ATI LEADERSHIP PROCTORED EXAM Graded A 2022/23

ATI LEADERSHIP PROCTORED EXAM Graded A 2022/23 1.A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) D. Rescue the clients. A. Pull the fire alarm. B. Confine the fire. C. Extinguish the fire. 2.A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication? A. Utilitarianism Rationale: Utilitarianism refers to actions that are right when they contribute to the greatest good. B. Nonmaleficence Rationale: Nonmaleficence is the duty to do no harm. The ethical mandate of nonmaleficence is that health care workers refrain from intentionally inflicting harm to clients. C. Fidelity Rationale: Fidelity is the duty to keep one's promises or word. It refers to the obligation to be faithful to the agreements, commitments, and responsibilities that one has made to oneself and others. D. Veracity Rationale: Veracity is the duty to tell the truth. It means that one does not intentionally deceive or mislead clients. 3.A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict? A. "I need to talk to you about unit expectations regarding delegating and completing tasks." Rationale: This statement opens the conversation in a nonthreatening way. The focus is on the issue of the equity of the assignment rather than on any personal characteristic of the individual. B. "Several staff members have commented that you don't do your fair share of the work." Rationale: This statement is accusatory. C. "If you don't do your share of the work, I will have to inform the nurse manager." Rationale: This statement is punitive. D. "You have been very inconsiderate of others by not completing your share of the work." Rationale: This statement is punitive. 4. A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon’s medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles? A. Utility Rationale: Utility is the ethical principle that the good of many people outweighs the good of one person. B. Paternalism Rationale: Paternalism is the belief that one individual has the right to make decisions for another. It negates the client’s right to autonomy. C. Justice Rationale: Justice is the ethical principled based on the belief that everyone should be treated fairly. D. Nonmaleficence Rationale:The nurse is obligated to protect the client’s confidential information. A breach of confidentiality can place the client at risk of harm. Nonmaleficence is the ethical duty to prevent harm to the client.