ATI LEADERSHIP PROCTOR 2023

ATI LEADERSHIP PROCTOR 2023 how to prioritize client care - CORRRECT ANSWER o Systemic before local o Acute before chronico Actual problems before potential oneso Listen carefully to clients and do not assumeo Recognize and response to trends vs transit findingso Recognize indications of medical emergencies and complications vs expected findingso Apply clinical knowledge to procedural standards to determine the priority action what is client care assignments - CORRRECT ANSWER o Assigning is performed in a downward or lateral manner with regard to members of the healthcare team what are the client factors - CORRRECT ANSWER Condition of client and level of care needed Specific care needs such as cardiac monitoring or ventilation mechanical Special precaution needs such as isolation or fall precautions or seizures, procedures requiring time commitments what are the health care team factors - CORRRECT ANSWER Knowledge and skill levels of the team members Supervision that is necessary Nurse to client ratio Experience with similar clients Familiarity of staff member with unit what are the additional factors - CORRRECT ANSWER If receiving an unsafe assignment, the nurse should bring the unsafe assignment to the attention of the scheduling charge nurse and negotiate new assignment, if the issue is not resolve, take the concern up the chain of command Nurse should file a written protest to the assignment such as an assignment despite objection (ADO) or document of practice situation (DOPS) with the appropriate administrator If not follow proper failure to accept the assignment following proper channels could be considered client abandonment. what are the delegations for an ap - CORRRECT ANSWER ADLS Bathing, dressing, toileting, ambulating, feeding if pt has no problems with swallowing Positioning Routine task, bed making Specimen collection Intake and output Vital signs for stable clients what is QI - CORRRECT ANSWER Standards of care should reflect optimal goals and based on evidence what are outcome indicators - CORRRECT ANSWER client outcomes related to standard under review what are structure indicators - CORRRECT ANSWER setting in which care is provided and the available human and material resources what are the process indicators - CORRRECT ANSWER how client care is provided and are established by policies and procedures (clinical practice guidelines) what are benchmarks - CORRRECT ANSWER are goals that are set to determine at what level the outcome indicators should be met Focuses on assessment of outcomes and determines ways to improve the delivery of quality care. who requires institutions to show evidence of QI in order to attain accreditation - CORRRECT ANSWER joint commission What are the leadership styles? - CORRRECT ANSWER autocratic, democratic, laissez-faire What is autocratic leadership? - CORRRECT ANSWER The leader exerts complete control. What is democratic leadership? - CORRRECT ANSWER This style can be a problemsolving style. Group members feel safe to express views, thoughts, and feelings. What is laissez-faire leadership - CORRRECT ANSWER a policy or attitude of letting things take their own course, without interfering. Emotional intelligence - CORRRECT ANSWER is the ability of an individual to perceive and manage the emotions of self and others. What is assigning? - CORRRECT ANSWER transfers authority, accountability and responsibility of client care to another member of the health care team. what is delegating - CORRRECT ANSWER is the process of transferring the authority and responsibility to another team member to complete a task while retaining accountability