment or unwillingness to cooperate. This statement should prompt further assessment to determine the patient's reading abilities and potential literacy needs. Choice A is incorrect as the statement does not directly imply embarrassment. Choice B is incorrect as the statement does not necessarily indicate a visual impairment. Choice D is incorrect as there is no clear evidence of the patient being uncooperative based on the provided statement.
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