your nurse manager talks with you once per week to determine how you are adjusting to your role as a new nurse she asks if you feel that you are able

ATI RN

ATI Leadership Proctored

1. Your nurse manager talks with you once per week to determine how you are adjusting to your role as a new nurse. She asks if you feel that you are able to provide good care to your patients, whether you are becoming familiar with the electronic health record, and whether your preceptor is encouraging your independence. This manager is demonstrating:

A. An intrusive style.
B. An effort to understand if you are coping with the demands.
C. An attempt to intimidate.
D. An authoritarian style.

Correct answer: B

Rationale: The correct answer is B. The nurse manager is showing an effort to understand if you are coping with the demands of your new role as a nurse. This approach demonstrates empathy and concern for your well-being and professional development. Choices A, C, and D are incorrect because there is no indication of intrusion, intimidation, or authoritarian behavior in the manager's actions. Instead, the manager is engaging in supportive and constructive communication to help you adjust and grow in your new position.

2. Which of the following is the correct definition of 'chain of command'?

A. The hierarchy of authority and responsibility
B. Relationship without authority
C. Activity directed through linear authority
D. The tendency for people to perform as expected

Correct answer: A

Rationale: The correct definition of 'chain of command' is the hierarchy of authority and responsibility. This term refers to the order in which authority and power in an organization are wielded and delegated from top management to every employee at every level. Choice B, 'Relationship without authority,' is incorrect because the chain of command specifically involves authority and responsibility. Choice C, 'Activity directed through linear authority,' is not a precise definition of the chain of command, as it does not encompass the full scope of authority and hierarchy. Choice D, 'The tendency for people to perform as expected,' is unrelated to the concept of the chain of command.

3. A client with limited mobility in their lower extremities is at risk for skin breakdown. Which of the following actions should the nurse take to prevent skin breakdown?

A. Place the client in high-Fowler's position.
B. Increase the client's intake of carbohydrates.
C. Massage areas of skin that are darker than the surrounding skin tissue with unscented lotion.
D. Have the client use a trapeze bar when changing position

Correct answer: B

Rationale: The correct answer is B: Increase the client's intake of carbohydrates. Adequate nutrition, including carbohydrates, is essential for tissue repair and preventing skin breakdown. Placing the client in high-Fowler's position (choice A) may help with respiratory function but does not directly prevent skin breakdown. Massaging areas of darker skin (choice C) can cause further damage to the skin. Using a trapeze bar (choice D) may assist with changing positions but does not directly address skin breakdown prevention.

4. The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?

A. �I can have an occasional alcoholic drink if I include it in my meal plan.�
B. �I will need a bedtime snack because I take an evening dose of NPH insulin.�
C. �I can choose any foods, as long as I use enough insulin to cover the calories.�
D. �I will eat something at meal times to prevent hypoglycemia, even if I am not hungry.�

Correct answer: C

Rationale:

5. Which of the following best describes the concept of evidence-based practice (EBP)?

A. Clinical expertise as the primary basis for decision making
B. Research findings as the sole basis for decision making
C. Combining clinical expertise with the best available research evidence
D. Following institutional guidelines for patient care

Correct answer: C

Rationale: The correct answer is C: 'Combining clinical expertise with the best available research evidence.' Evidence-based practice (EBP) emphasizes integrating clinical expertise with the most current and relevant research evidence when making decisions about patient care. Choice A is incorrect because EBP does not rely solely on clinical expertise. Choice B is incorrect as EBP considers research evidence alongside clinical expertise, not as the sole basis. Choice D is incorrect because EBP is not about blindly following institutional guidelines, but rather about integrating research evidence with clinical judgment to provide the best possible care.