ATI RN
ATI Leadership Practice A
1. What is the term for working on a schedule within the unit, involving only those who are working within that unit?
- A. Flexible staffing
- B. Self-staffing
- C. Internal pools
- D. Management scheduling
Correct answer: B
Rationale: The correct answer is B, self-staffing. Self-staffing is the model where staff entirely manage staffing and scheduling themselves, without external involvement. Choices A, C, and D are incorrect. Flexible staffing refers to adjusting staffing levels based on demand. Internal pools involve a group of staff who can be drawn upon for scheduling needs. Management scheduling typically involves supervisors or managers creating and managing schedules for the unit.
2. The nurse manager has two employees with a longstanding conflict that is affecting the group's productivity and cohesiveness. She decides to meet with the employees in private, bring the conflict out into the open, and attempt to resolve it through knowledge and reason. Which conflict management strategy did she employ?
- A. Confrontation
- B. Suppression
- C. Collaboration
- D. Intervention
Correct answer: A
Rationale: The nurse manager employed the conflict management strategy of 'Confrontation.' Confrontation involves bringing the conflict out into the open and attempting to resolve it through knowledge and reason, making it the most effective means of resolving conflict in this scenario. Choice B, 'Suppression,' involves ignoring or avoiding the conflict, which is not what the nurse manager did. Choice C, 'Collaboration,' refers to working together to find a mutually acceptable solution and was not explicitly mentioned in the scenario. Choice D, 'Intervention,' typically involves a third party stepping in to help resolve the conflict, which was not the case here.
3. A manager has been given a deadline to complete an assignment by the end of the day. It will take every minute left of the afternoon to complete. Which interventions illustrate assertiveness to minimize interruptions in order to meet the deadline? (Select all that apply.)
- A. Allowing voicemail to answer all incoming calls or turning off email notification
- B. Delegating a discharge planning issue for a patient to one of the staff nurses
- C. Placing a 'Do Not Disturb for the Afternoon' sign on the office door
- D. All of the above
Correct answer: D
Rationale: All the interventions listed are appropriate ways to minimize interruptions. By allowing voicemail to answer calls or turning off email notifications, the manager can focus solely on the assignment. Delegating tasks to staff nurses frees up the manager's time. Placing a 'Do Not Disturb for the Afternoon' sign on the office door sends a clear message to minimize interruptions and focus on the deadline. Therefore, all of the above interventions illustrate assertiveness to meet the deadline by minimizing interruptions.
4. What is the main purpose of a clinical audit?
- A. To measure patient satisfaction
- B. To evaluate the effectiveness of clinical practices
- C. To identify areas for improvement
- D. To standardize patient care protocols
Correct answer: C
Rationale: The main purpose of a clinical audit is to identify areas for improvement in clinical practices. While patient satisfaction might be a component evaluated during an audit, the primary goal is to ensure that care is safe, effective, and patient-centered, rather than solely focusing on satisfaction. Evaluating the effectiveness of clinical practices is a related but more specific goal compared to the broader aim of identifying areas for improvement. Standardizing patient care protocols can be a result of a clinical audit, but it is not the main purpose, which is to pinpoint areas needing enhancement.
5. When looking at the issue surrounding absenteeism, an innovative approach would be:
- A. Rewarding those who do not use days.
- B. Substituting personal days.
- C. Termination.
- D. Disciplinary actions.
Correct answer: B
Rationale: The correct answer is B. Substituting personal days for sick days can be considered an innovative approach to addressing absenteeism as it allows for proper planning by the nurse manager. This approach promotes a proactive and flexible solution that encourages employees to manage their time off more effectively. Choice A, rewarding those who do not use days, may not address the root causes of absenteeism and could create a culture of presenteeism. Choices C and D, termination and disciplinary actions, are punitive measures that do not focus on preventive strategies or address the underlying reasons for absenteeism.
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