ATI RN
ATI Leadership Practice B
1. The length of a coaching session should be no longer than:
- A. 15 minutes.
- B. 60 minutes.
- C. 10 minutes.
- D. 30 minutes.
Correct answer: C
Rationale: The correct answer is C: '10 minutes.' Coaching sessions are recommended to last between 5-10 minutes to ensure they are concise and impactful. Choice A ('15 minutes') is incorrect because it exceeds the recommended duration. Choice B ('60 minutes') is incorrect as it is too long for an effective coaching session, leading to decreased engagement. Choice D ('30 minutes') is also incorrect as it surpasses the optimal time frame for a coaching session.
2. One of the perceptions of turnover is:
- A. Poor management
- B. Rejection of the job
- C. Loss of poor performers
- D. Poor job atmosphere
Correct answer: B
Rationale: The correct answer is B: 'Rejection of the job.' According to Steers and Stone, turnover can be perceived by coworkers as a rejection of the job. Choice A, 'Poor management,' is incorrect because turnover perception is more related to individual feelings about the job rather than management. Choice C, 'Loss of poor performers,' is incorrect as it focuses on the outcome of turnover rather than the perception. Choice D, 'Poor job atmosphere,' is incorrect as it describes a cause of turnover rather than a perception.
3. In the scenario where a family member slips on the wet floor and hits her head, what hospital process requires completion of an incident report?
- A. Risk management
- B. Outcome management
- C. Quality management
- D. Peer review
Correct answer: A
Rationale: In healthcare settings, completing an incident report is a crucial aspect of risk management. Risk management aims to identify, assess, and mitigate risks to prevent harm to patients, visitors, or staff. Incident reports provide valuable data for analyzing events, implementing corrective actions, and improving patient safety within the healthcare facility. Choices B, C, and D are incorrect because outcome management focuses on achieving desired results, quality management concentrates on maintaining high standards of care, and peer review involves evaluating the performance of healthcare providers, none of which directly relate to the completion of an incident report due to an accident.
4. Which of the following theories explains that organizations are made up of intertwined links and diversified choices that generate unanticipated consequences?
- A. Contingency theory
- B. Closed system theory
- C. Open system theory
- D. Chaos theory
Correct answer: D
Rationale: The chaos theory explains that organizations are made up of intertwined links and diversified choices that generate unanticipated consequences. Choice A, Contingency theory, focuses on how organizations adapt to their environment. Choice B, Closed system theory, suggests that organizations are self-contained and do not interact with their environment. Choice C, Open system theory, emphasizes that organizations interact with their environment but does not specifically address intertwined links and diversified choices generating unanticipated consequences.
5. A client with frequent tonic-clonic seizures is being admitted. What action should the nurse add to the client's plan of care?
- A. Ensure blankets are placed on all four sides of the bed.
- B. Refrain from using restraints during seizure activity.
- C. Position the client laterally during seizure activity.
- D. Have a tongue depressor available at the client's bedside.
Correct answer: D
Rationale: The correct action the nurse should add to the client's plan of care is to have a tongue depressor available at the client's bedside. This is important during a seizure to prevent the client from biting their tongue. Placing the client laterally helps maintain a clear airway and prevents aspiration, making choice C a good practice during seizure activity. Using restraints during a seizure can cause injuries and should be avoided, making choice B incorrect. Wrapping blankets around all four sides of the bed is unnecessary for seizure management and does not contribute to the client's safety during a seizure, making choice A incorrect.
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