which of the following best describes the concept of shared decision making in healthcare

ATI RN

ATI Leadership Practice A

1. Which of the following best describes the concept of shared decision-making in healthcare?

A. The process by which patients make healthcare decisions on their own
B. A collaborative process that allows patients and providers to make healthcare decisions together
C. A method for providers to dictate treatment plans to patients
D. The use of evidence-based guidelines to make healthcare decisions

Correct answer: B

Rationale: The correct answer is B. Shared decision-making in healthcare involves a collaborative process between patients and providers to make healthcare decisions together. This approach considers the patient's preferences, values, and the best available evidence to reach a decision that aligns with the patient's goals. Choice A is incorrect because shared decision-making does not involve patients making decisions on their own. Choice C is incorrect as it describes a paternalistic approach where providers dictate treatment plans to patients without involving them in the decision-making process. Choice D is incorrect as it refers to the use of evidence-based guidelines, which is important but not the sole focus of shared decision-making.

2. Upon noticing a visitor who is loud and active and carrying a gun on the unit where you are in charge, what should you do immediately?

A. Ask the visitor to leave.
B. Talk quietly to calm the visitor.
C. Ask the visitor for the gun.
D. Notify security with the details of the situation.

Correct answer: D

Rationale: In a situation where a visitor arrives on the unit with a gun, it is essential to prioritize the safety of patients and staff. Immediately notifying security with all the relevant details is the correct course of action. Asking the visitor to leave or engaging them could escalate the situation and put everyone at risk. Similarly, requesting the gun from the visitor directly is not advisable as it could lead to a dangerous confrontation. By alerting security promptly, you enable trained professionals to handle the situation safely and effectively, minimizing risks and ensuring the safety of all individuals involved.

3. Which of the following is a challenge the profession of nursing faced?

A. Nursing contributing to the stigma of AIDS in the 1980s out of fear.
B. Nursing practice flourishing in field hospitals during the Korean War with abundant supplies and equipment.
C. Many nurses feeling frustrated with the lack of independent functioning after the Vietnam War.
D. A decline in the number of hospice nurses due to ethical dilemmas.

Correct answer: C

Rationale: The correct answer is C. After the Vietnam War, many nurses felt frustrated with the lack of independent functioning when they returned home. This challenge was faced by the profession of nursing as nurses who functioned independently in mobile hospital units during the war found themselves restricted in their practice upon returning. Choices A, B, and D are incorrect because they do not address the specific challenge of lack of independent functioning faced by nurses after the Vietnam War.

4. Which of the following may be considered an absenteeism management strategy?

A. Holding regular meetings to address absenteeism
B. Limiting career growth opportunities
C. Reducing job stress
D. Neglecting the issue

Correct answer: C

Rationale: Reducing job stress is an effective absenteeism management strategy because it creates a positive work environment, potentially decreasing the number of sick days taken by employees. Holding regular meetings to address absenteeism is not a strategy to reduce absenteeism but may add to the stress levels of employees. Limiting career growth opportunities is not a recommended strategy and can lead to employee dissatisfaction and higher absenteeism rates. Neglecting the issue of absenteeism by ignoring it can exacerbate the problem and create a negative work culture.

5. A manager identifies that he is spending more time than desired on completing repetitive paperwork. Which of the following would be appropriate ways to address this issue? (EXCEPT)

A. Combining data reports to reduce duplication
B. Delegating staff evaluations to the staff nurse on the unit with the most experience
C. Assigning the preliminary draft of the schedule to a subcommittee of staff nurses
D. Saying no to inappropriate paperwork assignments

Correct answer: B

Rationale: Delegating staff evaluations to a staff nurse, even if experienced, is not appropriate as it falls outside their scope and responsibility. Choices A, C, and D are suitable ways to address the issue of spending excessive time on repetitive paperwork. Combining data reports, assigning the preliminary draft of the schedule to a subcommittee of staff nurses, and saying no to inappropriate paperwork assignments are all effective strategies to streamline processes and reduce managerial workload.