ATI LPN
ATI Leadership Proctored Exam 2023
1. A healthcare provider is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads 'Infuse over one hour by port-a-cath.' When the healthcare provider assesses the personal digital assistant that lists the steps to access a port-a-cath, which type of computer software is being used?
- A. Data management
- B. Electronic health records
- C. Point-of-care technology
- D. Telehealth
Correct answer: C
Rationale: Point-of-care technology refers to the use of devices like personal digital assistants that allow healthcare providers to access and input data directly at the patient's bedside. It aids in providing timely and accurate information for patient care management. In this scenario, the healthcare provider is using the personal digital assistant for immediate access to information on accessing a port-a-cath, demonstrating the use of point-of-care technology. Choices A, B, and D are incorrect because data management typically involves organizing and storing data, electronic health records focus on patient health information management, and telehealth involves providing healthcare services remotely, none of which directly apply to the situation described.
2. What theme of critical thinking is demonstrated by the belief that continuous learning contributes to the ongoing process?
- A. Critical thinking is a productive and positive activity.
- B. Critical thinking is a process, not an outcome.
- C. Manifestations of critical thinking vary, depending on the context in which they occur.
- D. Critical thinking is triggered by both positive and negative events.
Correct answer: B
Rationale: The belief that continuous learning contributes to the ongoing process aligns with the theme that critical thinking is a process, not an outcome. This suggests that critical thinking involves a continuous, dynamic process of evaluating information, making connections, and adapting one's thinking over time, rather than being a fixed end result. Therefore, choice B is the correct answer. Choices A, C, and D do not directly address the continuous nature of critical thinking or its ongoing development, making them incorrect.
3. Which action demonstrates a coparticipative manner in the nursing model of care?
- A. Working with the patient and family to achieve the best outcome.
- B. Encouraging the shy student to participate in class discussions, demonstrating transpersonal caring.
- C. Finding a way for a patient to see a dog, understanding the patient's needs.
- D. Accepting individuals for who they are, maintaining a nonjudgmental attitude.
Correct answer: A
Rationale: A coparticipative manner in the nursing model of care involves collaborating with the patient and family to achieve the best outcome. This approach emphasizes working together as a team to address healthcare needs and make decisions. While encouraging a shy student, understanding a patient's needs, and maintaining a nonjudgmental attitude are all important aspects of nursing care, the coparticipative manner specifically focuses on partnership and shared decision-making in the care process.
4. Why is it important for healthcare professionals to have an understanding of healthcare issues in the United States?
- A. To ensure proper documentation of patient insurance information.
- B. Reimbursement policies often dictate the services that can be offered to the public.
- C. The quality of care provided is influenced by the patient's insurance coverage.
- D. Proficiency in healthcare issues is essential for graduating as a practical nurse.
Correct answer: B
Rationale: Understanding healthcare issues in the United States is crucial for healthcare professionals because reimbursement policies play a significant role in determining the services that can be provided to patients. By comprehending these issues, healthcare professionals can navigate the complexities of healthcare delivery, ensure appropriate services are offered, and optimize patient care outcomes. Choice A is incorrect because understanding healthcare issues goes beyond just documentation of patient insurance information. Choice C is incorrect as the quality of care should not be solely dependent on a patient's insurance coverage. Choice D is incorrect because while proficiency in healthcare issues is important for practical nurses, it is not a requirement solely for graduating.
5. In a unionized hospital, nurses receive compensatory pay for working holidays based on the hours worked with no extra compensation. Despite management refusing to consider changes to the compensatory pay system suggested by nurses during the annual employee satisfaction survey, a trend member listened to both parties and made non-legally binding recommendations. What is this type of settlement known as?
- A. Collective bargaining
- B. Mediation
- C. Grievance
- D. Binding arbitration
Correct answer: B
Rationale: Mediation involves a neutral third party who assists in resolving disputes by providing non-legally binding recommendations. In this scenario, the trend member acted as a mediator by listening to both nurses and management and offering suggestions without the authority to enforce them as a legally binding decision. Collective bargaining refers to negotiations between labor unions and employers to determine terms of employment. Grievance is a formal complaint by an employee against an employer. Binding arbitration involves a neutral third party making a final and legally binding decision to resolve a dispute.
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