ATI Leadership Practice B

ATI Leadership Practice B Related

Review ATI Leadership Practice B related questions and content

Which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients?

  • A. Carefully assess and document client status.
  • B. Ensure all patient information is logged out and the nurse has signed out of the computer before leaving the computer station.
  • C. Keep careful notes while providing care to ensure accurate documentation later in the day.
  • D. Discuss safety needs with clients.
Correct Answer: A

Rationale: The correct answer is A. Carefully assessing and documenting client status is crucial to avoid charges of negligence and false imprisonment. By assessing and documenting client status, healthcare providers can ensure they are meeting the client's needs and providing appropriate care. This helps in demonstrating that the healthcare provider acted responsibly.

Option B is incorrect because ensuring all patient information is logged out and the nurse has signed out of the computer before leaving the computer station relates more to patient privacy and data security, rather than avoiding charges of negligence and false imprisonment. Option C, keeping careful notes while providing care, is important for accurate documentation but does not directly address the risk of negligence or false imprisonment. Option D, discussing safety needs with clients, is important but does not specifically address the legal aspects of negligence and false imprisonment.

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Which of the following is NOT considered a withdrawal behavior?

  • A. Turnover
  • B. Strategies
  • C. Stress
  • D. Punctuality
Correct Answer: B

Rationale: The correct answer is B: Strategies. Withdrawal behaviors are actions employees take to mentally or physically disengage from their work or organization. Turnover involves leaving the organization, stress is a psychological response, and punctuality relates to attendance. Strategies, on the other hand, refer to the methods or plans individuals use to achieve goals, which is not directly related to withdrawal behaviors. Thus, it is not considered a withdrawal behavior.

One way to determine staffing needs is to classify clients according to nursing care required. Another name for this is a(n) __________.

  • A. self-scheduling
  • B. supplementing staff system
  • C. patient classification system (PCS)
  • D. acuity system
Correct Answer: D

Rationale: The correct answer is D, acuity system. This system classifies clients based on the intensity of nursing care required. It helps determine staffing needs by matching the level of care needed with appropriate staffing levels. This method ensures that the right number and type of staff are available to meet patient needs efficiently. Choice A, self-scheduling, is about allowing staff to choose their own work schedules. Choice B, supplementing staff system, refers to adding additional staff when needed, not classifying clients. Choice C, patient classification system (PCS), is a general term and does not specifically focus on nursing care intensity like the acuity system does.

Even though this is not easy, facilitating ____________ is a mandatory skill for all nurse managers and is crucial in the success of the manager.

  • A. resistance
  • B. change
  • C. planning
  • D. collection of data
Correct Answer: B

Rationale: The correct answer is B: change. Nurse managers often encounter resistance when implementing changes in healthcare settings. Facilitating change involves effectively managing resistance, promoting buy-in, and ensuring successful implementation. This skill is crucial for nurse managers to drive positive outcomes and improve patient care. Planning (choice C) and collection of data (choice D) are important skills but do not directly address the challenges of managing change. Resistance (choice A) is the opposite of what nurse managers aim to overcome when leading change initiatives.

Which of the following theories explains that organizations are made up of intertwined links and diversified choices that generate unanticipated consequences?

  • A. Contingency theory
  • B. Closed system theory
  • C. Open system theory
  • D. Chaos theory
Correct Answer: D

Rationale: The correct answer is D: Chaos theory. This theory explains that organizations are complex systems with interconnected elements that can lead to unpredictable outcomes. Chaos theory emphasizes the nonlinear dynamics and sensitivity to initial conditions within organizations.

A: Contingency theory focuses on the idea that there is no one best way to organize. It does not specifically address the generation of unanticipated consequences.
B: Closed system theory assumes organizations are isolated and self-sufficient, which does not align with the idea of generating unanticipated consequences.
C: Open system theory emphasizes how organizations interact with their environment, but it does not directly address the generation of unanticipated consequences within the organization.

When using an open irrigation technique to irrigate a client's indwelling urinary catheter, which of the following actions should the nurse take?

  • A. Position the client in a side-lying position.
  • B. Perform the irrigation using a 20-mL syringe.
  • C. Instill 15 mL of irrigation fluid into the catheter with each flush.
  • D. Measure and record the amount of irrigant used.
Correct Answer: B

Rationale: The correct answer is B: Perform the irrigation using a 20-mL syringe. This is the correct action because using a 20-mL syringe allows for precise and controlled instillation of the irrigation fluid into the catheter. Using a smaller syringe helps prevent excessive pressure within the catheter, reducing the risk of trauma or damage to the client's urinary system.

A: Positioning the client in a side-lying position is not essential for open irrigation technique, as long as the client is comfortable and the procedure can be safely performed.
C: Instilling 15 mL of irrigation fluid with each flush may not be appropriate as the volume needed may vary based on the client's condition.
D: Although measuring and recording the amount of irrigant used is important for documentation purposes, it is not the immediate action to ensure the safe and effective irrigation of the catheter.

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