Exam (elaborations) ATI Leadership Exam 2016A

Exam (elaborations) ATI Leadership Exam 2016A A charge nurse is evaluating a newly licensed nurse at the end of orientation. Which of the following behaviors indicates the nurse is using effective time management skills? The nurse will develop a list of non-essential tasks that can wait until more urgent tasks are complete and demonstrate effective time management. A nurse is receiving change-of-shift report at the start of the shift. Which of the following clients should the nurse assess first? A client who had abdominal surgery 6 hr ago and has a heart rate of 120/min for the last 2 hr When using the airway, breathing, circulation (ABC) approach to client care, the nurse determines the priority finding is an elevated heart rate following surgery; therefore, the nurse should assess this client first. A nursing unit is undergoing changes to accommodate new bariatric services that will be available on the unit. Some staff members have verbalized displeasure with the changes. Which of the following should the charge nurse do? (Select all that apply.) Role model a positive approach to the changes is correct. It is important for the charge nurse to role model positive behaviors and demonstrate support of the change. Redirect the conversation when negative comments about the changes are made is incorrect.The charge nurse should give staff members who oppose the change the opportunity to verbalize their objections and thereby discuss possible solutions. Encourage staff members who support the changes to discuss the issue with resistant staff is correct. Peers can serve as change agents and encourage others to embrace the changes. Suggest that resistant staff members transfer to a different unit is incorrect. This approach avoids conflict rather than attempting to resolve it. Reprimand staff members who are resistant to the changes is incorrect. Resistance to change is a normal part of the change process. The charge nurse should use positive strategies to aid in acceptance of the proposed change. A nurse is caring for a client who is 3 days postoperative following open heart surgery and is to transfer to the medical-surgical unit. Which of the following should the nurse plan to include in the verbal report? The client's level of consciousness A nurse case manager is planning a teaching session on use of critical pathways with a group of newly licensed nurses. The nurse should include which of the following in the teaching about critical pathways? Critical pathways prevent unnecessary expense. Nurses use critical pathways to implement evidence-based strategies for clients who have a specific, common diagnosis. A charge nurse is planning client care assignments for the unit. Which of the following clients should the nurse assign to a licensed practical nurse (LPN)? A client who has Crohn’s disease and requires an enteral feeding This study source was downloaded by from CourseH on :52:51 GMT -05:00 This study resource was shared via CourseH ATI Leadership Exam 2016A A nurse manager is presenting an inservice about preventing readmission of clients due to complications after joint replacement surgery. Which of the following leadership tasks is the nurse performing? Advocacy A staff nurse at a long-term care facility is evaluating an assistive personnel (AP) caring for a group of clients who require restraints. Which of the following is an appropriate action by the AP? Placing the restraint tie on a moveable part of the bed frame not the side rails, to prevent constriction when changing the position of the bed. The nurse should secure mitten restraints at the client’s wrist. An older adult client is being discharged with a postoperative infection, requiring daily home IV antibiotics through a PICC line. Which of the following actions should the case manager perform prior to discharge? Ensure that home infusion therapy has been arranged. A charge nurse is planning care for a group of clients. Which of the following tasks should be delegated to an assistive personnel (AP)? (Select all that apply.) Flushing a client's saline lock is incorrect. This is not within the AP's scope of practice. Ambulating a client who uses a walker is correct. This is within the AP's scope of practice. Adding thickener to thin liquids on a client's food tray is correct. This is within the AP's scope of practice. Showing a client how to use an incentive spirometer is incorrect. This is not within the AP's scope of practice. Evaluating a client's gag reflex before mealtime is incorrect. This is not within the AP's scope of practice. A nurse is reviewing facility data on hand hygiene adherence and finds that nurses are not performing hand hygiene after client contact 28% of the time. Which of the following is the first action the nurse should take when developing a plan to increase employee hand hygiene adherence? Set a goal for improvement in adherence. A nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has no orthopedic experience. Which of the following clients should be assigned to the medical nurse? A client who had a right above-the-knee amputation 24 hr ago A nurse manager is coordinating staff assignments for RNs and licensed practical nurses (LPNs) following a local disaster. Which of the following is an appropriate assignment by the nurse manager to provide safe and effective client care? LPNs provide care to class III (green tag) clients. LPNs can provide care for class III clients, who have nonurgent, minor injuries. Class IV clients are expected to die or have died. This would be an appropriate assignment for assistive personnel, not an RN. This study source was downloaded by from CourseH on :52:51 GMT -05:00 This study resource was shared via CourseH Class I clients require immediate attention typically due to airway obstruction or shock. This would not be an appropriate assignment for the LPNs due to the need for an initial nursing assessment. Class II clients require treatment within 30 min to 2 hrs. This would not be an appropriate assignment for the LPNs due to the need for an initial nursing assessment. A nurse is caring for a client who has acute diverticulitis and is scheduled for surgery within the next 2 hr. The client tells the nurse that she has called a taxicab and is leaving the hospital. After notifying the surgeon, which of the following actions should the nurse take next? Inform the client about the risks she may encounter by leaving the facility. A charge nurse is talking with a staff nurse following a workshop on advance directives. Which of the following statements by the staff nurse demonstrates understanding of advance directives? "A family member of a client can have the living will overturned in some cases." A charge nurse is performing chart reviews on infection control precautions implemented by nursing personnel during the admission of clients to the unit. Which of the following is an appropriate infection control precaution? Droplet precautions for a client who has meningococcal pneumonia An assistive personnel (AP) tells the charge nurse that it is unfair that she has to take care of all the clients who are incontinent. Which of the following responses by the charge nurse is appropriate? "I delegate tasks to personnel based on their job descriptions." A nurse is caring for a client who asks for information about advance directives. Which of the following is an appropriate response by the nurse? "Your advance directives will take effect when you are unable to make health care decisions." A facility has identified an increase in health care-associated urinary tract infections (UTIs) on the medical-surgical unit. A nurse is participating in a quality improvement process to address this problem. Which of the following should be the first step in the process? Establish best practice guidelines for reducing the incidence of UTIs. A nurse manager is reviewing the stages of conflict resolution with the nursing staff. The nurse manager should instruct the staff to expect the stages of the conflict to occur in what order? (Order the steps of the process by placing the letters in the correct sequence.) The first stage of the conflict process is latent conflict, which involves awareness of potential situations that can create conflict. Stage two is perceived conflict, where those affected are discussing the situation, but in an impersonal manner. Stage three is felt conflict, where those affected become personally involved. Stage four is manifest conflict, where those involved begin to take action. Stage five is conflict aftermath, where those involved recognize the positive and negative outcomes in how the situation was managed. This study source was downloaded by from CourseH on :52:51 GMT -05:00 This study resource was shared via CourseH A nurse is conducting an orientation class for new clients and their families at a long-term care facility. Which of the following client rights should the nurse address at the orientation? (Select all that apply.) The right to be treated with respect and dignity is correct. The code of ethics for nursing requires nurses to treat clients with respect and dignity. The right to full access of the facility is incorrect. Clients only have the right to access common areas of the facility. The right to refuse their medications is correct. Clients have the right to refuse treatment. The right to leave regardless of provider recommendations is correct. Clients have the right to leave the facility against medical advice. The right to be fully informed of their health conditions is correct. It is the nurse’s responsibility to fully inform clients of their health conditions. A staff nurse detects alcohol on the breath of another nurse working on the unit. He observes that her gait seems unsteady, and she occasionally slurs her speech. Which of the following actions should the nurse take if he suspects that his colleague is under the influence of alcohol? Notify the charge nurse of his assessment. A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse? A student nurse is photocopying his assigned client's diagnostic test results. An older adult client is being discharged with a postoperative infection, requiring daily home IV antibiotics through a PICC line. Which of the following actions should the case manager perform prior to discharge? Ensure that home infusion therapy has been arranged. A charge nurse is planning client care assignments for the unit. Which of the following clients should the nurse assign to a licensed practical nurse (LPN)? A client who has Crohn’s disease and requires an enteral feeding A case manager is initiating the plan of care for a client receiving warfarin who had a stroke. Which of the following is most important for the case manager to include in the client's plan of care? cheduling follow-up tests for prothrombin time and INR A nurse case manager is planning a teaching session on use of critical pathways with a group of newly licensed nurses. The nurse should include which of the following in the teaching about critical pathways? Critical pathways prevent unnecessary expense This study source was downloaded by from CourseH on :52:51 GMT -05:00 This study resource was shared via CourseH