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ATI Leadership
1. Achieving Magnet Hospital designation offers hospitals the following advantages: (Select one that does not apply.)
- A. Greater client satisfaction.
- B. Improved nursing recruitment.
- C. Greater client workload.
- D. Nurses who are independent decision makers.
Correct answer: C
Rationale: The correct answer is C. Achieving Magnet Hospital designation provides advantages such as greater client satisfaction, improved nursing recruitment, and nurses who are independent decision makers. However, the statement about 'Greater client workload' is not a typical advantage associated with Magnet recognition. Organizations that achieve Magnet recognition focus on improving nursing work environments, empowering nurses, and enhancing patient care quality, rather than increasing client workload. Therefore, C is the correct choice. Choices A, B, and D are incorrect because they align with the benefits of achieving Magnet Hospital designation as they lead to increased satisfaction, better recruitment, and more empowered nurses.
2. The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?
- A. �I can have an occasional alcoholic drink if I include it in my meal plan.�
- B. �I will need a bedtime snack because I take an evening dose of NPH insulin.�
- C. �I can choose any foods, as long as I use enough insulin to cover the calories.�
- D. �I will eat something at meal times to prevent hypoglycemia, even if I am not hungry.�
Correct answer: C
Rationale:
3. How will working in a high-volume, noisy emergency room in an urban area with a high incidence of assault victims affect staff?
- A. Feelings of extreme overload.
- B. Fear of failure.
- C. A pessimistic sense about the world.
- D. Inability to separate intense work situations from personal situations.
Correct answer: B
Rationale: Working in a high-volume, noisy emergency room in an urban area with a high incidence of assault victims can lead to feelings of extreme overload, a pessimistic sense about the world, and an inability to separate intense work situations from personal situations. Fear of failure is not specifically mentioned in the context of the question, so it is the correct answer. The constant noises and intense emotional situations can create tension, stress, and negative reactions among staff. Managers can help by assessing the environment, labeling situations, and debriefing with staff to make them more aware of how stressors impact their behaviors.
4. A nurse recognizes which of the following as a primary goal of nursing?
- A. Assist patients to achieve a peaceful death.
- B. Improve personal knowledge and skills to enhance patient outcomes.
- C. Advocate for quality of life rather than quantity of life.
- D. Work to control costs to enhance patients' quality of life.
Correct answer: A
Rationale: The primary goal of nursing is to promote health, prevent illness, alleviate suffering, and care for the sick. Assisting patients to achieve a peaceful death is an essential aspect of nursing care, ensuring dignity and comfort in the end-of-life phase. While improving personal knowledge and advocating for quality of life are important aspects of nursing, the primary goal remains the well-being and comfort of patients, even in death. Working to control costs, while a consideration in healthcare, is not the primary goal of nursing, which is centered on patient care and well-being.
5. What is a benefit of effective delegation?
- A. It increases the manager's workload
- B. It allows the manager to make all the decisions
- C. It empowers staff to make decisions
- D. It decreases staff involvement
Correct answer: C
Rationale: The correct answer is C: 'It empowers staff to make decisions.' Effective delegation involves entrusting tasks and decisions to staff, which not only lightens the manager's load but also empowers employees, enhancing their skills and confidence. Choice A is incorrect because effective delegation should reduce the manager's workload by distributing tasks appropriately. Choice B is incorrect as effective delegation involves empowering staff to make decisions rather than the manager making all decisions. Choice D is incorrect as effective delegation actually increases staff involvement by giving them more responsibilities and decision-making power.
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