ATI Leadership Management Proctored Exam(5 Versions)/Leadership Management Proctored Exam
1.
A nurse manager witnesses an assistive personnel (AP)
... [Show More] using incorrect procedure when
transferring a client using a mechanical lift. After reinforcing proper procedure, which of the
following methods should the nurse manager use to evaluate the AP's understanding of the
teaching?
Require the AP's attendance at an in-service about the lift.
This form of education gives a demonstration of the use of the equipment, but it does not allow
for the nurse manager to observe and assess the AP's use of the equipment.
Assign the AP to work with a senior staff member when using the lift.
Working with another staff member can provide further education and reinforce proper use of the
lift, but it does not allow for the nurse manager to observe and assess the AP's use of the
equipment.
Observe the AP's technique with the lift at random times throughout the day.
Observing the AP is an effective way for the nurse manger to evaluate the AP's use of the
equipment. This method of assessment also assists in determining the need for further education
and staff development.
Enforce the staff's completion of skills modules about medical equipment.
MY ANSWER
This form of education gives the AP a demonstration of the use of the equipment, but it does not
allow for the nurse manager to observe and assess the AP's use of the equipment. Training
should occur before task delegation.
2.
A nurse is caring for a client who received pain medication 1 hr ago. The client tells the nurse the
medication is not working because they are still experiencing pain. Which of the following
actions by the nurse demonstrates client advocacy?
Provide the client with a back massage to help ease their pain.
Providing the client with a back massage can assist the client with pain management. However,
this is not a demonstration of client advocacy, which involves intervening on the client's behalf.
Recommend the client watch television as a distraction from the pain.
Distraction, such as watching television, can assist a client with pain management. However, this
is not a demonstration of client advocacy, which involves intervening on the client's behalf.
Attempt to obtain a prescription for a different analgesic medication.
MY ANSWER
The role of the nurse as a client advocate involves directly intervening on behalf of the client.
The nurse should attempt to obtain a prescription from the provider for a different analgesic
medication to manage the client's pain.
Inform the client that they can receive their next dose in 3 hr.
The nurse should tell the client when they can receive their next dose of the medication to keep
the client informed of the treatment plan. However, this is not a demonstration of client
advocacy, which involves intervening on the client's behalf.
3.
A charge nurse is teaching a newly licensed nurse about providing written discharge instructions
for a client who is postoperative following an arthroplasty. The charge nurse should identify that
which of the following discharge instructions written by the newly licensed nurse indicates
understanding of the teaching?
Take oxycodone 10 mg, q6h, PRN, for pain.
The nurse should avoid using medical terminology when providing written instructions to the
client because the client can have difficulty understanding the information.
Report pus-like drainage from the wound.
MY ANSWER
The nurse should provide clear descriptions in terms the client can understand when providing
written discharge instructions. The nurse should also ensure the client is aware of what
complications to report to the provider.
Resume Na-restricted diet.
The nurse should avoid using abbreviations in written discharge instructions because the client
can have difficulty understanding the information.
Perform quadriceps setting exercises when supine.
The nurse should provide step-by-step instructions on how to perform quadriceps setting
exercises when lying supine and avoid using vocabulary that the client can have difficulty
understanding in the written discharge instructions.
4.
A nurse is using the SBAR communication tool for reporting a client's condition to the provider.
Which of the following information should the nurse include in the "S" portion of the tool?
The client was medicated with morphine 2 mg IV 1 hr ago.
This information provides medical information that is pertinent to the client's condition and is
part of the background portion (B) of the SBAR communication tool.
The client needs a change in pain medication prescription.
MY ANSWER
This information provides a potential solution for the client's current need and is part of the
recommendation portion (R) of the SBAR communication tool.
The client is reporting a pain level of 8 on a scale from 0 to 10.
This information provides a brief explanation of the current situation and is part of the situation
portion (S) of the SBAR communication tool.
The client has a heart rate of 110/min and a BP of 148/88 mm Hg.
This information provides recent assessment data indicating the client's current condition and is
part of the assessment portion (A) of the SBAR communication tool.
5.
A nurse manager is anticipating a period when staffing will be especially short. The nurse
manager decides to reorganize the delivery of care on the unit until staffing improves by
appointing a charge nurse, a medication nurse, and a treatment nurse. Which of the following
delivery systems is the nurse manager using?
Primary nursing
Primary nursing is a form of total client care in which one nurse has 24-hr responsibility and
accountability for the nursing care of specific clients for the duration of their stay at the facility.
Primary nursing promotes clear communication among the health care team.
Team nursing
MY ANSWER
Team nursing is the most common nursing care
...........................
..............
.... [Show Less]