ATI Capstone Leadership & Community
Health
A charge nurse allows two nurses who are arguing about who gets to go to lunch first to go
together. The charge nurse agrees to take care of both of the nurses' clients while they are at
lunch. The charge nurse is demonstrating which of the following types of conflict management?
Avoiding
Competing
Compromising
Cooperating - ANS-Cooperating;
The charge nurse displayed cooperating, which is the resolution of the conflict by sacrificing. In
this situation, it allowed both staff nurses to get what they wanted.
A staff member who is suspected of having chemical impairment is meeting with a charge
nurse. Which of the following findings should the nurse identify as an indication of chemical
impairment?
Increased attention to meeting deadlines
Capacity to feel emotions Asks others to administer controlled substances for them
Increased socialization - ANS-Emotional lability;
The charge nurse should identify emotional lability, or mood swings, as an indication the nurse
might be chemically impaired. Other indicators can include telling unusual or exaggerated
stories about life events and providing excuses for not performing work.
An educational session on addictive disorders for nursing staff is being prepared by a charge
nurse. Which of the following should the nurse include as an etiological factor of addictive
disorders? (pick all relevant options). Being female
low self-worth Family history of addiction
Personality disorders
Asian descent—ANS—Low self-esteem Family history of addiction
Personality disorders;
Addiction disorders affect men more frequently than women do. Low self-esteem is considered
a psychological factor associated with addictive disorders. Family history of addiction is an
etiological factor associated with addictive disorders. Research supports the link between
personality disorders and addictive disorders. Clients of Asian ethnicity have a lower rate of
addictive disorders compared to other ethnicities.
A shift change report is being received by a charge nurse. Which of the following situations
should the charge nurse identify as needing an incident report?
A constant passive movement (CPM) machine stops working while being used by a client
following total knee replacement surgery.
A client who did not want any artificial life support in their living will passes away within four
hours of being taken off mechanical ventilation. When exiting the facility, a visitor trips but does
, not fall or get hurt. A client's family member complains about visits from another family member.
- ANS-A constant passive movement (CPM) machine stops working while being used by a client
following total knee replacement surgery;
The nurse should plan to complete an incident report any time there is a malfunction or failure
of a piece of medical equipment being used by a client. Medical equipment should be checked
and maintained regularly by the facility's engineering department. Any defects should be
reported so that future occurrences are prevented.
A charge nurse is receiving report for a group of clients. The nurse ought to make a plan to
follow up with which of the following. A client who states they do not want resuscitation in an
emergency, but does not have a DNR prescription on the medical record
A client who is unconscious, does not have a living will, and whose family consents for limb
amputation surgery
An emancipated minor declined chemotherapy and the provider cancelled the prescription
ANS-A client who states they do not want resuscitation in an emergency but does not have a
DNR prescription on the medical record; ANS-A client who designates their adult child as the
health care surrogate rather than their partner. In an emergency, clients have the right to decline
resuscitation and can opt for a DNR prescription after providing informed consent. In this
situation, however, the medical record must contain documentation of the discussion and a
prescription from the provider to be upheld legally. The nurse should contact the provider to
obtain a prescription for the DNR.
A charge nurse is working with an assistive personnel (AP) who provides excellent care to
clients and is an effective team member. In order for the nurse to acknowledge the AP's
contributions to client care, which of the following actions should she begin with? Give positive
feedback directly to the AP.
Inform other nurses about the AP's value to the team. Nominate the AP for the Employee of the
Month award.
Detail the AP's contributions to the nurse manager. - ANS-Give positive feedback directly to the
AP;
Positive reinforcement is one of the most effective ways to recognize an employee's ability and
to motivate the employee.
A community health nurse is reviewing information about infectious diseases with the nurses on
her team. The nurse should remind the team that which of the following diseases are included
in the list of nationally notifiable infectious diseases? (pick all relevant options). Trichomonas
vaginalis
Chlamydia
Gonorrhea
Chancroid
ANS-Chlamydia - Candidiasis albicans Gonorrhea
Chancroid;
Trichomonas vaginalis is a sexually transmitted infection that occurs in women more often than
men, but it is not on the list of nationally notifiable infectious diseases. Chlamydia is a sexually
transmitted infection. The public health department is informed when a client is diagnosed with
chlamydia so that sexual partners can be informed and treated. Sexually transmitted gonorrhea
is a disease. The public health department is informed when a client is diagnosed with
Health
A charge nurse allows two nurses who are arguing about who gets to go to lunch first to go
together. The charge nurse agrees to take care of both of the nurses' clients while they are at
lunch. The charge nurse is demonstrating which of the following types of conflict management?
Avoiding
Competing
Compromising
Cooperating - ANS-Cooperating;
The charge nurse displayed cooperating, which is the resolution of the conflict by sacrificing. In
this situation, it allowed both staff nurses to get what they wanted.
A staff member who is suspected of having chemical impairment is meeting with a charge
nurse. Which of the following findings should the nurse identify as an indication of chemical
impairment?
Increased attention to meeting deadlines
Capacity to feel emotions Asks others to administer controlled substances for them
Increased socialization - ANS-Emotional lability;
The charge nurse should identify emotional lability, or mood swings, as an indication the nurse
might be chemically impaired. Other indicators can include telling unusual or exaggerated
stories about life events and providing excuses for not performing work.
An educational session on addictive disorders for nursing staff is being prepared by a charge
nurse. Which of the following should the nurse include as an etiological factor of addictive
disorders? (pick all relevant options). Being female
low self-worth Family history of addiction
Personality disorders
Asian descent—ANS—Low self-esteem Family history of addiction
Personality disorders;
Addiction disorders affect men more frequently than women do. Low self-esteem is considered
a psychological factor associated with addictive disorders. Family history of addiction is an
etiological factor associated with addictive disorders. Research supports the link between
personality disorders and addictive disorders. Clients of Asian ethnicity have a lower rate of
addictive disorders compared to other ethnicities.
A shift change report is being received by a charge nurse. Which of the following situations
should the charge nurse identify as needing an incident report?
A constant passive movement (CPM) machine stops working while being used by a client
following total knee replacement surgery.
A client who did not want any artificial life support in their living will passes away within four
hours of being taken off mechanical ventilation. When exiting the facility, a visitor trips but does
, not fall or get hurt. A client's family member complains about visits from another family member.
- ANS-A constant passive movement (CPM) machine stops working while being used by a client
following total knee replacement surgery;
The nurse should plan to complete an incident report any time there is a malfunction or failure
of a piece of medical equipment being used by a client. Medical equipment should be checked
and maintained regularly by the facility's engineering department. Any defects should be
reported so that future occurrences are prevented.
A charge nurse is receiving report for a group of clients. The nurse ought to make a plan to
follow up with which of the following. A client who states they do not want resuscitation in an
emergency, but does not have a DNR prescription on the medical record
A client who is unconscious, does not have a living will, and whose family consents for limb
amputation surgery
An emancipated minor declined chemotherapy and the provider cancelled the prescription
ANS-A client who states they do not want resuscitation in an emergency but does not have a
DNR prescription on the medical record; ANS-A client who designates their adult child as the
health care surrogate rather than their partner. In an emergency, clients have the right to decline
resuscitation and can opt for a DNR prescription after providing informed consent. In this
situation, however, the medical record must contain documentation of the discussion and a
prescription from the provider to be upheld legally. The nurse should contact the provider to
obtain a prescription for the DNR.
A charge nurse is working with an assistive personnel (AP) who provides excellent care to
clients and is an effective team member. In order for the nurse to acknowledge the AP's
contributions to client care, which of the following actions should she begin with? Give positive
feedback directly to the AP.
Inform other nurses about the AP's value to the team. Nominate the AP for the Employee of the
Month award.
Detail the AP's contributions to the nurse manager. - ANS-Give positive feedback directly to the
AP;
Positive reinforcement is one of the most effective ways to recognize an employee's ability and
to motivate the employee.
A community health nurse is reviewing information about infectious diseases with the nurses on
her team. The nurse should remind the team that which of the following diseases are included
in the list of nationally notifiable infectious diseases? (pick all relevant options). Trichomonas
vaginalis
Chlamydia
Gonorrhea
Chancroid
ANS-Chlamydia - Candidiasis albicans Gonorrhea
Chancroid;
Trichomonas vaginalis is a sexually transmitted infection that occurs in women more often than
men, but it is not on the list of nationally notifiable infectious diseases. Chlamydia is a sexually
transmitted infection. The public health department is informed when a client is diagnosed with
chlamydia so that sexual partners can be informed and treated. Sexually transmitted gonorrhea
is a disease. The public health department is informed when a client is diagnosed with
