ATI Leadership Practice A

ATI Leadership Practice A Related

Review ATI Leadership Practice A related questions and content

The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2
diabetes about home management of the disease. Which action should the nurse take first?

  • A. Ask the patient’s family to participate in the diabetes education program.
  • B. Assess the patient’s perception of what it means to have diabetes mellitus.
  • C. Demonstrate how to check glucose using capillary blood glucose monitoring.
  • D. Discuss the need for the patient to actively participate in diabetes management.
Correct Answer: B

Rationale: The correct answer is B: Assess the patient’s perception of what it means to have diabetes mellitus. This is the first step because understanding the patient's perception allows the nurse to tailor education to address any misconceptions or concerns. It helps establish a baseline of the patient's knowledge and beliefs about diabetes, enabling the nurse to provide accurate and relevant information.

Option A is incorrect as involving the family should come after assessing the patient's individual understanding and needs. Option C is incorrect as demonstrating blood glucose monitoring should follow assessing the patient's perception to ensure relevance. Option D is incorrect as discussing active participation should also come after assessing the patient's perception to ensure the information is personalized and effective.

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Which of the following best describes decertification?

  • A. Encourage union affiliation
  • B. Change union affiliation
  • C. Reward union affiliation
  • D. Empower union affiliation
Correct Answer: B

Rationale: The correct answer is B: Change union affiliation. Decertification refers to the process of employees voting to remove a union as their bargaining representative. This means changing or ending their current union affiliation.

A: Encouraging union affiliation is not related to decertification, as it involves promoting rather than changing union membership.
C: Rewarding union affiliation is not accurate for decertification, as it does not involve rewarding but rather changing the affiliation.
D: Empowering union affiliation is not the correct choice, as decertification does not enhance but rather changes or removes union representation.

When looking at the issue surrounding absenteeism, an innovative approach would be:

  • A. Rewarding those who do not use days.
  • B. Substituting personal days.
  • C. Termination.
  • D. Disciplinary actions.
Correct Answer: B

Rationale: The correct answer is B: Substituting personal days. This approach addresses absenteeism by allowing employees to use personal days instead of sick days, promoting honesty and reducing misuse. Rewarding non-absent employees (A) may not address underlying causes of absenteeism. Termination (C) is extreme and counterproductive. Disciplinary actions (D) may create a negative work environment. Substituting personal days encourages responsible time management and positive behavior.

How did the Social Security Act of 1935 impact public health nursing?

  • A. Disabled children
  • B. Mentally disabled
  • C. Older adults
  • D. Opioid addicts
Correct Answer: A

Rationale: The Social Security Act of 1935 impacted public health nursing by providing financial assistance to families with disabled children. This support helped improve access to healthcare services and resources for disabled children, leading to better health outcomes. The Act did not specifically address mentally disabled individuals, older adults, or opioid addicts in the same way as it did for disabled children. Therefore, choice A is correct as it directly aligns with the Act's provisions for supporting disabled children.

What is the primary focus of case management in nursing?

  • A. Direct patient care
  • B. Resource management
  • C. Financial planning
  • D. Quality assurance
Correct Answer: A

Rationale: The correct answer is A: Direct patient care. Case management in nursing focuses primarily on coordinating care, advocating for patients, and ensuring their needs are met. This involves direct patient interaction, collaborating with healthcare providers, and addressing the patient's physical, emotional, and social well-being. Resource management (B) involves allocating resources efficiently, financial planning (C) focuses on budgeting and financial aspects, and quality assurance (D) pertains to monitoring and improving healthcare standards. These options are important in healthcare but are not the primary focus of case management in nursing.

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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