ATI Leadership

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A registered nurse (RN) administered a patient’s morning insulin as the breakfast tray arrived at 0800. The RN performed a complete assessment at the same time. Then, the RN got busy with her other patients and did not check on the patient until 1400. At that time, she found the patient unresponsive with a blood glucose of 23. Both the breakfast and lunch tray were at the bedside untouched. Which of the following could the RN be charged with?

  • A. Quasi-intentional tort
  • B. Misdemeanor
  • C. Negligence
  • D. Juvenile offense
Correct Answer: C

Rationale: The correct answer is C: Negligence. The RN failed to monitor the patient after administering insulin, leading to a critical situation. Negligence in nursing involves a breach of duty of care that results in harm to the patient. In this case, the RN's failure to check on the patient for several hours directly contributed to the patient becoming unresponsive with dangerously low blood glucose levels. This constitutes a clear case of nursing negligence.

A: Quasi-intentional tort involves intentional actions that result in harm, such as defamation or invasion of privacy. This scenario does not involve intentional harm.

B: Misdemeanor refers to a criminal offense less serious than a felony. Negligence in nursing is typically addressed through civil, not criminal, proceedings.

D: Juvenile offense pertains to actions committed by minors. The RN is a healthcare professional, not a minor, and the offense here is related to professional negligence, not juvenile misconduct.

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Which of the following is one of the sources used to determine the reason for voluntary turnover?

  • A. Following-up phone calls
  • B. Employee questioning
  • C. Benchmarking
  • D. Exit interviewing
Correct Answer: D

Rationale: The correct answer is D: Exit interviewing. Exit interviews involve conducting structured interviews with employees who are leaving an organization voluntarily to understand their reasons for leaving. This method provides valuable insights into the factors contributing to turnover. Exit interviews are a direct way to gather feedback and identify patterns or issues that may be leading to voluntary turnover.

A: Following-up phone calls may not provide in-depth information or allow for a structured approach to understanding the reasons for turnover.

B: Employee questioning is vague and does not specify a method for gathering feedback, unlike the structured approach of exit interviews.

C: Benchmarking involves comparing data with industry standards and may not provide specific insights into individual reasons for voluntary turnover within an organization.

In summary, exit interviewing is the most effective source for determining the reasons for voluntary turnover as it offers a structured and direct approach to gathering valuable feedback from departing employees.

An RN is working through an ethical dilemma involving a patient on his unit. He has just identified the decision-makers involved. Which step best describes the current stage the RN is working through?

  • A. Assessment
  • B. Diagnosis
  • C. Planning
  • D. Implementation
Correct Answer: C

Rationale: The correct answer is C: Planning. In an ethical dilemma, once the decision-makers are identified, the next step is to plan the course of action to address the issue. Planning involves considering the ethical principles, potential outcomes, and identifying the best course of action to resolve the dilemma. Assessment (A) involves gathering information, Diagnosis (B) involves analyzing the information, and Implementation (D) involves executing the chosen plan. Therefore, the RN is currently in the planning stage as he is strategizing on how to address the ethical dilemma effectively.

When considering virtue ethics, which of the following is true?

  • A. Virtue ethics attributes behaviors to moral rules.
  • B. Virtue ethics attributes behaviors to knowledge of consequences.
  • C. Virtue ethics focuses on moral character, rather than rules for behavior.
  • D. Virtue ethics is a formal statement of rules for behavior.
Correct Answer: C

Rationale: The correct answer is C because virtue ethics focuses on developing moral character rather than following strict rules. Virtue ethics emphasizes cultivating good habits and virtues to guide behavior. This approach values the inherent qualities of a person rather than relying on external rules or consequences. Option A is incorrect as virtue ethics does not rely on fixed moral rules. Option B is incorrect as virtue ethics does not base behavior solely on knowledge of consequences. Option D is incorrect as virtue ethics does not provide a formal statement of rules but rather encourages individuals to embody virtuous traits.

What are the final stages of the conflict process?

  • A. Antecedent conditions
  • B. Perceived and felt conflict
  • C. Suppression and resolution
  • D. Conflict behavior
Correct Answer: C

Rationale: The correct answer is C: Suppression and resolution. In the final stages of the conflict process, individuals may try to suppress their feelings or behaviors related to the conflict, and ultimately work towards resolving the conflict through communication, negotiation, or seeking a mutually agreeable solution. Antecedent conditions (A) refer to factors that lead to conflict, perceived and felt conflict (B) are early stages of conflict where individuals become aware of the disagreement, and conflict behavior (D) pertains to the actions taken during the active conflict phase. Therefore, C is the correct choice as it specifically addresses the final actions taken to manage and resolve the conflict.

A nurse is assessing a client who received an IV fluid bolus for dehydration. Which of the following findings should the nurse identify as an indication of fluid volume excess?

  • A. Hypotension
  • B. Distended neck veins
  • C. Slow capillary refill
  • D. Weak, thready pulse
Correct Answer: B

Rationale: The correct answer is B: Distended neck veins. When a client has fluid volume excess, there is an accumulation of fluid in the intravascular space, leading to increased venous pressure. Distended neck veins are a classic sign of fluid overload as they indicate increased central venous pressure. Hypotension (A) is more commonly associated with fluid volume deficit. Slow capillary refill (C) and weak, thready pulse (D) are indicative of poor tissue perfusion, which is more commonly seen in fluid volume deficit rather than excess.

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