ATI RN
ATI Leadership Proctored Exam
1. Integrated health care systems function in a variety of models. Which of the following is a common characteristic of all systems?
- A. Deliver selective care only
- B. Deliver a whole continuum of care
- C. Treat patients only in the hospital
- D. Provide care only in the primary care setting
Correct answer: B
Rationale: Integrated health care systems are designed to provide a whole continuum of care, which includes preventive, primary, specialty, hospital, and long-term care services. This integration ensures that patients receive comprehensive and coordinated care across different healthcare settings. Choice A is incorrect because integrated systems aim to provide a wide range of services, not selective care only. Choice C is incorrect as integrated systems extend care beyond hospital settings. Choice D is incorrect as these systems offer care across various settings, not limited to primary care only.
2. What is the best description of cultural competence in nursing?
- A. Ignoring cultural differences
- B. Adapting care to cultural needs
- C. Learning about different cultures
- D. Teaching cultural awareness
Correct answer: B
Rationale: Cultural competence in nursing means adapting care to meet the cultural needs of patients. This involves understanding and respecting the cultural differences of individuals to provide effective and appropriate healthcare. Choice A is incorrect because ignoring cultural differences goes against the essence of cultural competence. Choice C is not the best description as cultural competence is more than just learning about different cultures; it is about applying that knowledge in providing care. Choice D is not the best description as teaching cultural awareness is only a part of developing cultural competence, but it also requires practical application in care delivery.
3. What is the main concern with collective bargaining?
- A. Create tension among nurses.
- B. Reform health care.
- C. Secure economic security.
- D. Unite the nurses.
Correct answer: A
Rationale: The main concern with collective bargaining is that it can create tension among nurses. The bargaining process may lead to divisions between staff nurses and management, rather than uniting them. This tension can arise from differing priorities, goals, or interests between the two groups, potentially impacting the effectiveness of the bargaining process. Choices B, C, and D are incorrect because the primary focus of the concern is on the potential negative impact on nurse relationships, not on reforming healthcare, ensuring economic security, or uniting nurses.
4. What innate tendency influences staff to act in a certain way?
- A. Instinct
- B. Appreciation
- C. Control
- D. Esteem
Correct answer: A
Rationale: The correct answer is A: Instinct. Instinct theory suggests that behaviors are influenced by inherited or innate tendencies, guiding individuals to act in specific ways without conscious reasoning. In the context of staff behavior, instinct can play a significant role in shaping their actions and responses. Choices B, C, and D are incorrect. Appreciation, control, and esteem are external factors that may influence staff behavior, but in this context, the question specifically asks for an innate tendency that influences staff to act in a certain way, which aligns more closely with instinctive tendencies rather than external factors like appreciation, control, or esteem.
5. The nurse has been teaching a patient with type 2 diabetes about managing blood glucose levels and taking glipizide (Glucotrol). Which patient statement indicates a need for additional teaching?
- A. �If I overeat at a meal, I will still take the usual dose of medication.�
- B. �Other medications besides the Glucotrol may affect my blood sugar.�
- C. �When I am ill, I may have to take insulin to control my blood sugar.�
- D. �My diabetes won�t cause complications because I don�t need insulin.�
Correct answer: D
Rationale:
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