ATI LEADERSHIP EXAM WITH LATEST QUESTIONS AND CORRECT ANSWERS GRADED A+

ATI LEADERSHIP EXAM WITH LATEST QUESTIONS AND CORRECT ANSWERS GRADED A+ Can be delegated to LPN - ANS--Monitoring client findings; -Reinforcement of client teaching; -Trach care; -Suctioning; -Checking NG tube patency; -Admin of enteral feedings; -Insertion of urinary catheter; -Med admin [excluding IV meds] Examples of when an incident report should be filed - ANS-Med errors; Procedure/treatment errors; Equipment-related injuries/errors; Needlestick injuries; Client falls/injuries; Visitor/volunteer injuries; Threat made to client or staff; Loss of property (dentures, jewelry, personal wheelchair); Discovery that a preop client has eaten breakfast Incident reports: - ANS-Should be completed as soon as possible and within 24 hr of the incident; Are are not shared with client, nor is it acknowledged to client that one was completed; -Are not placed nor mentioned in client's health care record [However, a description of the incident itself should be documented factually in client's record]; -Include an objective description of incident and actions taken to safeguard client, and assessment and treatment of any injuries sustained; Are forwarded to the risk mgmt department, possibly after being reviewed by the nurse manager Can be delegated to AP (CNA) - ANS-Activities of daily living [ADLs]: -Bathing, Grooming, Dressing; -Toileting, Ambulating; -Feeding [*without* swallowing precautions] -Positioning, Bed making; Specimen collection; Intake and output (I&O); Vital signs [on *stable* clients] Can document stuff like vitals 5 Rights of delegation - ANS-*Task* - Identify what tasks are appropriate to delegate for each specific client; *Circumstance* - Assess health status and complexity of care required by client; *Person* - Assess and verify competency of team member; Communication; Supervision Right supervision - delegating nurse must - ANS--Provide supervision, either directly or indirectly (by assigning supervision to another licensed nurse); -Provide clear directions and understandable expectations; -Monitor performance; -Provide feedback; -Intervene if necessary; -Evaluate client to determine if client outcomes met; -Identify needs for quality improvement activities and/or additional resources Leadership styles - ANS-Authoritative - makes decision for the group; Democratic - includes group when decisions are made; Laissez-faire - makes very few decisions and does little planning Client w/terminal illness scheduled to be discharged to nursing home states that he wants to go home to die - ANS-contact the case manager first Negligence - ANS-conduct that falls below the standard of care [e.g., med errors, failure to monitor a client's condition, failure to report changes in client's condition to HCP, falls that occur as result of failure to provide safety to client, failure to check equipment for proper functioning] Malpractice [aka Professional Negligence] - ANS-failure of a person with professional training to act in a reasonable and prudent manner [i.e., using average judgment, foresight, intelligence, and skill that would be expected of a person w/similar training and experience] Client's rights in a healthcare setting per the American Hospital Association's Patient Care Partnership - ANS--high quality of care; -protection of client privacy; -involvement in care; -help when leaving hospital (preparation for discharge); -help w/billing and filing insurance claims If nurse receives an inappropriate assignment - ANS--Bring assignment to attention of charge nurse and negotiate new assignment; -If no resolution is arrived at, take concern up chain of command; -If no satisfactory resolution after reporting to charge nurse, file an unsafe staffing complaint w/the appropriate personnel. emergent triage category - implies that a condition exists that poses an immediate threat to life or limb - ANS-Shortness of breath