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ATI Leadership Management
Proctored Exam (Latest
Complete Version) (Questions
and Answers)
1.
A nurse manager witnesses an assistive personnel (AP) using incorrect procedure
when transferring a client using a mechanical lift. After reinforcing proper
procedure, which of the following methods should the nurse manager use to
evaluate the AP's understanding of the teaching?
Require the AP's attendance at an in-service about the lift.
This form of education gives a demonstration of the use of the equipment, but it
does not allow for the nurse manager to observe and assess the AP's use of the
equipment.
Assign the AP to work with a senior staff member when using the lift.
Working with another staff member can provide further education and reinforce
proper use of the lift, but it does not allow for the nurse manager to observe and
assess the AP's use of the equipment.
Observe the AP's technique with the lift at random times throughout the day.
Observing the AP is an effective way for the nurse manger to evaluate the AP's use
of the equipment. This method of assessment also assists in determining the need
for further education and staff development.
Enforce the staff's completion of skills modules about medical equipment.
MY ANSWER
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This form of education gives the AP a demonstration of the use of the equipment,
but it does not allow for the nurse manager to observe and assess the AP's use of
the equipment. Training should occur before task delegation.
2.
A nurse is caring for a client who received pain medication 1 hr ago. The client
tells the nurse the medication is not working because they are still experiencing
pain. Which of the following actions by the nurse demonstrates client advocacy?
Provide the client with a back massage to help ease their pain.
Providing the client with a back massage can assist the client with pain
management. However, this is not a demonstration of client advocacy, which
involves intervening on the client's behalf.
Recommend the client watch television as a distraction from the pain.
Distraction, such as watching television, can assist a client with pain management.
However, this is not a demonstration of client advocacy, which involves
intervening on the client's behalf.
Attempt to obtain a prescription for a different analgesic medication.
MY ANSWER
The role of the nurse as a client advocate involves directly intervening on behalf of
the client. The nurse should attempt to obtain a prescription from the provider for a
different analgesic medication to manage the client's pain.
Inform the client that they can receive their next dose in 3 hr.
The nurse should tell the client when they can receive their next dose of the
medication to keep the client informed of the treatment plan. However, this is not a
demonstration of client advocacy, which involves intervening on the client's
behalf.
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3.
A charge nurse is teaching a newly licensed nurse about providing written
discharge instructions for a client who is postoperative following an arthroplasty.
The charge nurse should identify that which of the following discharge instructions
written by the newly licensed nurse indicates understanding of the teaching?
Take oxycodone 10 mg, q6h, PRN, for pain.
The nurse should avoid using medical terminology when providing written
instructions to the client because the client can have difficulty understanding the
information.
Report pus-like drainage from the wound.
MY ANSWER
The nurse should provide clear descriptions in terms the client can understand
when providing written discharge instructions. The nurse should also ensure the
client is aware of what complications to report to the provider.
Resume Na-restricted diet.
The nurse should avoid using abbreviations in written discharge instructions
because the client can have difficulty understanding the information.
Perform quadriceps setting exercises when supine.
The nurse should provide step-by-step instructions on how to perform quadriceps
setting exercises when lying supine and avoid using vocabulary that the client can
have difficulty understanding in the written discharge instructions.
4.
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A nurse is using the SBAR communication tool for reporting a client's condition to
the provider. Which of the following information should the nurse include in the
"S" portion of the tool?
The client was medicated with morphine 2 mg IV 1 hr ago.
This information provides medical information that is pertinent to the client's
condition and is part of the background portion (B) of the SBAR communication
tool.
The client needs a change in pain medication prescription.
MY ANSWER
This information provides a potential solution for the client's current need and is
part of the recommendation portion (R) of the SBAR communication tool.
The client is reporting a pain level of 8 on a scale from 0 to 10.
This information provides a brief explanation of the current situation and is part of
the situation portion (S) of the SBAR communication tool.
The client has a heart rate of 110/min and a BP of 148/88 mm Hg.
This information provides recent assessment data indicating the client's current
condition and is part of the assessment portion (A) of the SBAR communication
tool.
5.
A nurse manager is anticipating a period when staffing will be especially short.
The nurse manager decides to reorganize the delivery of care on the unit until
staffing improves by appointing a charge nurse, a medication nurse, and a
treatment nurse. Which of the following delivery systems is the nurse manager
using?
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ATI Leadership Management
Proctored Exam (Latest
Complete Version) (Questions
and Answers)
1.
A nurse manager witnesses an assistive personnel (AP) using incorrect procedure
when transferring a client using a mechanical lift. After reinforcing proper
procedure, which of the following methods should the nurse manager use to
evaluate the AP's understanding of the teaching?
Require the AP's attendance at an in-service about the lift.
This form of education gives a demonstration of the use of the equipment, but it
does not allow for the nurse manager to observe and assess the AP's use of the
equipment.
Assign the AP to work with a senior staff member when using the lift.
Working with another staff member can provide further education and reinforce
proper use of the lift, but it does not allow for the nurse manager to observe and
assess the AP's use of the equipment.
Observe the AP's technique with the lift at random times throughout the day.
Observing the AP is an effective way for the nurse manger to evaluate the AP's use
of the equipment. This method of assessment also assists in determining the need
for further education and staff development.
Enforce the staff's completion of skills modules about medical equipment.
MY ANSWER
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This form of education gives the AP a demonstration of the use of the equipment,
but it does not allow for the nurse manager to observe and assess the AP's use of
the equipment. Training should occur before task delegation.
2.
A nurse is caring for a client who received pain medication 1 hr ago. The client
tells the nurse the medication is not working because they are still experiencing
pain. Which of the following actions by the nurse demonstrates client advocacy?
Provide the client with a back massage to help ease their pain.
Providing the client with a back massage can assist the client with pain
management. However, this is not a demonstration of client advocacy, which
involves intervening on the client's behalf.
Recommend the client watch television as a distraction from the pain.
Distraction, such as watching television, can assist a client with pain management.
However, this is not a demonstration of client advocacy, which involves
intervening on the client's behalf.
Attempt to obtain a prescription for a different analgesic medication.
MY ANSWER
The role of the nurse as a client advocate involves directly intervening on behalf of
the client. The nurse should attempt to obtain a prescription from the provider for a
different analgesic medication to manage the client's pain.
Inform the client that they can receive their next dose in 3 hr.
The nurse should tell the client when they can receive their next dose of the
medication to keep the client informed of the treatment plan. However, this is not a
demonstration of client advocacy, which involves intervening on the client's
behalf.
Downloaded by: christyguy |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
3.
A charge nurse is teaching a newly licensed nurse about providing written
discharge instructions for a client who is postoperative following an arthroplasty.
The charge nurse should identify that which of the following discharge instructions
written by the newly licensed nurse indicates understanding of the teaching?
Take oxycodone 10 mg, q6h, PRN, for pain.
The nurse should avoid using medical terminology when providing written
instructions to the client because the client can have difficulty understanding the
information.
Report pus-like drainage from the wound.
MY ANSWER
The nurse should provide clear descriptions in terms the client can understand
when providing written discharge instructions. The nurse should also ensure the
client is aware of what complications to report to the provider.
Resume Na-restricted diet.
The nurse should avoid using abbreviations in written discharge instructions
because the client can have difficulty understanding the information.
Perform quadriceps setting exercises when supine.
The nurse should provide step-by-step instructions on how to perform quadriceps
setting exercises when lying supine and avoid using vocabulary that the client can
have difficulty understanding in the written discharge instructions.
4.
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A nurse is using the SBAR communication tool for reporting a client's condition to
the provider. Which of the following information should the nurse include in the
"S" portion of the tool?
The client was medicated with morphine 2 mg IV 1 hr ago.
This information provides medical information that is pertinent to the client's
condition and is part of the background portion (B) of the SBAR communication
tool.
The client needs a change in pain medication prescription.
MY ANSWER
This information provides a potential solution for the client's current need and is
part of the recommendation portion (R) of the SBAR communication tool.
The client is reporting a pain level of 8 on a scale from 0 to 10.
This information provides a brief explanation of the current situation and is part of
the situation portion (S) of the SBAR communication tool.
The client has a heart rate of 110/min and a BP of 148/88 mm Hg.
This information provides recent assessment data indicating the client's current
condition and is part of the assessment portion (A) of the SBAR communication
tool.
5.
A nurse manager is anticipating a period when staffing will be especially short.
The nurse manager decides to reorganize the delivery of care on the unit until
staffing improves by appointing a charge nurse, a medication nurse, and a
treatment nurse. Which of the following delivery systems is the nurse manager
using?
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