ATI Leadership Practice A

ATI Leadership Practice A Related

Review ATI Leadership Practice A related questions and content

A few weeks after an 82-year-old with a new diagnosis of type 2 diabetes has been placed on metformin (Glucophage) therapy and taught about appropriate diet and exercise, the home health nurse makes a visit. Which finding by the nurse is most important to discuss with the healthcare provider?

  • A. Hemoglobin A1C level is 7.9%.
  • B. Last eye exam was 18 months ago.
  • C. Glomerular filtration rate is decreased.
  • D. Patient has questions about the prescribed diet.
Correct Answer: C

Rationale: The correct answer is C: Glomerular filtration rate is decreased. This finding is most important to discuss because metformin can potentially worsen kidney function, especially in older adults. A decreased GFR could indicate renal impairment, making it necessary to reevaluate the medication regimen.

A: Hemoglobin A1C level is 7.9% - While this indicates poor diabetic control, it is not as urgent as addressing potential renal issues with metformin.
B: Last eye exam was 18 months ago - While regular eye exams are important for diabetic patients, it is not as critical as addressing renal function.
D: Patient has questions about the prescribed diet - While patient education is crucial, it is not as urgent as addressing potential renal complications.

In summary, the priority is to address the decreased GFR to ensure the patient's safety and well-being.

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What is the term for working on a schedule within the unit, involving only those who are working within that unit?

  • A. Flexible staffing
  • B. Self-staffing
  • C. Internal pools
  • D. Management scheduling
Correct Answer: B

Rationale: The correct answer is B: Self-staffing. Self-staffing refers to employees within a unit scheduling themselves to work according to the unit's needs. This approach empowers employees to manage their own schedules, ensuring coverage within the unit.

A: Flexible staffing typically involves adjusting staffing levels based on fluctuating demand, not limited to a specific unit.
C: Internal pools usually refer to a group of employees who can be assigned to various units based on need, not limited to a specific unit.
D: Management scheduling involves supervisors or managers creating schedules for employees, not necessarily limited to a specific unit.

In summary, the term for working on a schedule within the unit involving only those who are working within that unit is self-staffing because it allows employees to self-schedule within their own unit's context.

An RN cared for a state senator during the day shift. Later that day he was having dinner with friends when the news mentioned the senator had been hospitalized. The RN’s friends asked if he knew what was wrong with the senator. Which ethical principle should the RN consider when replying?

  • A. Fidelity
  • B. Confidentiality
  • C. Veracity
  • D. Accountability
Correct Answer: B

Rationale: The correct answer is B: Confidentiality. The RN should consider confidentiality when replying to his friends about the senator's condition. By maintaining confidentiality, the RN upholds the trust and privacy of the senator's medical information. Sharing such information breaches the ethical duty to protect patient privacy.

A: Fidelity pertains to being faithful and loyal to one's commitments, not directly related to this situation.
C: Veracity refers to truthfulness and honesty, but in this case, maintaining confidentiality takes precedence over disclosing the truth to friends.
D: Accountability involves taking responsibility for one's actions, which is not the primary ethical principle at play in this scenario.

A 26-year-old patient with diabetes rides a bicycle to and from work every day. Which site should the nurse teach the patient to administer the morning insulin?

  • A. Thigh
  • B. Buttock
  • C. Abdomen
  • D. Upper arm
Correct Answer: C

Rationale: The correct site to administer morning insulin for a patient who rides a bicycle daily is the abdomen. The abdomen has consistent and faster absorption rates due to increased blood flow and muscle activity during exercise, ensuring better insulin absorption and efficacy. Insulin absorption is slower in the thigh and buttock due to less muscle movement and blood flow. The upper arm may not be as convenient for self-administration and may result in inconsistent absorption.

The changes brought forth by the state boards of nursing are an example of which type of change agent?

  • A. Resistance
  • B. Empirical-rational
  • C. Normative-reeducative
  • D. Power-coercive
Correct Answer: D

Rationale: The correct answer is D: Power-coercive. State boards of nursing have the authority to enforce regulations and standards through legal power, making them a power-coercive change agent. They can mandate compliance and impose consequences for non-compliance, utilizing their regulatory power to drive change.

A: Resistance is incorrect as state boards of nursing do not resist change but rather implement and enforce it.

B: Empirical-rational is incorrect as this approach involves presenting data and information to persuade individuals to change, which may not align with the state boards' regulatory enforcement.

C: Normative-reeducative is incorrect as it focuses on changing beliefs and values through education and social influence, which is not the primary method used by state boards of nursing for implementing change.

A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?

  • A. Pad the client's wrists before applying the restraints.
  • B. Evaluate the client's circulation every 8 hours after application.
  • C. Secure the restraint ties to the bed's side rails.
  • D. Remove the restraints every 4 hours to evaluate the client's status.
Correct Answer: C

Rationale: The correct answer is C: Secure the restraint ties to the bed's side rails. This is important for ensuring the client's safety and preventing harm. Attaching the restraints to the side rails allows for proper immobilization without causing injury or restricting circulation. Padding the client's wrists (choice A) can be uncomfortable and ineffective. Evaluating circulation every 8 hours (choice B) is not frequent enough for monitoring potential issues. Removing restraints every 4 hours (choice D) can increase the risk of injury and should only be done as necessary.

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