ATI Comprehensive Test Exam with Reviewed Answers 2023

ATI Comprehensive Test Exam with Reviewed Answers 2023 Authoritative Leadership Makes decisions for the group. Motivates by coercion. Communication occurs down the chain of command. Work output by staff is usually high: good for crisis situations and bureaucratic settings. Effective for employees with little or no formal education. Democratic Leadership Includes the group when decisions are made. Motivates by supporting staff achievements. Communication occurs up and down the chain of command. Work output by staff is usually of good quality: good when cooperation and collaboration are necessary Laissez‑faire Leadership Makes very few decisions, and does little planning. Motivation is largely the responsibility of individual staff members. Communication occurs up and down the chain of command and between group members. Work output is low unless an informal leader evolves from the group. Effective with professional employees Priority Interventions First: Airway -Identify an airway concern (obstruction, stridor). -Establish a patent airway if indicated. -Recognize that 3 to 5 min without oxygen causes irreversible brain damage secondary to cerebral anoxia. Second: Breathing -Assess the effectiveness of breathing (apnea, depressed respiratory rate). -Intervene as appropriate (reposition, administer naloxone). Third: Circulation =Identify circulation concern (hypotension, dysrhythmia, inadequate cardiac output, compartment syndrome). -Institute appropriate actions to reverse or minimize circulatory alteration. Fourth: Disability -Assess for current or evolving disability (neurological deficits, stroke in evolution). -Implement actions to slow down development of disability. Fifth: Exposure -Remove the client's clothing to allow for a complete assessment or resuscitation -Implement measures to reduce the risk for hypothermia by providing warm blankets and IV solutions and using a heating device if needed Acute vs. chronic, urgent vs. nonurgent, stable vs. unstable A client who has an acute problem takes priority over a client who has a chronic problem. A client who has an urgent need takes priority over a client who has a nonurgent need. A client who has unstable findings takes priority over a client who has stable findings Five Rights of Delegation RIGHT task RIGHT circumstance RIGHT person RIGHT direction and communication RIGHT supervision and evaluation Five Stages of Nursing Ability Novice nurse, advanced beginner, competent nurse, proficient nurse, expert Novice nurse novice nurses can be students or newly licensed nurses who have minimal clinical experience. they approach situations from theoretical perspective relying on context‑free facts and established guidelines. rules govern practice Advanced Beginner Nurse Most new nurses function at the level of the advanced beginner. they practice independently in the performance of many tasks and can make some clinical judgments. they begin to rely on prior experience to make practice decisions