ATI Leadership Proctored Exam

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A recent ethical issue has resulted in uneasiness and discomfort for several nurses on a unit. The unit manager has decided to discuss the issues at the next team meeting. The situation has resulted in which of the following for some of the nurses?

  • A. Moral suffering
  • B. Moral distress
  • C. Ethical dilemma
  • D. Veracity
Correct Answer: A

Rationale: The correct answer is A: Moral suffering. This is because moral suffering refers to the emotional and psychological distress experienced when one's moral values or beliefs are compromised. In this scenario, the nurses are feeling uneasiness and discomfort due to an ethical issue, which aligns with the concept of moral suffering.

Incorrect choices:
B: Moral distress: While moral distress involves the awareness of the morally right course of action but feeling unable to follow it due to external constraints, it doesn't fully capture the emotional turmoil experienced by the nurses in this situation.
C: Ethical dilemma: An ethical dilemma involves having to choose between two conflicting moral principles or courses of action, which may not fully encapsulate the emotional distress experienced by the nurses.
D: Veracity: Veracity refers to truthfulness or accuracy in communication, which is not directly related to the emotional distress experienced by the nurses in this scenario.

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A nurse manager is preparing the budget for the year. The budgeted amounts have been set without regard to changes that may occur during the year. What type of budget is the manager preparing?

  • A. Fixed budget
  • B. Zero-based budget
  • C. Variable budget
  • D. Operating budget
Correct Answer: A

Rationale: The correct answer is A: Fixed budget. A fixed budget is set without considering changes that may occur during the year. It remains unchanged regardless of actual performance. In this scenario, the budgeted amounts are predetermined and do not adjust based on changing conditions. Other choices are incorrect because:
- B: Zero-based budget requires justifying every expense from scratch, not pre-set amounts.
- C: Variable budget adjusts based on activity levels, not predetermined like in this case.
- D: Operating budget encompasses all revenues and expenses, not necessarily fixed like in this scenario.

Which of the following best describes intrinsic values?

  • A. Intrinsic values are often abstract ideas.
  • B. Intrinsic values are basic needs for sustaining life.
  • C. Intrinsic values are qualities patients consider to be important in their private lives.
  • D. Intrinsic values are qualities patients consider important for nurses to have.
Correct Answer: B

Rationale: The correct answer is B because intrinsic values refer to fundamental principles or beliefs that are essential for sustaining life, such as honesty, integrity, or compassion. These values are inherent to an individual's being and are not dependent on external factors. Choice A is incorrect as intrinsic values are not necessarily abstract ideas. Choices C and D are incorrect as they relate to personal preferences or expectations rather than core values necessary for life sustenance.

As the definition of nursing evolved, which of the following nurse theorists focused on the uniqueness of nursing?

  • A. Florence Nightingale
  • B. Virginia Henderson
  • C. Martha Rogers
  • D. Abraham Maslow
Correct Answer: B

Rationale: Virginia Henderson is the correct answer because she emphasized the unique role of nursing in helping individuals achieve independence in meeting their basic needs. Henderson's theory focuses on the holistic approach to patient care, highlighting the importance of individualized care and the nurse's role in assisting patients to reach their optimal health potential.

Florence Nightingale, known as the founder of modern nursing, focused on sanitation and environmental factors in health care. Martha Rogers emphasized the interconnectedness of humans with their environment. Abraham Maslow is known for his hierarchy of needs theory, which is more aligned with psychology than nursing.

What is the primary role of a nurse in an interdisciplinary team?

  • A. To lead the healthcare team
  • B. To advocate for the patient
  • C. To provide emotional support to the patient
  • D. To ensure compliance with regulations
Correct Answer: B

Rationale: The correct answer is B: To advocate for the patient. Nurses play a crucial role in advocating for the best interests of patients by ensuring their needs are met, promoting informed decision-making, and safeguarding their rights. Advocacy involves communication, empowerment, and promoting patient-centered care. Leading the healthcare team (A) is typically the role of a healthcare provider such as a physician or a team leader, not specifically a nurse. Providing emotional support (C) is essential for nurses, but it is not their primary role in an interdisciplinary team. Ensuring compliance with regulations (D) is important but is more aligned with administrative roles rather than the primary role of a nurse in an interdisciplinary team.

Which finding indicates a need to contact the health care provider before the nurse
administers metformin (Glucophage)?

  • A. The patient’s blood glucose level is 174 mg/dL.
  • B. The patient has gained 2 lb (0.9 kg) since yesterday.
  • C. The patient is scheduled for a chest x-ray in an hour
  • D. The patient’s blood urea nitrogen (BUN) level is 52 mg/dL.
Correct Answer: D

Rationale: The correct answer is D because an elevated BUN level of 52 mg/dL indicates potential kidney dysfunction, which is a contraindication for metformin due to the risk of lactic acidosis.

A: Blood glucose level of 174 mg/dL is slightly high but not a contraindication for metformin.
B: Weight gain is unrelated to metformin administration.
C: Chest x-ray does not directly impact metformin administration.

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