ATI Leadership

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What type of staffing involves scheduling a certain number of people per day consistently?

  • A. Flexible
  • B. Mixed
  • C. Block
  • D. Creative
Correct Answer: C

Rationale: The correct answer is C: Block staffing. Block staffing involves scheduling a fixed number of employees per day consistently, typically in blocks of time. This type of staffing is efficient for roles that require a consistent number of staff members each day, such as in healthcare settings where a certain number of nurses are needed for each shift.

Rationale:
1. Block staffing ensures consistent coverage: By scheduling a set number of employees each day, organizations can ensure that they have adequate coverage for their operations.
2. Predictability and stability: With block staffing, employees know when they are expected to work, providing stability in scheduling.
3. Efficient resource allocation: Block staffing allows for efficient allocation of resources by matching the workforce to the demand for services.

Other choices are incorrect:
A: Flexible staffing involves adjusting the number of employees based on fluctuating demand.
B: Mixed staffing combines different types of staffing models based on varying needs.
D: Creative staffing involves innovative approaches to staffing, which may not necessarily involve consistent scheduling

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Which of the following is a key principle of team nursing?

  • A. Decentralized decision making
  • B. Centralized decision making
  • C. Individual accountability
  • D. Shared responsibility
Correct Answer: D

Rationale: The correct answer is D: Shared responsibility. In team nursing, all team members share responsibility for patient care, promoting collaboration and teamwork. This principle ensures that each team member contributes to decision-making and patient outcomes.

A: Decentralized decision making is not a key principle of team nursing as it involves individual team members making decisions independently, which can lead to lack of coordination.

B: Centralized decision making is also not a key principle of team nursing as it involves decision-making being controlled by a single authority, undermining the collaborative nature of team nursing.

C: Individual accountability is important in team nursing, but it is not the key principle. Shared responsibility emphasizes collective accountability and collaboration among team members.

What is the primary goal of a clinical nurse leader (CNL)?

  • A. To manage the nursing staff
  • B. To coordinate patient care
  • C. To improve patient outcomes
  • D. To implement evidence-based practices
Correct Answer: C

Rationale: The primary goal of a clinical nurse leader (CNL) is to improve patient outcomes. CNLs focus on enhancing the quality of care provided to patients by coordinating and overseeing healthcare processes. They work to ensure that patients receive the best possible care and achieve positive health outcomes. Managing nursing staff (A) is not the primary goal of a CNL, as their role is more patient-centered. While coordinating patient care (B) is an important aspect of a CNL's responsibilities, the ultimate goal is to improve patient outcomes. Implementing evidence-based practices (D) is essential for achieving better patient outcomes, but it is not the primary goal of a CNL, as their main focus is on the overall improvement of patient health and well-being.

Which of the following factors contributes to conflicts in professional nursing today?

  • A. Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation
  • B. Balancing state practice acts, codes of ethics, and standards of practice
  • C. Advances in technology
  • D. Multiple generations in the workforce
Correct Answer: D

Rationale: The correct answer is D: Multiple generations in the workforce. This factor contributes to conflicts in professional nursing today because different generations may have different communication styles, work preferences, and values, leading to misunderstandings and tension in the workplace. For example, older nurses may prefer traditional methods of communication, while younger nurses may be more tech-savvy and prefer digital communication. This generation gap can result in conflicts and challenges in collaboration and teamwork.

A: Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation - While this may contribute to workforce dynamics, it is not a primary factor in conflicts among nurses.
B: Balancing state practice acts, codes of ethics, and standards of practice - This is important for maintaining professionalism but does not directly contribute to conflicts among nurses.
C: Advances in technology - While technology can impact nursing practice, it is not a primary factor in conflicts among nurses compared to the generational differences.

A registered nurse (RN) administered a patient’s morning insulin as the breakfast tray arrived at 0800. The RN performed a complete assessment at the same time. Then, the RN got busy with her other patients and did not check on the patient until 1400. At that time, she found the patient unresponsive with a blood glucose of 23. Both the breakfast and lunch tray were at the bedside untouched. Which of the following could the RN be charged with?

  • A. Quasi-intentional tort
  • B. Misdemeanor
  • C. Negligence
  • D. Juvenile offense
Correct Answer: C

Rationale: The correct answer is C: Negligence. The RN failed to monitor the patient after administering insulin, leading to a critical situation. Negligence in nursing involves a breach of duty of care that results in harm to the patient. In this case, the RN's failure to check on the patient for several hours directly contributed to the patient becoming unresponsive with dangerously low blood glucose levels. This constitutes a clear case of nursing negligence.

A: Quasi-intentional tort involves intentional actions that result in harm, such as defamation or invasion of privacy. This scenario does not involve intentional harm.

B: Misdemeanor refers to a criminal offense less serious than a felony. Negligence in nursing is typically addressed through civil, not criminal, proceedings.

D: Juvenile offense pertains to actions committed by minors. The RN is a healthcare professional, not a minor, and the offense here is related to professional negligence, not juvenile misconduct.

Achieving Magnet Hospital designation offers hospitals the following advantages: (Select all that apply.)

  • A. Greater client satisfaction.
  • B. Improved nursing recruitment.
  • C. Greater client workload.
  • D. Nurses who are independent decision makers.
Correct Answer: C

Rationale: The correct answer is C: Greater client workload. Magnet Hospitals are known for their commitment to nursing excellence, which leads to improved patient outcomes and increased demand for their services. This higher demand can result in a greater client workload for the hospital. The other choices are incorrect because A (Greater client satisfaction) and B (Improved nursing recruitment) are potential benefits of Magnet Hospital designation, but they are not guaranteed advantages. Choice D (Nurses who are independent decision makers) is not directly related to the advantages of achieving Magnet Hospital designation. Therefore, the correct answer is C as it aligns with the core principles of Magnet Hospitals.

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