ATI LPN
ATI Leadership Proctored Exam 2019
1. When demonstrating therapeutic use of self, which nursing intervention is the nurse performing?
- A. Sitting with a dying patient
- B. Attending class
- C. Studying for a test
- D. Learning the nursing code of ethics
Correct answer: A
Rationale: The correct answer is A: Sitting with a dying patient. Therapeutic use of self in nursing involves the nurse's ability to establish a caring and compassionate relationship with patients. Sitting with a dying patient allows the nurse to provide emotional support, physical presence, and comfort, demonstrating the use of self in a therapeutic manner. Choices B, C, and D are incorrect as they do not directly involve the nurse's interaction with a patient in a therapeutic manner.
2. For what purpose does the nursing student predominantly use knowledge about the history of nursing?
- A. To understand the professional choices open to the student
- B. To prevent medication errors in practice
- C. To determine the optimal geographical area for practice
- D. To reduce the cost of delivering quality health care
Correct answer: A
Rationale: Understanding the history of nursing is essential for nursing students as it enables them to comprehend the various professional paths available in the field. By learning about the evolution of nursing practice, students can gain insights into different specialties, roles, and career opportunities within the nursing profession. This historical knowledge helps students make informed decisions about their future career paths and understand the diversity and possibilities within the nursing profession. Choices B, C, and D are incorrect because the primary purpose of studying the history of nursing is not to prevent medication errors, determine practice locations, or reduce healthcare costs. While these are important aspects of nursing practice, they are not the main reasons for studying the history of nursing.
3. If a nurse accepts the role of charge nurse on the evening shift, what effect will unionization have on the nurse's new position?
- A. The nurse can file a grievance that will be arbitrated automatically by the Union
- B. Charge nurse is part of the management team, so Union participation would be a conflict of interest
- C. The nurse is not eligible for collective bargaining activities dealing with unfair labor practices
- D. The nurse can be represented by the union because charge nurses are not considered part of the management team
Correct answer: B
Rationale: Choosing answer B is correct because charge nurses are typically considered part of the management team. As part of the management team, the charge nurse has decision-making responsibilities that align with the interests of the organization. Therefore, participating in a union would create a conflict of interest. Options A, C, and D are incorrect. Option A is incorrect because union arbitration is not typically applicable to management positions. Option C is incorrect because charge nurses, as part of the management team, would not be eligible for collective bargaining activities like frontline staff. Option D is incorrect because charge nurses, due to their managerial responsibilities, are generally not represented by unions for collective bargaining purposes.
4. What motivates a nurse to perform tasks, whether at work or off duty?
- A. Personal motivation
- B. Facility policies
- C. Fear of reprisals
- D. Parental expectations
Correct answer: A
Rationale: Personal motivation is the driving force behind a nurse's actions, influencing their decisions and behaviors both during work hours and while off duty. It is an internal drive that compels them to act in a certain way, regardless of external factors such as facility policies, fear of reprisals, or parental expectations. While facility policies may guide their actions within the workplace, they do not address motivation. Fear of reprisals and parental expectations are external factors and are less likely to be the primary motivators for a nurse's actions.
5. How can a healthcare provider best address the spiritual aspect of caring for a patient?
- A. Explain the patient's spiritual beliefs to the healthcare provider.
- B. Ask the patient to share their spiritual beliefs.
- C. Ask what the patient requires to meet their spiritual needs.
- D. Consult with a spiritual leader to understand the patient's spiritual needs.
Correct answer: C
Rationale: The most effective way for a healthcare provider to address the spiritual aspect of caring for a patient is by asking what the patient requires to meet their spiritual needs. This approach respects the patient's autonomy, acknowledges their individual beliefs, and allows for personalized and patient-centered care. Choice A is incorrect as it focuses on the healthcare provider's understanding rather than the patient's needs. Choice B could be invasive and may not be necessary to provide adequate spiritual care. Choice D involves consulting a spiritual leader, which may not always align with the patient's personal beliefs and preferences.
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