Ati nurs252 leadership final exam
Total Questions : 29
Showing 25 questions, Sign in for moreThe most important approach that a nurse manager can take with an emotionally troubled employee is to:
Explanation
A. Adjusting the employee's work schedule may provide temporary relief, but it does not address the underlying emotional issues that need professional attention.
B. Assisting the employee in obtaining professional help is the most crucial action a nurse manager can take. This ensures that the employee receives the appropriate support and intervention needed to address their emotional challenges.
C. Acting as a therapist for the employee is outside the scope of a nurse manager's role and may lead to ethical and professional boundaries being crossed.
D. Adjusting the standard of care to assist the employee compromises the quality of patient care and is not a viable solution for supporting an emotionally troubled employee.
The nurse manager knows that the most serious effect that absenteeism has on the nursing unit is that:
Explanation
A. While absenteeism may influence other staff members, this is not the most serious effect.
B. The most critical impact of absenteeism is that it may lead to unacceptable patient care due to inadequate staffing levels and continuity of care, compromising patient safety and quality.
C. Although using replacement personnel can impact unit culture, it is secondary to the immediate concern of ensuring safe patient care.
D. Lower salary costs due to fewer personnel may seem advantageous but do not outweigh the potential negative consequences of inadequate patient care and the overall effectiveness of the nursing unit.
In an ICU, you order new devices to measure heart rhythm and rate, respiratory rate, oxygen levels, and intracranial pressure. These devices describe:
Explanation
A. The Internet refers to a global network for communication and information sharing, which is not directly related to the measurement devices mentioned.
B. Retrieval of patient history information pertains to accessing and compiling past medical records, which is not the focus here.
C. Biomedical technology encompasses various medical devices and systems used in patient care, including those for monitoring heart rhythms, respiratory rates, oxygen levels, and intracranial pressure, making it the correct choice.
D. Telecommunications involves communication technologies, but does not specifically refer to the medical measurement devices used in an ICU setting.
A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?
Explanation
A. The instruction about using a fire extinguisher is misleading; the focus should be on preventing fire hazards rather than managing them.
B. Opening windows and doors during a fire may not be a safe or effective action; the emphasis should be on evacuation and safety measures instead.
C. Using wool blankets is not advisable as they can generate static electricity, which poses a fire risk.
D. Refraining from smoking near oxygen delivery equipment is crucial as oxygen increases flammability, making this the most important safety instruction for the client.
A recent nursing graduate in a busy Emergency Department triages a patient who has sustained a large, deep puncture wound in his foot while working at a construction site. He is bleeding and is in pain. The nurse enters the triage data that she has obtained from the patient into a computerized, standard emergency patient-classification system. After she enters the assessment data, she notices an alert on the computer screen that prompts her to ask the patient about the status of his tetanus immunization. What system of technology is involved in generating the alert?
Explanation
A. A computerized provider order system is primarily used for entering and managing medication and treatment orders rather than generating alerts based on assessment data.
B. While the electronic health record (EHR) contains the patient’s information, it does not specifically generate alerts; instead, it serves as a comprehensive patient information system.
C. Clinical decision support systems (CDSS) provide alerts and reminders based on clinical guidelines and data entered into the system, making this the correct answer.
D. WL technology typically refers to wireless technologies and does not directly relate to generating alerts in clinical contexts.
Nurses complete many tasks that require skill, judgment, fine motor control, and other types of expertise that are difficult to replicate with AI. One such skill would be:
Explanation
A. Screening applicants involves decision-making and interpersonal skills, which can be partially automated but still requires human judgment.
B. Wound care involves hands-on skills, assessment, and the ability to respond to patient-specific needs and reactions, making it challenging for AI to replicate this nuanced care.
C. Collection of materials and supplies is a task that can be systematized and potentially automated, requiring less complex decision-making.
D. Contacting members of the care team can be streamlined through technology, and while interpersonal communication is key, this task is more straightforward and can be managed by AI systems.
A nurse is planning care for a hospitalized client who is immobile and in a continuous mitten restraint. Which of the following interventions should be included in the client's care plan? (Select all that apply.)
Explanation
A. Ensuring two fingers can fit between the device and the client is crucial for monitoring circulation and preventing skin breakdown.
B. Performing a neurovascular check every 2 hours is necessary to assess circulation and nerve function, ensuring that the restraint is not causing harm.
C. Securing the restraint to the bedrail is not appropriate; restraints should be secured to the movable part of the bed frame to avoid causing injury.
D. Obtaining a prescription renewal every 72 hours is required for ongoing restraints, as it ensures continued monitoring and justification for their use.
E. Implementing passive range-of-motion exercises is essential to maintain joint mobility and prevent complications associated with immobility.
A nurse manager understands that the typical first step in handling an employee with a disciplinary problem is at
Explanation
A. Suspension with pay is a serious disciplinary action typically taken after other measures have failed.
B. A written reprimand is a formal disciplinary action that may follow initial informal discussions.
C. A day off without pay is a significant punitive action and is not typically the first step.
D. A reminder of employment standards serves as an initial approach to address concerns and clarify expectations before escalating to formal disciplinary actions.
A nurse is supervising a new graduate who is caring for a patient who has fallen days ago. Which of the following interventions made by the new graduate REQUIRES CORRECTION by the supervising nurse?
Explanation
A. Placing all side rails up may actually increase the risk of injury if the patient tries to climb over them, as it can create a false sense of security. This practice is considered a restraint and should be avoided unless indicated for patient safety.
B. Ensuring the bed is in the lowest position helps prevent falls and is a safe practice.
C. Placing the patient's belongings within reach promotes independence and reduces the risk of the patient trying to get up to retrieve items.
D. Ensuring the wheels on the client's bed are locked is crucial for patient safety to prevent unintended movement of the bed.
You are in the process of designing a patient education program that will provide education and monitoring for patients with hypertension. To support your planning, you draw out and present patient data from:
Explanation
A. Biomedical technologies may provide data but are generally not used to compile comprehensive patient data for educational programs.
B. E-mail does not serve as a reliable source for patient data.
C. A clinical database contains comprehensive and organized patient information, making it ideal for designing education and monitoring programs for specific conditions such as hypertension.
D. Internet sources may provide general information but lack the specificity and reliability needed for patient education planning.
The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say:
Explanation
A. Allowing someone else to use your login credentials compromises patient confidentiality and violates privacy policies.
B. This response correctly emphasizes the importance of maintaining security and confidentiality in electronic health records. Each user must access the system using their credentials to ensure accountability.
C. Signing a note under someone else's password is not acceptable and could lead to misattribution of documentation.
D. Entering information on behalf of another person also violates policies regarding documentation and accountability.
A nurse is preparing to administer intravenous fluids via an infusion pump to a client. Which of the following actions should the nurse take to prevent an electrical hazard? Select all that apply.
Explanation
A. Unplugging the cord by grasping the plug prevents damage to the cord and reduces the risk of electric shock.
B. A three-pronged plug ensures a ground connection, which helps prevent electrical shock.
C. Avoiding rolling equipment over extension cords reduces the risk of damage to both the cords and equipment, which can lead to electrical hazards.
D. Plugging in the pump close to the sink increases the risk of water exposure, which can lead to electrical hazards and should be avoided.
E. Disconnecting electrical equipment before cleaning ensures that there is no electrical current present, minimizing the risk of electric shock while cleaning.
During the performance appraisal session, the manager should (select all that apply):
Explanation
A. Allowing the employee to express their opinions both orally and in writing promotes open communication and helps the manager understand the employee's perspective.
B. Inquiring about the employee's personal life may lead to discomfort and does not directly relate to job performance unless the employee chooses to share this information voluntarily.
C. Maintaining a relaxed and professional manner helps create a supportive environment for the appraisal, allowing for a more productive discussion.
D. Setting follow-up dates is important to monitor progress and ensure that the employee is supported in improving performance.
E. Focusing on specific examples only for poor performance can be unbalanced; it is also important to recognize strengths and areas of good performance.
During a performance appraisal, Joanne, the nurse manager, indicates that Alysha has difficulty mentoring students on the unit. Alysha responds that this is not her responsibility. In responding to Alysha, Joanne needs to consider:
Explanation
A. While student biases may exist, they do not directly address Alysha's responsibility or performance in mentoring.
B. The ability to observe and measure mentoring can be relevant, but it does not clarify Alysha's responsibilities.
C. Alysha's level of confidence may affect her performance, but it is not the primary concern in this context.
D. Understanding whether mentoring is part of Alysha's job description is critical, as it defines her responsibilities and clarifies expectations for her role.
The nurse in a large hospital working in the emergency room is caring for a patient having a myocardial infarction. The hospital has recently implemented an order entry system that uses artificial intelligence (AI). The nurse should be aware that AI should never take the place of:
Explanation
A. While AI can assist with documentation, nurses' notes contain unique insights and observations that are crucial to patient care.
B. Knowledge and wisdom are inherent to nursing practice; however, AI can enhance knowledge but cannot replace the human experience.
C. Nursing clinical judgment is essential in patient care and should not be replaced by AI, as it involves critical thinking, ethics, and a personalized approach that AI cannot replicate.
D. AI can support tasks and procedures, but human oversight and decision-making remain vital in nursing practice.
As a manager, you are interested in developing behavioral questions for an interview. Knowing that there is team conflict at times on your unit, which of the following questions would satisfy your interest in behavioral questions?
Explanation
A. This question is more about self-assessment and does not require the candidate to provide a specific example of past behavior.
B. While this question addresses conflict resolution, it does not delve into a specific past experience or behavior.
C. This question specifically asks the candidate to describe a past situation, their actions, and the outcomes, making it a classic behavioral question that provides insights into their experiences and conflict management skills.
D. This question is hypothetical and does not focus on the candidate's actual past behavior or experiences.
Ellen is a novice nurse on your unit. As her supervisor, you notice Ellen's knowledge and skill deficiencies. These deficiencies have been noticed by her peers as well. Which of the following is likely to be the greatest asset to Ellen in improving her performance?
Explanation
A. Ignoring Ellen's errors does not support her development and may lead to continued mistakes that could affect patient care and team dynamics.
B. A self-assessment using a standard skills checklist allows Ellen to reflect on her skills, identify areas needing improvement, and take ownership of her learning process. This approach encourages self-directed learning and accountability.
C. Instructing staff to avoid working with Ellen can foster isolation and hinder her development by denying her opportunities for mentorship and guidance.
D. Encouraging staff to report Ellen’s behaviors can create a negative environment, fostering distrust and discouraging collaboration rather than supporting her growth.
As part of an information technology implementation team, you are implementing a clinical decision support system. Particular considerations for safe implementation of this project include the following EXCEPT:
Explanation
A. Relying solely on health information technology for communication can lead to misunderstandings and information gaps, as effective communication also requires interpersonal interactions and teamwork.
B. Establishing training programs for all staff is crucial for ensuring that everyone is equipped to use the new system effectively and safely, which is vital for successful implementation.
C. Participation in the planning, selection, design, and improvement of technology ensures that the system meets the needs of users and integrates well into existing workflows.
D. Identifying and resolving problematic work processes and procedures before technology implementation is essential to ensure that the new system enhances efficiency and does not exacerbate existing issues.
A nurse manager is planning to request three new infusion pumps at a cost of approximately $1500 each. This item would typically be included in which budget?
Explanation
A. A strategic budget is typically focused on long-term goals and initiatives, rather than specific equipment purchases.
B. A capital budget is specifically designated for significant investments in long-term assets such as equipment, buildings, or technology, making it the appropriate choice for purchasing new infusion pumps.
C. A unit of service budget relates to the costs associated with providing a specific service but does not directly encompass capital expenditures for equipment.
D. An operating budget pertains to the day-to-day expenses of running a unit, such as salaries and supplies, rather than major purchases like infusion pumps.
In a nurse managers' meeting, the chief nursing officer encourages the managers to brainstorm ways to reduce costs. Nurse managers have the greatest impact on reducing costs by managing:
Explanation
A. While managing medication costs is important, it is typically not as significant in terms of overall budget impact compared to staffing.
B. Managing supplies can contribute to cost reductions, but staffing is usually a more substantial portion of a nursing budget.
C. Staffing costs represent the largest expense in most nursing budgets, and nurse managers can have a significant influence on these costs through effective scheduling, staffing ratios, and retention strategies.
D. Fixed costs, such as rent or utilities, do not fluctuate based on operational decisions made by nurse managers and thus offer less opportunity for cost reduction at the managerial level.
A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse's priority?
Explanation
A. While using a fire extinguisher is important, ensuring the safety of clients is the immediate priority.
B. Closing fire doors can help contain the fire, but moving clients away from danger is more critical at this moment.
C. Moving any clients in the immediate vicinity is essential to ensure their safety and prevent harm from the potential fire.
D. Activating the fire alarm is important to alert others, but it should be done after ensuring the safety of clients in the immediate area.
After a major flu vaccination campaign, an agency bills a private insurance company for the administration of each vaccination according to the insurance company's reimbursement guidelines. This is an example of which major payment method?
Explanation
A. Charges refer to the fees billed for services rendered, which in this case is the administration of each vaccination according to the insurance company's guidelines.
B. Contractual allowance refers to the difference between the billed amount and the amount agreed upon in the contract with the insurance company, which is not the primary focus here.
C. Prospective reimbursement is based on predetermined rates rather than charges billed after services are provided.
D. Cost-based reimbursement is determined by the actual costs incurred in providing services, which does not apply in this context as the billing is based on set charges for vaccinations.
A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident. Which of the following features IS NOT descriptive of effective documentation of personnel problems?
Explanation
A. Waiting until the end of the week to document incidents can lead to inaccuracies and missed details, making it ineffective for timely documentation.
B. Keeping a log or summary sheet of errors and incidents is an effective way to track personnel problems and provide accurate records.
C. Advising the recipient to keep personal notes can support documentation but should not replace the manager's responsibility to document the incident.
D. Including a date, time, and brief description in documentation is crucial for maintaining clarity and accuracy in records.
The chief nursing officer of a Magnet® hospital has conducted a study of ways to improve healthcare services. Healthcare services that add value for clients:
Explanation
A. High-technology treatments may not always add value, as they can be expensive and not necessary for all patients.
B. Adding value should ideally improve health outcomes rather than decrease them.
C. Increasing the price of healthcare does not add value; it can make services less accessible.
D. Minimizing costs while maintaining quality care can add value for clients, as it improves accessibility and efficiency in healthcare services.
Because of the complexity of reimbursement systems and its implications for the services available to patients, the nurse has a key role in:
Explanation
A. Advocating for patients involves utilizing resources effectively while ensuring that patient care is not compromised, aligning with ethical standards of nursing.
B. Limiting resources at the expense of patient outcomes contradicts the nurse's ethical responsibility to provide high-quality care.
C. Focusing solely on seeing more patients to boost revenue can lead to burnout and decreased quality of care, which is not sustainable or ethical.
D. Reducing the volume of services without considering patient needs can compromise care quality and negatively impact outcomes.
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