ATI NU2508 Leadership Final Exam

ATI NU2508 Leadership Final Exam Related

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A nurse is teaching a group of newly licensed nurses about client advocacy. Which of the following actions demonstrates client advocacy?

  • A. Encouraging a client to participate in treatment decisions.
  • B. Administering medications as prescribed without client input.
  • C. Documenting a client's refusal of treatment as noncompliance.
  • D. Informing the provider that a client is uncooperative.
Correct Answer: A

Rationale: The correct answer is A because encouraging a client to participate in treatment decisions empowers them to make informed choices about their care, promoting their autonomy and self-determination. This demonstrates client advocacy by ensuring the client's voice is heard and respected.

Choice B is incorrect as administering medications without client input disregards their right to be involved in their care decisions. Choice C is incorrect as labeling a client's refusal of treatment as noncompliance lacks advocacy and may undermine the client's autonomy. Choice D is incorrect as simply informing the provider that a client is uncooperative does not actively advocate for the client's best interests or involve them in decision-making.

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A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?

  • A. A young adult client admitted for acute glomerulonephritis following a viral infection
  • B. A dependent adult admitted for the treatment of a spiral fracture
  • C. A young adult client admitted for asthma and has track marks that may indicate IV drug abuse
  • D. An emancipated minor who has acute appendicitis and wants to leave the facility without treatment
Correct Answer: B

Rationale: The correct answer is B because a dependent adult admitted for the treatment of a spiral fracture falls under mandatory reporting requirements for suspected abuse or neglect. The nurse is obligated to disclose information to an outside agency to ensure the safety and well-being of the patient. In cases of suspected abuse or neglect, it is crucial to involve external agencies to investigate and protect the vulnerable adult.

Choices A, C, and D do not necessarily involve mandatory reporting to an outside agency. A young adult with glomerulonephritis or asthma with possible IV drug abuse may not require immediate disclosure unless there is a clear indication of harm or risk to the patient. An emancipated minor with acute appendicitis wanting to leave without treatment raises ethical concerns but may not involve mandatory reporting unless there are specific legal requirements in place.

An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?

  • A. The client who is in protective isolation
  • B. The client who is actively dying and requires IV pain medication
  • C. The client who is 3 days postoperative and requires a dressing change
  • D. The client who requires frequent ambulation
Correct Answer: B

Rationale: The correct answer is B: The client who is actively dying and requires IV pain medication. The RN should assume responsibility for this client because as the registered nurse, they are the most qualified to manage complex care needs, such as IV pain medication administration and end-of-life care. The RN's advanced knowledge and skills make them best suited to provide appropriate assessment, intervention, and coordination of care in this critical situation.

Choice A is incorrect because the client in protective isolation requires meticulous adherence to infection control practices, which can be safely delegated to the LPNs or AP under the RN's supervision.

Choice C is incorrect as a dressing change for a client 3 days postoperative is within the scope of practice for the LPNs or AP and does not require the RN's direct involvement.

Choice D, the client requiring frequent ambulation, can be delegated to the LPNs or AP, as this task does not require the RN's specialized skill set.

A charge nurse is working with an assistive personnel (AP) who provides excellent care to clients and is an effective team member. Which of the following actions should the nurse take first to recognize the AP's contributions to client care?

  • A. Tell other nurses what an effective team member the AP is.
  • B. Detail the AP's contributions to the nurse manager.
  • C. Nominate the AP for the Employee of the Month award.
  • D. Give positive feedback directly to the AP.
Correct Answer: D

Rationale: The correct answer is D: Give positive feedback directly to the AP. This is the first action the nurse should take because it directly acknowledges and reinforces the AP's contributions. Providing feedback directly shows appreciation and motivates the AP to continue their excellent work. It helps build a positive relationship and boosts morale.

Choice A is less effective as it does not directly recognize the AP's efforts and may not reach the AP. Choice B involves an intermediary and may delay recognition. Choice C is a formal recognition and may not provide immediate feedback to the AP. Thus, giving direct positive feedback to the AP is the most immediate and impactful way to recognize their contributions.

A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? (Select all that apply.)

  • A. Ambulate an older adult client who has hypertension.
  • B. Provide discharge instructions for a client who has a new skin graft.
  • C. Check a blood product with another nurse prior to administration.
  • D. Weigh a client who has heart failure.
  • E. Perform an admission assessment on a client.
Correct Answer: A,D

Rationale: The correct tasks to assign to an assistive personnel (AP) are A and D. APs are trained to assist with basic care activities. Ambulating an older adult client with hypertension and weighing a client with heart failure are within the scope of practice for APs as they do not involve complex assessments or critical decision-making. Providing discharge instructions (B) requires specialized knowledge and education, which is beyond the scope of an AP. Checking a blood product (C) and performing an admission assessment (E) require specific training and expertise that only licensed nurses should perform.

A nurse is receiving change-of-shift report at the start of the shift. Which of the following statements by the nurse giving report indicates to the oncoming nurse that she should assume total care for the client, rather than assigning tasks to the assistive personnel (AP)?

  • A. The client works in the hospital radiology department.
  • B. The client discussed having prior thoughts of suicide.
  • C. The client's blood pressure and pulse have been fluctuating throughout the day.
  • D. The client's family members have been present most of the day.
Correct Answer: C

Rationale: The correct answer is C because fluctuating blood pressure and pulse indicate unstable vital signs requiring close monitoring and immediate intervention. The nurse giving report is indicating that the client's condition is dynamic and may require frequent assessments and interventions, which necessitates the oncoming nurse assuming total care. Choices A, B, and D do not directly imply the need for total care and could potentially be managed by assistive personnel.