ATI RN
Leadership ATI Proctored
1. Which of the following is an example of a tertiary prevention activity?
- A. Administering immunizations
- B. Physical therapy for stroke patients
- C. Routine health screenings
- D. Health education campaigns
Correct answer: B
Rationale: The correct answer is B, physical therapy for stroke patients. Tertiary prevention aims to prevent complications and improve the quality of life for individuals who already have a disease or condition. Administering immunizations (choice A) is an example of primary prevention to prevent the onset of diseases. Routine health screenings (choice C) are part of secondary prevention to detect diseases early. Health education campaigns (choice D) typically fall under primary prevention by educating and promoting healthy behaviors to prevent diseases.
2. The staff nurse is caring for the client with total accountability and is in continual communication with the client, the family, the physicians, and other members of the health care team. This type of nursing delivery system is known as:
- A. Total patient care
- B. Qualified nurse case managers
- C. Established critical pathways
- D. Quality management system
Correct answer: A
Rationale: The correct answer is A: Total patient care. Total patient care is the original model of nursing care delivery, in which one RN has complete responsibility for all aspects of care for one or more patients. In this system, the nurse is accountable for the client's care and maintains continuous communication with the client, their family, physicians, and other healthcare team members. Choice B, Qualified nurse case managers, refers to nurses who coordinate care but do not provide direct hands-on patient care. Choice C, Established critical pathways, involves predefined care plans for specific conditions but does not imply direct accountability as in total patient care. Choice D, Quality management system, relates to processes to ensure and enhance the quality of care but is not specifically about the direct provision of patient care.
3. Change is a mandatory skill for managers. Successful change agents display certain characteristics. Some of these characteristics are: (Select all that apply.)
- A. Energy
- B. Confidence
- C. Ambiguity
- D. Trustworthiness
Correct answer: C
Rationale: The correct answer is 'C: Ambiguity.' The rationale behind this is that the provided list of characteristics that successful change agents demonstrate includes 'realistic thinking' as one of the traits, not 'ambiguity.' Therefore, 'A: Energy,' 'B: Confidence,' and 'D: Trustworthiness' are not among the characteristics mentioned in the extract.
4. A nurse is assessing a client's readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn?
- A. "I can concentrate best in the morning."
- B. "It is difficult to read the instructions because my glasses are at home."
- C. "I'm wondering why I need to learn this."
- D. "You will have to talk to my partner about this."
Correct answer: D
Rationale: The correct answer is D, "You will have to talk to my partner about this." This response indicates that the client is willing to involve their partner in the learning process, showing readiness to take responsibility and engage in the education. Choices A, B, and C demonstrate potential barriers to learning: A indicates a preference for learning time but does not show active involvement, B focuses on external factors hindering learning, and C reflects a lack of understanding or motivation for the learning.
5. A nurse has a seriously ill parent and must take care of the parent at home. Which of the following would NOT be a suitable solution to this problem? (EXCEPT)
- A. Resignation
- B. FMLA
- C. Termination
- D. LOA
Correct answer: C
Rationale: FMLA (Family and Medical Leave Act) provides up to 12 weeks of unpaid, job-protected leave to care for a seriously ill family member, securing the employee's job status. Termination and resignation involve ending employment, which is not a suitable solution as it does not provide job security. LOA (Leave of Absence) is often unpaid and does not guarantee job protection, making it less suitable than FMLA in this scenario.
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