ATI Leadership Proctored Exam 2019

ATI Leadership Proctored Exam 2019 Related

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As a new nurse at a healthcare organization offering a nurse residency program, what would benefit you the most?

  • A. Avoiding challenging patient assignments to minimize the risk of errors.
  • B. Relying on your clinical preceptor, similar to your relationship with your nurse faculty.
  • C. Establishing professional goals based on your clinical knowledge.
  • D. Engaging in evidence-based practice projects immediately.
Correct Answer: C

Rationale: As a new nurse joining a nurse residency program, the most beneficial action would be to establish professional goals based on your clinical knowledge. Setting clear goals allows you to focus on your learning needs, competency development, and guidance from your clinical preceptor. This proactive approach helps you maximize your learning opportunities, shape your professional growth, and enhance your skills as a novice nurse. Choice A is incorrect because avoiding challenging patient assignments may hinder your learning and skill development. Choice B is incorrect as while the clinical preceptor is essential, solely relying on them without personal professional goals may limit your growth. Choice D is incorrect because engaging in evidence-based practice projects immediately may be overwhelming for a new nurse without first establishing foundational goals.

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An RN’s client with terminal pancreatic cancer asks questions about a do not resuscitate order. Which of the following statements should be included in the RN’s teaching to the client?

  • A. When a heart ceases to beat, the client is pronounced clinically dead.
  • B. Physicians must write do not resuscitate (DNR) orders.
  • C. A DNR order can be written after the health-care provider has discussed it with the client and family.
  • D. A DNR requires a court decision.
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

If the nurse and nurse manager did not resolve the situation related to the physician's report about the nurse's performance, what is the length of time allowed for the nurse to submit an appeal?

  • A. 10 days
  • B. 15 days
  • C. 20 days
  • D. 30 days
Correct Answer: A

Rationale: If the informal discussion between the nurse and nurse manager does not resolve the issue regarding the physician's report on the nurse's performance, the nurse can submit a written appeal within 10 days, according to the health care facility policy. This 10-day timeframe ensures a prompt resolution of disputes and maintains clear communication channels within the healthcare setting. Choices B, C, and D are incorrect as they exceed the time limit allowed for the nurse to submit an appeal, which is specified to be 10 days.

Why is increasing the use of advanced practice nurses encouraged?

  • A. A 2010 Institute of Medicine report recommended nurses practice to the full extent of their education.
  • B. Advanced practice nurses act as an extension of physicians.
  • C. The National League for Nursing advocates for the master of science in nursing (MSN) as the terminal degree for nurse practitioners.
  • D. Advanced practice nurses lack the skills to diagnose.
Correct Answer: A

Rationale: The correct answer is A because the 2010 Institute of Medicine report recommended that nurses practice to the full extent of their education, which includes utilizing advanced practice nurses. This supports the efficient delivery of healthcare services. Choice B is incorrect as it focuses on the relationship between advanced practice nurses and physicians rather than a reason for increasing their use. Choice C is not a direct reason for increasing the use of advanced practice nurses but rather a statement about the terminal degree for nurse practitioners. Choice D is incorrect as advanced practice nurses do possess the skills necessary to diagnose and provide advanced care.

What is the process of helping an employee to improve performance called?

  • A. Coaching
  • B. Disciplining
  • C. Mentoring
  • D. Peer reviewing
Correct Answer: A

Rationale: The correct answer is A: Coaching. Coaching involves providing guidance and support to help an employee enhance their performance. It focuses on developing skills, addressing weaknesses, and achieving professional growth. Mentoring (choice C) involves guiding and nurturing a less experienced individual. Peer reviewing (choice D) is when colleagues evaluate the performance of their peers. Disciplining (choice B) refers to taking corrective actions in response to policy violations or performance issues.

When should a critical pathway be revised?

  • A. When it becomes too long.
  • B. When the variances show a new trend.
  • C. When a member of the team retires.
  • D. When the client leaves the hospital.
Correct Answer: B

Rationale: A critical pathway should be revised when variances in the patient's progress indicate a new trend or deviation from the expected course of treatment. This allows healthcare providers to adjust the pathway to ensure optimal patient care and outcomes. Changes in the critical pathway are not typically driven by its length or external factors like team member retirements or client discharges. Therefore, the correct answer is B. Choice A is incorrect because the length of the critical pathway alone does not determine the need for revision. Choices C and D are irrelevant to the patient's progress and treatment plan, making them incorrect.

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