ATI RN
ATI Leadership Proctored Exam 2023 Quizlet
1. A nurse manager is interested in solving a serious conflict that exists among the nursing staff. He uses a strategy that involves allowing the group to explore a number of solutions and come to a consensus on a solution. What strategy for conflict resolution has the manager used?
- A. Integrative decision-making
- B. Win-win
- C. Competing
- D. Confrontation
Correct answer: A
Rationale: The correct answer is A: Integrative decision-making. Integrative decision-making involves allowing a group to explore various solutions and work together to reach a consensus. This strategy focuses on collaboration and finding a solution that meets the needs of all parties involved. Choices B, C, and D are incorrect. 'Win-win' is another term for integrative decision-making, 'Competing' involves pursuing one's own interests at the expense of others, and 'Confrontation' implies a direct conflict rather than a collaborative approach to resolution.
2. A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation?
- A. Compare the client's home medications with the provider's prescriptions
- B. Place the client's home medication bottles in a secure location
- C. Call the pharmacy to determine whether the client's medications are available
- D. Verify the client's name on their identification bracelet with the medication administration record
Correct answer: A
Rationale: The correct answer is A. During medication reconciliation, the nurse should compare the client's home medications with the provider's prescriptions to ensure accurate and safe administration. This process helps identify any discrepancies or potential interactions. Choice B is incorrect because placing the client's home medication bottles in a secure location is not part of medication reconciliation. Choice C is incorrect as calling the pharmacy to determine medication availability is not related to reconciling medications. Choice D is incorrect as verifying the client's name on their identification bracelet with the medication administration record is part of the identification process, not medication reconciliation.
3. Which of the following strategies is most effective for reducing medication errors on a nursing unit?
- A. Increasing the nurse-to-patient ratio
- B. Providing ongoing education on safe medication practices
- C. Using barcoding technology for medication administration
- D. Increasing the use of PRN medications
Correct answer: C
Rationale: The most effective strategy for reducing medication errors on a nursing unit is using barcoding technology for medication administration. Barcoding technology helps to ensure the right medication is given to the right patient in the right dose at the right time. Increasing the nurse-to-patient ratio (choice A) may help in preventing errors due to workload, but it may not address the root cause of medication errors. Providing ongoing education (choice B) is important but may not be as effective as implementing technology to directly prevent errors during administration. Increasing the use of PRN medications (choice D) can actually increase the risk of errors if not carefully monitored and controlled.
4. What is the main purpose of conducting a SWOT analysis in healthcare?
- A. Identify strengths and weaknesses
- B. Develop strategic goals
- C. Assess external opportunities
- D. Streamline healthcare processes
Correct answer: C
Rationale: The main purpose of conducting a SWOT analysis in healthcare is to assess external opportunities along with identifying strengths, weaknesses, and threats. While identifying strengths and weaknesses is a part of the analysis, the primary goal is to evaluate external opportunities and threats to develop strategic goals. Option A is incorrect as the analysis encompasses more than just strengths and weaknesses. Option B is incorrect as developing strategic goals is a result of the analysis, not the main purpose. Option D is incorrect as streamlining healthcare processes is not the primary focus of a SWOT analysis.
5. The manager of a medical-surgical unit is very task-motivated. Using Fiedler's Contingency Theory, under what circumstances would the manager be most effective?
- A. Only during highly stressful situations.
- B. When there is little to no stress.
- C. Under highly structured situations.
- D. When the situation is loosely structured.
Correct answer: C
Rationale: According to Fiedler's Contingency Theory, task-motivated managers are most effective under highly structured situations. This is because in such environments, where priorities are clear and tasks are well-defined, task-oriented managers can excel in organizing and accomplishing objectives efficiently. Choices A and B are incorrect because the effectiveness of a task-motivated manager is not solely linked to stress levels but rather to the structure of the situation. Choice D is also incorrect as a loosely structured situation would not provide the clarity and direction that a task-motivated manager thrives in.
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