ATI LPN
ATI Leadership Proctored Exam 2019
1. When a nurse reads a peer-reviewed nursing journal article recommending a change in caring for a patient with an indwelling urinary catheter, which action demonstrates critical thinking?
- A. Implementing the article's recommendations in caring for a patient with an indwelling urinary catheter
- B. Presenting the journal article to the nurse manager and proposing a revision of the procedure
- C. Seeking additional peer-reviewed articles that corroborate the author's recommendation
- D. Disregarding the article and adhering to the facility's existing procedure
Correct answer: C
Rationale: Critical thinking involves evaluating information from various sources. In this scenario, the nurse displays critical thinking by seeking additional peer-reviewed articles that support the author's recommendation. This action ensures that decisions are based on a comprehensive understanding of the topic rather than relying solely on one source. By exploring other peer-reviewed articles, the nurse can validate the proposed change and make informed decisions regarding patient care. Choice A, implementing the article's recommendations, may not encompass a thorough evaluation of the information presented. Choice B, presenting the article to the nurse manager, is a valid step but does not directly involve critical analysis of the information. Choice D, disregarding the article, goes against the essence of critical thinking, which emphasizes the evaluation and consideration of various perspectives.
2. When the domain .edu is noted during the search for the term informatics, what should the individual determine about the site's affiliation?
- A. It's an internet service provider
- B. It's a commercial site
- C. It's a government agency
- D. It's an educational institution
Correct answer: D
Rationale: When a domain ends in .edu, it indicates that the site belongs to an educational institution. Therefore, if a user searching for the term informatics comes across a domain with .edu, it is likely an academic resource related to the field of informatics. Choice A, an internet service provider, is incorrect because the .edu domain is specifically reserved for educational institutions. Choice B, a commercial site, is incorrect as commercial sites typically use domains like .com. Choice C, a government agency, is incorrect as government agencies usually have domains ending in .gov.
3. Which action demonstrates a coparticipative manner in the nursing model of care?
- A. Working with the patient and family to achieve the best outcome.
- B. Encouraging the shy student to participate in class discussions, demonstrating transpersonal caring.
- C. Finding a way for a patient to see a dog, understanding the patient's needs.
- D. Accepting individuals for who they are, maintaining a nonjudgmental attitude.
Correct answer: A
Rationale: A coparticipative manner in the nursing model of care involves collaborating with the patient and family to achieve the best outcome. This approach emphasizes working together as a team to address healthcare needs and make decisions. While encouraging a shy student, understanding a patient's needs, and maintaining a nonjudgmental attitude are all important aspects of nursing care, the coparticipative manner specifically focuses on partnership and shared decision-making in the care process.
4. The patient tells the nurse that his insurance company requires him to pick a primary provider and asks what that means. The nurse explains that a primary provider means choosing what?
- A. A doctor
- B. A staff nurse
- C. One insurance provider
- D. A hospital
Correct answer: A
Rationale: A primary provider is typically a doctor, nurse practitioner, or physician's assistant who is responsible for overseeing and coordinating the patient's comprehensive healthcare needs. This healthcare professional serves as the main point of contact for the patient, managing preventive care, treatments, referrals to specialists, and overall health management. Choice B, a staff nurse, is incorrect as a primary provider is usually a more advanced healthcare professional managing comprehensive care. Choice C, one insurance provider, is incorrect as a primary provider refers to a healthcare professional, not an insurance company. Choice D, a hospital, is incorrect as the primary provider is an individual healthcare professional responsible for coordinating the patient's care, not a healthcare facility.
5. The educator is teaching a group about paradigm thinking and defines it as what?
- A. One's mathematical knowledge and ability to solve math problems
- B. The ability to see 20 feet away without wearing glasses
- C. An individual's perception or frame of reference about the world
- D. A healthcare provider's ability to solve patient-care problems
Correct answer: C
Rationale: Paradigm thinking refers to an individual's perception or frame of reference about the world. It involves understanding how one sees and interprets the world around them, which can influence their beliefs, decisions, and actions. Choices A, B, and D are incorrect as they do not accurately describe paradigm thinking. Paradigm thinking is not solely related to mathematical knowledge, eyesight, or healthcare problem-solving skills.
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