a staff nurse is working with a patient who is on a critical pathway for education in preparation for home care which one of the following responsibil

ATI RN

ATI Leadership Practice A

1. A staff nurse is working with a patient who is on a critical pathway for education in preparation for home care. Which one of the following responsibilities would the nurse address first?

A. Taking vital signs
B. Answering the client's questions
C. Evaluating client teaching
D. Reviewing the information with the client and family

Correct answer: D

Rationale: The correct answer is D. Reviewing the information with the client and family should be addressed first. This step involves ensuring that the client and family fully understand the information provided, which is crucial before proceeding with any other responsibilities. Taking vital signs (choice A) is important but not the priority in this scenario. Answering the client's questions (choice B) and evaluating client teaching (choice C) can come after reviewing the information to ensure effective communication and understanding.

2.

A. Join in the conversation in case the RN is assigned to care for the client in the future.
B. Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA).
C. Correct a statement made by one of the staff members.
D. Ignore the conversation.

Correct answer: B

Rationale: Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA).

3. Which of the following best describes the concept of value-based healthcare?

A. Focusing on the volume of services provided
B. Maximizing hospital revenue
C. Improving clinical outcomes while controlling costs
D. Emphasizing patient satisfaction

Correct answer: C

Rationale: The correct answer is C. Value-based healthcare focuses on improving clinical outcomes while controlling costs. It emphasizes quality over quantity, aiming to provide efficient and effective care that enhances patient health outcomes while managing expenses. Choices A and B are incorrect because value-based healthcare is not about focusing on the volume of services provided or maximizing hospital revenue. Choice D, emphasizing patient satisfaction, is also not the primary focus of value-based healthcare, which prioritizes clinical outcomes and cost control.

4. Which of the following best describes the concept of just culture in a healthcare organization?

A. A culture of blaming individuals for mistakes
B. A culture of encouraging reporting and learning from errors
C. A culture of punishing individuals for errors
D. A culture of ignoring errors

Correct answer: B

Rationale: Just culture in a healthcare organization promotes a blame-free environment where individuals are encouraged to report errors and focus on learning from them to improve patient safety and quality of care. Choice A is incorrect as just culture does not involve blaming individuals. Choice C is incorrect as it goes against the principles of just culture by advocating for punishment rather than learning. Choice D is incorrect as just culture aims to address errors constructively rather than ignore them.