LEADERSHIP ATI PROCTORED CORE EXAM 2025/2026 STUDY GUIDE
QUESTIONS WITH ANSWERS GRADED A+
when a nurse receives an unsafe assignment - -bring the assignment to the
attention of the scheduling/charge nurse and negotiate a new assignment
-if unresolved take it up chain of command
-file a written protest to the assignment
>>assignment despite objection
>>document of practice situations
-failure to accept the assignment without following the proper channels can
be considered client abandonment
inappropriate use of restraints - *assualt*: threatening to place a NG tube in
a pt who is refusing to eat
*battery*: restraining a pt and administering an injection against his wishes
*false imprisonment*: using restraints on a competent client to prevent his
leaving the health care facility
reporting information to the provider (ch. 2) - should be fostered to create a
climate of mutual respect and collaborative practice
*-assessment data integral to changes in client status
-recommendations for changes in the plan of care
-clarification of prescriptions*
*Qualities*:
-good communication
-assertiveness
-conflict negotiation skills
-leadership skills
-professional presence
-decision-making and critical thinking
Decision-making styles:
*decisive* - the team uses a minimum amount of data and generates one
option
Decision-making styles:
,*flexible* - the team uses a limited amount of data and generates several
options
Decision-making styles:
*Hierarchical* - the team uses a large amount of data and generates one
option
Decision-making styles:
*integrative* - the team uses a large amount of data and generates several
options
breach of confidentiality (ch. 3) - -nurses who disclose client information to
an unauthorized person can be liable for invasion of privacy, defamation, or
slander
-*HIPAA rights of pts*
>>client is able to obtain a copy of their medical record and to submit
requests to amend erroneous or incomplete information
>>a requirement for health care and insurance providers to provide written
information about how medical information is used and how it is shared
with other entities
-->permission must be obtained before information is shared
>>the pt has the right to privacy and confidentiality
*components of privacy rule* - -only healthcare team members directly
responsible for the client's care are allowed access to the patients records.
>>nurses may not share information with other clients or staff not involved
in the patient care
-clients have a right to read and obtain a copy fo their medical record, and
agency policy should be followed when the client requests to read or have
a copy of the record
-no part of the client record can be copied except for authorized exchange
of documents between health care institutions
>>transfer from a hospital to an extended care facility
>>exchange of documents between a general practitioner and a specialist
during a consult
-client records must be kept in a secure area to prevent inappropriate
access to information
-client information may not be disclosed to unauthorized individuals,
including family members who request it and individuals who call on the
phone
,>>many hospitals use a code system in which information is only disclosed
to individuals who can provide the code
>>nurses should ask any individual inquiring about a client's health status
for the code and disclose information only when that code is
-communication should only take place in a private setting where it can not
be overheard by unauthorized people
>>change of shift reports are to be done at the bedside as long as the
patient does not have a roommate and no unsolicited visitors are present
>>*DO NOT* use:
-->walking rounds or taped rounds
referral for home oxygen therapy (ch. 2) - -begin discharge planning upon
the client's admission
-evaluate the client/family competencies in relation to home care prior to
discharge
-involve the client and family in care planning
-discharge referrals are based on client needs in relation to actual and
potential problems and can be facilitated with the assistance of social
services, especially if there is a need for:
>>specialized equipment:
-->cane, walker, wheelchair, grab bars in bathroom
>>specialized therapies
care of a client following a transfer (ch. 2) -
strategies for cost containment (ch. 4) -
priority nursing action for discharge (ch. 2) -
pacemaker education (ch. 4) -
principles of surgical asepsis
>>Fundamentals (ch. 10) -
time management (p. 7) - *WASTERS*:
-documenting at end of shift
-making repeated trips to the supply room for equipment
-providing care as opportunity arises regardless of other responsibilities
-missing equipment when preparing to perform a procedure
-being reluctant to delegate or underdelegate
, -not asking for help when needed or truing to procide all client care
independently
time savers (p. 7) - -documenting throughout shift
-group activities
-estimate time needed and plan accordingly
-plan non-essential tasks
-delegate
-complete one task before beginning a second
Maslows -
interfacility transfer form -
transfer report form -
discharge summary -
float nurse assignments -
client's rights - -right to be respectful, considerate, and competent care
-right to participate fully in the decision-making process
-right to accept, refuse, or request modification in the plan of care
advocacy - the nurse supports the client in the decisions she makes about
her own health care
responsibility - the nurse upholds obligations
accountability - the nurse answers for personal actions
confidentiality - the nurse protects the privacy of the client and her health
care information
quality monitoring tools - -
transformation leadership - gives group members responsibilities that will
enhance their professional development
participative leadership - *democratic*
QUESTIONS WITH ANSWERS GRADED A+
when a nurse receives an unsafe assignment - -bring the assignment to the
attention of the scheduling/charge nurse and negotiate a new assignment
-if unresolved take it up chain of command
-file a written protest to the assignment
>>assignment despite objection
>>document of practice situations
-failure to accept the assignment without following the proper channels can
be considered client abandonment
inappropriate use of restraints - *assualt*: threatening to place a NG tube in
a pt who is refusing to eat
*battery*: restraining a pt and administering an injection against his wishes
*false imprisonment*: using restraints on a competent client to prevent his
leaving the health care facility
reporting information to the provider (ch. 2) - should be fostered to create a
climate of mutual respect and collaborative practice
*-assessment data integral to changes in client status
-recommendations for changes in the plan of care
-clarification of prescriptions*
*Qualities*:
-good communication
-assertiveness
-conflict negotiation skills
-leadership skills
-professional presence
-decision-making and critical thinking
Decision-making styles:
*decisive* - the team uses a minimum amount of data and generates one
option
Decision-making styles:
,*flexible* - the team uses a limited amount of data and generates several
options
Decision-making styles:
*Hierarchical* - the team uses a large amount of data and generates one
option
Decision-making styles:
*integrative* - the team uses a large amount of data and generates several
options
breach of confidentiality (ch. 3) - -nurses who disclose client information to
an unauthorized person can be liable for invasion of privacy, defamation, or
slander
-*HIPAA rights of pts*
>>client is able to obtain a copy of their medical record and to submit
requests to amend erroneous or incomplete information
>>a requirement for health care and insurance providers to provide written
information about how medical information is used and how it is shared
with other entities
-->permission must be obtained before information is shared
>>the pt has the right to privacy and confidentiality
*components of privacy rule* - -only healthcare team members directly
responsible for the client's care are allowed access to the patients records.
>>nurses may not share information with other clients or staff not involved
in the patient care
-clients have a right to read and obtain a copy fo their medical record, and
agency policy should be followed when the client requests to read or have
a copy of the record
-no part of the client record can be copied except for authorized exchange
of documents between health care institutions
>>transfer from a hospital to an extended care facility
>>exchange of documents between a general practitioner and a specialist
during a consult
-client records must be kept in a secure area to prevent inappropriate
access to information
-client information may not be disclosed to unauthorized individuals,
including family members who request it and individuals who call on the
phone
,>>many hospitals use a code system in which information is only disclosed
to individuals who can provide the code
>>nurses should ask any individual inquiring about a client's health status
for the code and disclose information only when that code is
-communication should only take place in a private setting where it can not
be overheard by unauthorized people
>>change of shift reports are to be done at the bedside as long as the
patient does not have a roommate and no unsolicited visitors are present
>>*DO NOT* use:
-->walking rounds or taped rounds
referral for home oxygen therapy (ch. 2) - -begin discharge planning upon
the client's admission
-evaluate the client/family competencies in relation to home care prior to
discharge
-involve the client and family in care planning
-discharge referrals are based on client needs in relation to actual and
potential problems and can be facilitated with the assistance of social
services, especially if there is a need for:
>>specialized equipment:
-->cane, walker, wheelchair, grab bars in bathroom
>>specialized therapies
care of a client following a transfer (ch. 2) -
strategies for cost containment (ch. 4) -
priority nursing action for discharge (ch. 2) -
pacemaker education (ch. 4) -
principles of surgical asepsis
>>Fundamentals (ch. 10) -
time management (p. 7) - *WASTERS*:
-documenting at end of shift
-making repeated trips to the supply room for equipment
-providing care as opportunity arises regardless of other responsibilities
-missing equipment when preparing to perform a procedure
-being reluctant to delegate or underdelegate
, -not asking for help when needed or truing to procide all client care
independently
time savers (p. 7) - -documenting throughout shift
-group activities
-estimate time needed and plan accordingly
-plan non-essential tasks
-delegate
-complete one task before beginning a second
Maslows -
interfacility transfer form -
transfer report form -
discharge summary -
float nurse assignments -
client's rights - -right to be respectful, considerate, and competent care
-right to participate fully in the decision-making process
-right to accept, refuse, or request modification in the plan of care
advocacy - the nurse supports the client in the decisions she makes about
her own health care
responsibility - the nurse upholds obligations
accountability - the nurse answers for personal actions
confidentiality - the nurse protects the privacy of the client and her health
care information
quality monitoring tools - -
transformation leadership - gives group members responsibilities that will
enhance their professional development
participative leadership - *democratic*
