ATI RN
ATI Leadership Proctored Exam 2019
1. Which of the following should be included in a discussion of advance directives with new nurse graduates?
- A. According to the Patient Self-Determination Act, nurses are required to inform clients of their right to create an advance directive.
- B. The advance directive designates an individual who will make financial decisions for the client if he or she is unable to do so.
- C. A living will designates who will make health-care decisions for an individual in the event the individual is unable or incompetent to make his or her own decisions.
- D. The advance directive designates a health-care surrogate who will make known the client�s wishes regarding medical treatment if the client is unable to do so.
Correct answer: D
Rationale: One function of the advance directive is to appoint a health-care surrogate who will make known the client�s wishes for medical treatment to the medical and nursing team if the client is unable to do so.
2. What should the nurse do after a 36-year-old patient treated with intramuscular glucagon for hypoglycemia regains consciousness?
- A. Assess the patient for symptoms of hyperglycemia.
- B. Give the patient a snack of peanut butter and crackers.
- C. Have the patient drink a glass of orange juice or nonfat milk.
- D. Administer a continuous infusion of 5% dextrose for 24 hours.
Correct answer: B
Rationale: After a patient treated with intramuscular glucagon for hypoglycemia regains consciousness, providing a snack of peanut butter and crackers is essential to prevent another episode of hypoglycemia. Peanut butter and crackers contain a combination of protein and carbohydrates, which can help stabilize the patient's blood glucose levels. This choice is the most appropriate immediate action to prevent recurrence of hypoglycemia in this scenario. Assessing for symptoms of hyperglycemia (choice A) is not the immediate priority after treating hypoglycemia. While orange juice or nonfat milk (choice C) can help raise blood sugar, they lack the sustained effect of protein found in peanut butter. Administering a continuous infusion of dextrose (choice D) is excessive and not indicated after the patient has already regained consciousness.
3. The nursing assistant asks the nurse to explain the meaning of advocacy. The nurse explains that the fundamental principle of patient advocacy is what?
- A. Independence
- B. Caring
- C. Competence
- D. Protection
Correct answer: D
Rationale: The correct answer is D: Protection. Protection is the fundamental principle of patient advocacy, ensuring that patients' rights and interests are safeguarded. Advocacy involves actively speaking up for the patient, ensuring they receive proper care, their wishes are respected, and they are protected from harm or exploitation. It goes beyond independence, caring, and competence, focusing on safeguarding the patient's well-being and ensuring their rights are upheld. While independence, caring, and competence are important aspects of patient care, they do not encompass the core principle of advocacy, which is to protect the patient's rights and well-being.
4. Which historical figure is honored for working to improve care of the mentally ill in mental health nursing?
- A. Clara Barton
- B. Florence Nightingale
- C. Dorothea Dix
- D. Lillian D. Wald
Correct answer: C
Rationale: Dorothea Dix is the correct answer. She is recognized for her significant contributions in advocating for the improvement of care for the mentally ill. Dix played a crucial role in establishing mental health institutions and reforming the care provided to individuals with mental health conditions. Clara Barton is known for founding the American Red Cross, Florence Nightingale is renowned as the founder of modern nursing, and Lillian D. Wald is recognized for her work in public health nursing. However, none of them are specifically honored for their work in improving care for the mentally ill in mental health nursing, unlike Dorothea Dix.
5. Caring is a fundamental value in nursing and serves as the basis for caring leadership. Which of the following statements is true about a caring leader?
- A. A caring leader balances serving others with effective leadership.
- B. A caring leader recognizes and acknowledges the emotions of others.
- C. Traits of a caring leader involve respecting coworkers as individuals and empathizing with their needs and concerns.
- D. A caring leader demonstrates fairness and honesty.
Correct answer: C
Rationale: A caring leader embodies traits such as respecting coworkers as unique individuals and showing empathy towards their needs and concerns. These qualities are essential for fostering a supportive and compassionate work environment, where team members feel valued and understood. Choice A is incorrect because a caring leader balances serving others with effective leadership, not prioritizing one over the other. Choice B, though important, focuses solely on recognizing emotions and does not encompass the broader traits of caring leadership. Choice D is also important but does not capture the essence of respecting individuals and empathizing with their needs, which are core aspects of caring leadership.
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