ATI RN
ATI Leadership Proctored Exam 2019
1. What theme of critical thinking is demonstrated when an individual decides to return to school to obtain a bachelor of science degree in nursing?
- A. Critical thinking involves both productive and positive activities.
- B. Critical thinking is a process, not an outcome.
- C. Manifestations of critical thinking vary based on the context in which they occur.
- D. Critical thinking is triggered by both positive and negative events.
Correct answer: D
Rationale: The decision to return to school to obtain a bachelor of science degree in nursing can be triggered by various factors, both positive (like a desire for career advancement) and negative (like feeling limited without the degree). This decision reflects critical thinking as it involves a thoughtful evaluation of personal and professional goals, weighing potential benefits and consequences. Therefore, the theme of critical thinking demonstrated in this scenario is that critical thinking is triggered by both positive and negative events. Choices A, B, and C are incorrect because they do not specifically address the concept of critical thinking being influenced by positive and negative events as demonstrated in the scenario.
2. 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.
3. Why is critical thinking necessary for identifying and understanding paradigms that exist in nursing practice?
- A. Critical thinking allows for the nurse to make superficial decisions.
- B. Critical thinking allows the nurse to thoroughly examine situations and issues.
- C. Critical thinking provides the nurse with quick answers.
- D. Critical thinking allows the nurse to accept information without needing to check its validity.
Correct answer: B
Rationale: Critical thinking is essential for nurses to identify and understand paradigms in nursing practice because it enables them to thoroughly examine complex situations and issues. By critically analyzing information and considering various perspectives, nurses can gain a deeper understanding of the underlying paradigms that shape nursing practice. This thorough examination helps nurses make informed decisions and provide high-quality care to patients. Choice A is incorrect because critical thinking involves deeper analysis, not superficial decisions. Choice C is incorrect because critical thinking does not provide quick answers; it involves a systematic and thoughtful approach. Choice D is incorrect because critical thinking encourages nurses to question information and verify its validity rather than accepting it blindly.
4. Why is increasing the use of advanced practice nurses encouraged?
- A. A 2010 Institute of Medicine report recommended nurses practice to the full extent of their education.
- B. Advanced practice nurses act as an extension of physicians.
- C. The National League for Nursing advocates for the master of science in nursing (MSN) as the terminal degree for nurse practitioners.
- D. Advanced practice nurses lack the skills to diagnose.
Correct answer: A
Rationale: The correct answer is A because the 2010 Institute of Medicine report recommended that nurses practice to the full extent of their education, which includes utilizing advanced practice nurses. This supports the efficient delivery of healthcare services by leveraging the expertise and skills of advanced practice nurses. Choice B is incorrect as it describes the role of advanced practice nurses rather than providing a reason for increasing their use. Choice C is unrelated to the encouragement of increasing the use of advanced practice nurses as it focuses on the terminal degree for nurse practitioners. Choice D is incorrect as advanced practice nurses do possess the skills necessary to diagnose and provide advanced care, so the statement that they lack diagnostic skills is inaccurate.
5. When planning to run for the local school board, which of the following sources of power would a nurse find important?
- A. Connection
- B. Reward
- C. Charisma
- D. Expertise
Correct answer: A
Rationale: When a nurse is planning to run for the local school board, the important source of power would be 'Connection.' In politics, building relationships and forming connections are crucial for gaining support, forming coalitions, and accessing valuable information. Being charismatic is not a necessary attribute for utilizing power effectively in this context. While expertise is valuable, especially in education-related matters, it is not specified as a primary source of power for a political candidate. Rewards are not typically within the purview of a candidate running for a position such as the local school board.
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