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. Which of the following is true of malpractice?

A. Malpractice occurs when a professional shares information about a patient that could damage that patient�s reputation.
B. Malpractice is a serious criminal offense.
C. Malpractice is a minor criminal offense.
D. Malpractice is a negligent act by an individual whose duties require specialized education.

Correct answer: D

Rationale: Malpractice is a negligent act by an individual whose duties require specialized education.

3. What is the primary focus of the Triple Aim in healthcare?

A. Improving patient experience
B. Reducing healthcare costs
C. Improving population health
D. Ensuring regulatory compliance

Correct answer: A

Rationale: The primary focus of the Triple Aim in healthcare is indeed improving patient experience. While reducing healthcare costs and improving population health are important components of the Triple Aim framework, the primary goal is to enhance the overall experience of patients. Ensuring regulatory compliance, although important in healthcare, is not one of the primary focuses of the Triple Aim.

4. What is a potential benefit of social media?

A. Sharing the fun side of nursing by posting a video of nurses singing and dancing in the hallways of the hospital while on duty
B. Connecting with clients to keep up with their health status
C. Connecting with the public to encourage healthy behaviors
D. Sharing pictures of interesting clinical experiences with friends

Correct answer: C

Rationale: The correct answer is C. Connecting with the public to encourage healthy behaviors is a significant benefit of social media. While sharing the fun side of nursing (choice A) and sharing pictures of clinical experiences (choice D) can showcase the profession, they do not directly promote healthy behaviors. Connecting with clients (choice B) is important for healthcare but is more specific to individual patient care rather than a broad public health impact.

5. The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia) through a restricted access medication program. What is most important for the nurse to report immediately to the health care provider?

A. The patient's blood pressure is 154/92.
B. The patient has a history of emphysema
C. The patient's blood glucose is 86 mg/dL.
D. The patient has chest pressure when walking

Correct answer: D

Rationale: Chest pressure while walking may indicate heart-related issues such as angina or a heart attack. Rosiglitazone (Avandia) has been associated with increased risks of cardiovascular events like heart failure. Given these risks, chest pressure is an urgent symptom that must be reported immediately to prevent potentially life-threatening complications.