a charge nurse role has negatively affected your relationship with your friends and made you feel tense and isolated you decide that you will delegate

ATI RN

ATI Leadership Practice A

1. The charge nurse role has negatively affected your relationship with your friends and made you feel tense and isolated. You decide that you will delegate more time-consuming tasks to staff who are not your friends, who then complain to your nurse manager about your perceived unfairness. You decide to:

A. Talk with your friends individually to let them know that you will be assigning patients to all staff in an equitable manner.
B. Not express your angry feelings.
C. Talk about staff who are annoying you with staff on other units.
D. Ignore your feelings of uncertainty, hoping they will diminish.

Correct answer: A

Rationale: In this scenario, it is essential to address the perceived unfairness in task delegation. Talking with your friends individually to explain that patients will be assigned equitably is the most appropriate course of action. This approach promotes transparency and fairness in task allocation, helping to maintain professional relationships. Choices B, C, and D are not suitable responses. Choice B ignores the issue, choice C involves unprofessional behavior by gossiping about colleagues, and choice D neglects addressing the root cause of the problem.

2. A new nurse is thinking about the ways she can demonstrate leadership in her position. Which of the following is true about leadership?

A. Leadership is a component of nursing practice.
B. Leadership requires a position of oversight.
C. Leadership depends on the actions of others.
D. Only experienced nurses can demonstrate leadership.

Correct answer: A

Rationale: The correct answer is A: 'Leadership is a component of nursing practice.' Leadership is an essential aspect of nursing practice that involves inspiring, guiding, and influencing others to achieve common goals. Choice B is incorrect because leadership can be demonstrated at various levels within an organization, not just positions of oversight. Choice C is incorrect as leadership involves taking initiative and guiding others, rather than depending solely on the actions of others. Choice D is incorrect as leadership qualities can be demonstrated by individuals at all levels of experience, not exclusively by experienced nurses.

3. Which of the following best describes the purpose of a root cause analysis (RCA)?

A. Identify the person responsible for an error
B. Determine who should be disciplined
C. Discover the underlying causes of an error
D. Evaluate the effectiveness of a new policy

Correct answer: C

Rationale: The correct answer is C: 'Discover the underlying causes of an error.' Root cause analysis (RCA) focuses on identifying the fundamental reason(s) that led to an error or problem rather than placing blame on individuals. Choice A and B are incorrect as RCA is not about pinpointing a specific person to blame or determining disciplinary actions. Choice D is also incorrect as the primary goal of RCA is not to evaluate policy effectiveness but to uncover the root causes of issues for effective problem-solving.

4. Which action by a patient indicates that the home health nurse�s teaching about glargine and regular insulin has been successful?

A. The patient administers the glargine 30 minutes before each meal
B. The patient�s family prefills the syringes with the mix of insulins weekly.
C. The patient draws up the regular insulin and then the glargine in the same syringe.
D. The patient disposes of the open vials of glargine and regular insulin after 4 weeks

Correct answer: D

Rationale:

5. What is the primary goal of a clinical nurse leader (CNL)?

A. To manage the nursing staff
B. To coordinate patient care
C. To improve patient outcomes
D. To implement evidence-based practices

Correct answer: C

Rationale: The primary goal of a clinical nurse leader (CNL) is to improve patient outcomes by overseeing patient care delivery, coordinating with healthcare team members, and ensuring quality care. While managing nursing staff (choice A) and implementing evidence-based practices (choice D) are important aspects of a CNL's role, the ultimate focus is on enhancing patient outcomes. Coordinating patient care (choice B) is part of the CNL's responsibilities but not the primary goal.