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.
Correct answer: D
Rationale:
2. During a discussion about the nursing profession at a middle school, which of the following statements is true?
- A. Nurses need to graduate from nursing school to earn a degree.
- B. Nursing is a profession that values continuous education.
- C. Nurses function autonomously within their scope of practice.
- D. Nurses must adhere to professional behaviors in all aspects of their lives.
Correct answer: C
Rationale: The correct answer is C. Nurses are healthcare professionals who can independently make decisions within their defined scope of practice, providing care to patients. This autonomy allows nurses to assess, diagnose, plan, intervene, and evaluate patient care without direct supervision from physicians. Choice A is incorrect because nurses need to graduate from nursing school to earn a degree, not necessarily to obtain a license. Choice B is incorrect because while continuous education is important in nursing, it is not a defining characteristic of the profession. Choice D is incorrect because while nurses are expected to adhere to professional behaviors, it is not limited to their professional lives but extends to their personal lives as well.
3. 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.
4. What is the main goal of discharge planning?
- A. To ensure that patients are discharged as quickly as possible
- B. To prevent hospital readmissions
- C. To educate patients about their medications
- D. To transition patients from one level of care to another
Correct answer: B
Rationale: The main goal of discharge planning is to prevent hospital readmissions by ensuring patients have a clear and effective plan for post-discharge care. This includes coordinating follow-up appointments, medication management, and providing necessary support services to promote a successful transition from the hospital to home or another care setting. Choices A, C, and D are incorrect because discharge planning is not primarily about speedy discharge, medication education, or transitioning between care levels; its main focus is on preventing readmissions through comprehensive post-discharge care.
5. What is essential for student nurses to perform at their physical and emotional best?
- A. Engaging in adequate exercise.
- B. Eating plenty of carbohydrates the day before.
- C. Drinking caffeinated beverages before clinical.
- D. Studying late into the night to be prepared.
Correct answer: A
Rationale: To perform at their physical and emotional best, it is essential for student nurses to engage in adequate exercise. Regular physical activity not only helps maintain physical health but also contributes to emotional well-being, which is crucial for optimal clinical performance. Exercise can help reduce stress, improve mood, increase energy levels, and enhance overall cognitive function, all of which are essential for students to perform effectively in clinical settings. Choices B, C, and D are incorrect. Eating plenty of carbohydrates the day before, drinking caffeinated beverages before clinical, and studying late into the night may not necessarily lead to optimal physical and emotional performance. While nutrition is important, a balanced diet is more effective than simply focusing on carbohydrates. Caffeinated beverages can lead to dehydration and interfere with sleep patterns, and studying late into the night can impair cognitive function and increase stress levels, which are counterproductive to performing at one's best.
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