RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 20 of 50 RN ATI Capstone Leadership and Community Health
A staff nurse is challenging a shift assignment with the charge nurse. Which of the following
statements made by the charge nurse is an example of smoothing as a strategy to resolve
conflict?
A. "If you accept this assignment today, I will let you choose your assignment tomorrow."
B. "Let's just focus on giving out client medications on time."
C. "If you don't agree with the assignment, I will have to report your decision to the nursing supervisor."
✓ D. "You have a lot of experience, so I'm sure you're capable of these tasks."
✓ Correct Answer: D
SMOOTHING as a conflict resolution strategy involves playing down differences and emphasizing positive aspects to
maintain harmony — essentially complimenting or flattering the other party to defuse tension without addressing the real
issue. 'You have a lot of experience, so I'm sure you're capable' minimizes the conflict by appealing to the nurse's
competence. Offering a future choice is COMPROMISING. Redirecting to tasks is AVOIDING. Threatening to report is
CONFRONTATION/FORCING.
Page 1 | RN ATI Capstone Leadership and Community Health 2026
, RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 21 of 50 RN ATI Capstone Leadership and Community Health
The guardian of a child who has a terminally ill illness tells a nurse that they want to take their
child home. Which of the following responses should the nurse make?
A. "Your provider will be here later today."
✓ B. "I can give you information on what that would involve."
C. "I understand how you feel. I felt the same way when my sibling was terminally ill."
D. "I think you should speak with social services about your request."
✓ Correct Answer: B
The therapeutic response is to provide INFORMATION and support the family's autonomy and decision-making. Offering
to explain what taking the child home involves (home hospice, equipment needs, support services) respects their wishes
and empowers them. Deflecting to the provider delays support. Sharing a personal story (sympathizing) shifts focus from
the family to the nurse — this is non-therapeutic. Redirecting to social services without first addressing their concern
dismisses the family.
Page 2 | RN ATI Capstone Leadership and Community Health 2026
, RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 35 of 50 RN ATI Capstone Leadership and Community Health
A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness
and their family. Which of the following statements should the nurse include in the teaching?
A. "Hospice care focuses on disease treatment and rehabilitation."
B. "The provider will coordinate your health care needs while in hospice."
C. "You must choose a home caregiver before being admitted into a hospice facility."
✓ D. "Hospice care continues to help families with grief after a death occurs."
✓ Correct Answer: D
Hospice care extends beyond the client's death — it includes BEREAVEMENT SUPPORT for families typically for 12-13
months after the death. Hospice focuses on COMFORT and quality of life (palliative), NOT disease treatment or
rehabilitation. An INTERDISCIPLINARY TEAM (not just the provider) coordinates care in hospice. Clients do NOT need to
arrange a home caregiver before admission — hospice provides caregiving support.
Page 3 | RN ATI Capstone Leadership and Community Health 2026
, RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 42 of 50 RN ATI Capstone Leadership and Community Health
A nurse is caring for a client who is requesting to leave the facility against medical advice (AMA).
The client states, 'I am ready to go immediately.' Which of the following actions should the nurse
take first?
✓ A. "Teach the client about the potential health risks of leaving early."
B. Ask the client to sign a document stating they are leaving AMA.
C. Document the client's statement in direct quotes in the medical record.
D. Complete an incident report detailing the client scenario.
✓ Correct Answer: A
The FIRST action when a client wants to leave AMA is to inform the client of the POTENTIAL HEALTH RISKS and
consequences of leaving before treatment is complete — this is both an ethical obligation and supports informed
decision-making. The nurse must ensure the client understands the risks before they can make a truly informed choice.
After teaching, the AMA form should be offered for signature. Documentation and incident reports follow after the
immediate safety concern is addressed.
Page 4 | RN ATI Capstone Leadership and Community Health 2026
2026 Exam · 50 Questions · With Rationales
Question: 20 of 50 RN ATI Capstone Leadership and Community Health
A staff nurse is challenging a shift assignment with the charge nurse. Which of the following
statements made by the charge nurse is an example of smoothing as a strategy to resolve
conflict?
A. "If you accept this assignment today, I will let you choose your assignment tomorrow."
B. "Let's just focus on giving out client medications on time."
C. "If you don't agree with the assignment, I will have to report your decision to the nursing supervisor."
✓ D. "You have a lot of experience, so I'm sure you're capable of these tasks."
✓ Correct Answer: D
SMOOTHING as a conflict resolution strategy involves playing down differences and emphasizing positive aspects to
maintain harmony — essentially complimenting or flattering the other party to defuse tension without addressing the real
issue. 'You have a lot of experience, so I'm sure you're capable' minimizes the conflict by appealing to the nurse's
competence. Offering a future choice is COMPROMISING. Redirecting to tasks is AVOIDING. Threatening to report is
CONFRONTATION/FORCING.
Page 1 | RN ATI Capstone Leadership and Community Health 2026
, RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 21 of 50 RN ATI Capstone Leadership and Community Health
The guardian of a child who has a terminally ill illness tells a nurse that they want to take their
child home. Which of the following responses should the nurse make?
A. "Your provider will be here later today."
✓ B. "I can give you information on what that would involve."
C. "I understand how you feel. I felt the same way when my sibling was terminally ill."
D. "I think you should speak with social services about your request."
✓ Correct Answer: B
The therapeutic response is to provide INFORMATION and support the family's autonomy and decision-making. Offering
to explain what taking the child home involves (home hospice, equipment needs, support services) respects their wishes
and empowers them. Deflecting to the provider delays support. Sharing a personal story (sympathizing) shifts focus from
the family to the nurse — this is non-therapeutic. Redirecting to social services without first addressing their concern
dismisses the family.
Page 2 | RN ATI Capstone Leadership and Community Health 2026
, RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 35 of 50 RN ATI Capstone Leadership and Community Health
A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness
and their family. Which of the following statements should the nurse include in the teaching?
A. "Hospice care focuses on disease treatment and rehabilitation."
B. "The provider will coordinate your health care needs while in hospice."
C. "You must choose a home caregiver before being admitted into a hospice facility."
✓ D. "Hospice care continues to help families with grief after a death occurs."
✓ Correct Answer: D
Hospice care extends beyond the client's death — it includes BEREAVEMENT SUPPORT for families typically for 12-13
months after the death. Hospice focuses on COMFORT and quality of life (palliative), NOT disease treatment or
rehabilitation. An INTERDISCIPLINARY TEAM (not just the provider) coordinates care in hospice. Clients do NOT need to
arrange a home caregiver before admission — hospice provides caregiving support.
Page 3 | RN ATI Capstone Leadership and Community Health 2026
, RN ATI Capstone Leadership and Community Health
2026 Exam · 50 Questions · With Rationales
Question: 42 of 50 RN ATI Capstone Leadership and Community Health
A nurse is caring for a client who is requesting to leave the facility against medical advice (AMA).
The client states, 'I am ready to go immediately.' Which of the following actions should the nurse
take first?
✓ A. "Teach the client about the potential health risks of leaving early."
B. Ask the client to sign a document stating they are leaving AMA.
C. Document the client's statement in direct quotes in the medical record.
D. Complete an incident report detailing the client scenario.
✓ Correct Answer: A
The FIRST action when a client wants to leave AMA is to inform the client of the POTENTIAL HEALTH RISKS and
consequences of leaving before treatment is complete — this is both an ethical obligation and supports informed
decision-making. The nurse must ensure the client understands the risks before they can make a truly informed choice.
After teaching, the AMA form should be offered for signature. Documentation and incident reports follow after the
immediate safety concern is addressed.
Page 4 | RN ATI Capstone Leadership and Community Health 2026
