ATI RN
ATI Leadership Proctored Exam 2019
1. The nurse is caring for a patient who has just received a cancer diagnosis. The patient is crying. The nurse recognizes this patient is operating on what level of Maslow's hierarchy of needs?
- A. Self-esteem
- B. Love and belonging
- C. Safety
- D. Self-actualization
Correct answer: C
Rationale: In Maslow's hierarchy of needs, safety needs come after physiological needs. When a patient is crying after receiving a cancer diagnosis, they may be feeling a lack of security and safety. This indicates that the patient is operating on the level of safety needs in Maslow's hierarchy. Choice A, self-esteem, focuses on confidence and respect, which is not the immediate concern when receiving a cancer diagnosis. Choice B, love and belonging, pertains to relationships and social connections, which are important but not the primary focus in this situation. Choice D, self-actualization, involves personal growth and fulfilling one's potential, which is a higher-level need compared to safety needs, making it less likely for a patient to be operating at this level when distressed by a cancer diagnosis.
2. What is the process of helping an employee to improve performance called?
- A. Coaching
- B. Disciplining
- C. Mentoring
- D. Peer reviewing
Correct answer: A
Rationale: The correct answer is A: Coaching. Coaching involves providing guidance and support to help an employee enhance their performance by focusing on skill development, addressing weaknesses, and achieving professional growth. Mentoring (choice C) is about guiding and nurturing a less experienced individual, not specifically aimed at improving performance. Peer reviewing (choice D) involves colleagues evaluating each other's performance, not necessarily focused on improvement. Disciplining (choice B) is taking corrective actions in response to policy violations or performance issues, which is different from the process of helping an employee improve their performance.
3. What does valuing respect for the individual as defining high-quality patient care describe about the nurse's approach to patient care?
- A. Critical thinking
- B. Caritas
- C. Paradigm
- D. Hierarchy of needs
Correct answer: C
Rationale: Valuing respect for the individual as defining high-quality patient care describes the nurse's paradigm, which is the overall way of thinking and approaching patient care that guides their actions and decisions. It reflects their fundamental beliefs and values regarding patient interactions and care delivery. Critical thinking involves analyzing information objectively and evaluating situations to make informed decisions. Caritas refers to acts of loving kindness and compassionate care in nursing practice. The hierarchy of needs is a theory that describes the hierarchical nature of human needs, such as physiological needs, safety needs, and social needs.
4.
- A. Fidelity
- B. Confidentiality
- C. Veracity
- D. Accountability
Correct answer: B
Rationale: The principle of confidentiality requires nurses to hold healthcare information and anything patients tell them in the strictest confidence.
5. During a performance appraisal, how should the manager best provide constructive feedback to an employee?
- A. Focus only on the negative aspects of performance
- B. Provide general comments without specifics
- C. Discuss specific examples of strengths and areas for improvement
- D. Delay feedback until the next appraisal period
Correct answer: C
Rationale: During a performance appraisal, the best approach to provide constructive feedback is by discussing specific examples of strengths and areas for improvement. This method allows the employee to understand what they are excelling at and where they need to focus on development. By highlighting both aspects, the employee can work on enhancing their performance effectively. Option A is incorrect because solely focusing on the negative aspects can demotivate the employee and hinder their growth. Option B is incorrect as providing general comments without specifics does not offer clear guidance for improvement. Option D is also incorrect as delaying feedback can prevent timely corrective actions and hinder performance progress.
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