the nurse receives a shift report from the nurse going off shift and asks about a patients state of mind and emotional needs which demonstrates what a
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Nursing Elites

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ATI Leadership Proctored Exam 2019

1. When the nurse receives a shift report from the nurse going off shift and asks about a patient's state of mind and emotional needs, which aspect of Dr. Watson's theory is demonstrated?

Correct answer: C

Rationale: The correct answer is C: Caritas. The act of inquiring about a patient's state of mind and emotional needs reflects the concept of Caritas in Dr. Watson's theory. Caritas involves showing deep concern, compassion, and love for the patient, going beyond just the physical aspects of care. Choice A, Intentionality, refers to the capacity for nurses to act deliberately with an ultimate goal in mind. Choice B, Curiosity, is not directly related to the specific action described in the question. Choice D, Holism, involves considering the patient as a whole being, including physical, emotional, social, and spiritual aspects, but it is not specifically demonstrated by inquiring about emotional needs and state of mind.

2. How can a healthcare provider best address the spiritual aspect of caring for a patient?

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.

3. A patient is admitted with pneumonia. My case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive pressure ventilation with bronchodilators should be changed to self-administer inhalers, and antibiotics should be changed from intravenous to oral treatment, based on assessment findings. This plan of care is referred to by what term?

Correct answer: D

Rationale: A clinical pathway is a structured, evidence-based plan that outlines the expected course of treatment and interventions for a specific diagnosis or procedure, in this case, pneumonia. It includes guidelines on the timing of interventions and transitions in care based on assessment findings, promoting standardized care and improved outcomes for patients. The other choices are incorrect: A) patient classification system categorizes patients based on similar characteristics; B) patient-centered plan of care focuses on individual patient needs and preferences; C) diagnosis-related group is a classification system used for billing purposes.

4. When the new graduate nurse shares a journal article about caring with peers, a more experienced nurse says, 'You’d be a lot better off studying pathophysiology instead of wasting time on caring.' How does the graduate interpret the experienced nurse’s comment?

Correct answer: C

Rationale: The experienced nurse's comment likely reflects their education in the medical model, which emphasizes technical skills over caring. This suggests a difference in educational background rather than personal animosity towards new graduates. Choice A is incorrect as it assumes personal dislike without considering educational differences. Choice B is incorrect as it attributes the behavior to being overworked and cranky, which is not supported by the information given. Choice D is incorrect as it makes a broad assumption about the experienced nurse's character without considering the context of their comment.

5. To form a core support group of nurses, where should the nurse organizer conduct meetings to gather initial information?

Correct answer: B

Rationale: The correct approach is to conduct meetings in homes or local businesses with staff nurses. This location ensures confidentiality, prevents management influence, and allows the focus to be on gathering support for forming a core support group. Choice A is incorrect as involving managers may compromise the independence and authenticity of the group. Choice C is incorrect as conducting meetings at the facility may not provide a secure and unbiased environment for open discussions. Choice D is incorrect because holding meetings at the work site with respected leaders may lead to biased opinions and hinder open communication.

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