ATI RN
ATI Leadership Proctored Exam 2019
1. The educator is teaching a group about paradigm thinking and defines it as what?
- A. One's mathematical knowledge and ability to solve math problems
- B. The ability to see 20 feet away without wearing glasses
- C. An individual's perception or frame of reference about the world
- D. A healthcare provider's ability to solve patient-care problems
Correct answer: C
Rationale: Paradigm thinking refers to an individual's perception or frame of reference about the world. It involves understanding how one sees and interprets the world around them, which can influence their beliefs, decisions, and actions. Choices A, B, and D are incorrect as they do not accurately describe paradigm thinking. Paradigm thinking is not solely related to mathematical knowledge, eyesight, or healthcare problem-solving skills.
2. Which of the following is a leadership style that assumes individuals are motivated by internal forces and uses participation and majority rule to get work done?
- A. Autocratic leadership
- B. Laissez-faire leadership
- C. Democratic leadership
- D. Transactional leadership
Correct answer: C
Rationale: Democratic leadership is a leadership style that operates on the belief that individuals are motivated by internal forces. It involves encouraging participation and decision-making through majority rule to accomplish tasks. This leadership approach fosters collaboration, empowerment, and involvement of team members in decision-making processes. Autocratic leadership (choice A) is characterized by centralized control and little input from team members. Laissez-faire leadership (choice B) involves minimal interference and provides little guidance or direction. Transactional leadership (choice D) is based on exchanges between leaders and followers for desired outcomes, focusing on rewards and punishments rather than internal motivation and participation.
3. When transitioning from a long-term care facility to an acute care facility, what does the nurse need to do?
- A. Adapt motivational approaches
- B. Increase working hours per week
- C. Pursue additional formal education
- D. Maintain the same patient care time
Correct answer: A
Rationale: When transitioning from a long-term care facility to an acute care facility, the nurse needs to adapt motivational approaches. The environment and patient needs change significantly between these settings. Adapting motivational approaches is crucial to effectively meet the demands of the new job and provide optimal care in the acute care setting. This adjustment allows the nurse to cater to the different needs and pace of care required in an acute care facility compared to a long-term care facility. Choices B, C, and D are incorrect as they do not address the specific need for adapting motivational approaches when transitioning between these types of healthcare facilities.
4. In dealing with conflict, the manager knows that feelings or perceptions about the situation will have an effect. According to Filey, what is this effect known as?
- A. Conflict suppression
- B. Resolution aftermath
- C. Antecedent conditions
- D. Manifest behavior
Correct answer: D
Rationale: Feelings or perceptions about the situation initiate behavior, known as manifest behavior. Antecedent conditions refer to preexisting conditions that may have led to the conflict but are not the immediate effect of feelings or perceptions. Resolution aftermath pertains to the consequences or outcomes following conflict resolution. Conflict suppression refers to the action of suppressing conflict without addressing its root causes, which is a subsequent step after the manifestation of behavior.
5. After her evaluation, a staff nurse exclaims: 'I'm not sure if my manager knows much about my performance, really. He only had three specific examples to give me, two good performance examples and one to work on, and they all happened in the last month. I don't feel like he can see the whole picture.' What kind of performance appraisal rating does this statement exemplify?
- A. Recency error
- B. Leniency error
- C. Halo error
- D. Absolute judgment
Correct answer: A
Rationale: The statement exemplifies a recency error. Recency error occurs when a manager assesses an employee's performance primarily based on recent events, rather than considering the entire evaluation period. In this case, the staff nurse feels that her manager focused only on recent examples, leading to an incomplete assessment of her overall performance. Choice B, Leniency error, refers to a rater consistently giving high ratings to all employees regardless of performance, which is not evident in this scenario. Choice C, Halo error, involves allowing one positive attribute of an individual to overshadow other characteristics during appraisal, which is not the case here. Absolute judgment, Choice D, is when a rater evaluates an employee without reference to any specific criteria, which is not reflected in the staff nurse's feedback.
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