ATI Leadership Proctored Exam

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The unit manager of a 32-bed medical-surgical unit allows the staff nurses to do self-governance for scheduling, client care assignments, and committee work. The manager would be considered which type of leader?

  • A. Autocratic
  • B. Democratic
  • C. Bureaucratic
  • D. Laissez-faire
Correct Answer: D

Rationale: The correct answer is D: Laissez-faire. This style of leadership involves minimal interference from the manager, allowing staff to make decisions independently. In this scenario, the unit manager empowers staff nurses to self-govern, indicating a hands-off approach. This promotes autonomy, creativity, and accountability among the staff.

A: Autocratic leadership involves centralized decision-making by the manager without input from staff, which does not align with the scenario.
B: Democratic leadership involves collaboration and input from team members in decision-making, which is not fully demonstrated in the scenario.
C: Bureaucratic leadership focuses on following established procedures and rules, which is not the case in the scenario where staff nurses have autonomy in decision-making.

In summary, the manager's approach of allowing staff nurses to govern themselves aligns with a laissez-faire leadership style, promoting independence and responsibility among the team.

You may also like to solve these questions

What is a common method used to collect work activity information from an applicant?

  • A. Self-report logs
  • B. Work sample questions
  • C. Motion studies
  • D. Interviewing
Correct Answer: B

Rationale: The correct answer is B: Work sample questions. This method allows applicants to demonstrate their skills in real work scenarios, providing concrete evidence of their abilities. Self-report logs (A) rely on subjective information, which may not accurately reflect the applicant's actual work activity. Motion studies (C) involve observing and analyzing work processes, but do not directly collect information from applicants. Interviewing (D) is a common method for gathering information but may not always provide specific details about an applicant's work activities compared to work sample questions.

A nurse has just inserted a nasogastric (NG) tube for a client. Which of the following findings should the nurse expect to confirm correct tube placement?

  • A. The client reports relief of nausea.
  • B. The tube aspirate has a pH less than 5.
  • C. Bowel sounds are present on auscultation.
  • D. An x-ray shows the end of the tube above the pylorus.
Correct Answer: A

Rationale: The correct answer is A: The client reports relief of nausea. This is because when an NG tube is correctly placed in the stomach, it can help decompress the stomach and relieve nausea. Choice B is incorrect because pH less than 5 indicates gastric placement, but it does not confirm correct placement. Choice C is incorrect as bowel sounds can be present even if the tube is incorrectly placed. Choice D is incorrect because an x-ray showing the tube above the pylorus only confirms tube position, not necessarily correct placement.

Which of the following laws govern nursing practice?

  • A. Statutory laws
  • B. Common law
  • C. Administrative laws
  • D. Constitutional laws
Correct Answer: A

Rationale: The correct answer is A: Statutory laws. Nursing practice is primarily governed by statutory laws, which are laws enacted by legislative bodies such as state nursing practice acts. These laws outline the scope of practice, licensure requirements, and standards of care for nurses. Common law, administrative laws, and constitutional laws do not specifically regulate nursing practice. Common law refers to legal precedents established by court decisions, administrative laws pertain to regulations set by administrative agencies, and constitutional laws deal with the fundamental principles outlined in the constitution. Therefore, A is the correct choice as it directly relates to the specific legal framework that governs nursing practice.

A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing should the nurse use?

  • A. Hydrocolloid
  • B. Transparent
  • C. Gauze
  • D. Alginate
Correct Answer: A

Rationale: The correct answer is A: Hydrocolloid dressing. For a stage 2 pressure injury, a hydrocolloid dressing is ideal as it maintains a moist environment to promote healing, absorbs excess exudate, and provides a barrier against bacteria. Transparent dressings (B) are more suitable for superficial wounds. Gauze dressings (C) may adhere to the wound bed and cause trauma upon removal. Alginate dressings (D) are better for wounds with heavy exudate, not typically seen in stage 2 pressure injuries.

A client experiences difficulty breathing after the change of shift. The nurse on duty discovers that the IVFs were infusing at a rate 10 times the calculated normal. After notifying the physician and correcting the rate, what should be the next step in the client's care?

  • A. Notify family
  • B. Discipline the previous nurse
  • C. Complete an incident report
  • D. Obtain legal consultation
Correct Answer: C

Rationale: The correct answer is C: Complete an incident report. This is the next step in the client's care because documenting the incident is crucial for quality improvement and patient safety. It helps identify the root cause, prevent future errors, and ensure accountability. Notifying the family (A) may be necessary but not the immediate next step. Disciplining the previous nurse (B) is not appropriate without a thorough investigation. Obtaining legal consultation (D) may be needed later but is not the immediate priority.

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