ATI RN 2.0 Leadership Practice Quiz

A group of providers are participating in a cardiopulmonary resuscitation effort for a client who is in cardiac arrest. Which of the following types of leadership is required for this group to function efficiently? - Autocratic *Autocratic leadership is most efficient in an emergency situation. An autocratic leader will direct and issues commands necessary for successful cardiopulmonary resuscitation. A nurse is caring for a client who is in the bathroom. The nurse hears a loud thud and after opening the bathroom door, finds the client on the floor. What is the nurses first step to asses? - Determine level of consciousness Assertive communication uses "I" statements that describe the person's observations and feelings. It allows the person being confronted to respond to the issue with her own perceptions and feelings instead of feeling verbally assaulted. Subsequently, a verbal discourse that allows an open discussion of the issue can follow. A nurse manager calls a meeting of the unit's staff members to discuss costcontaminment issues - Democratic *This is an example of democratic leadership. A democratic leader guides staff toward reaching an objective and shares responsibility with the staff. This is the ideal type of leadership in this situation because a great amount of creativity can occur and many strategies can be developed. A nurse is preparing to give change of shift report to the oncoming nurse. Which of the following information should the nurse include? - Objective measurements about the client's condition A nurse is caring for a client who is a local public official. A local newspaper reporter repeatedly phones the unit seeking information and states, "it is the public's right to know the health status of elected officials." Which action should the nurse take? - Refer media inquiries to nursing supervisor *The HIPAA Privacy Rule prohibits disclosing client information to individuals not involved in client care without that client's express consent. The reporter should be told that, due to confidentiality issues, no information can be given out about any clients. The nurse should refer the reporter to the nursing supervisor. A nurse is delegating a client care task to an assistive personnel. Which of the following directions should the nurse give the AP? - This client needs to ambulate using a walker three times today *These directions include the type of task to be done, the frequency with which the task is to be performed, the duration of the task, and information about the mechanics of ambulating the client. A nurse is caring for a client who has stage 4 ovarian cancer and has decided to stop treatment and enter hospice care - Advocacy *By following the ethical principle of advocacy, the nurse supports the client in the decisions she makes about her own health care. A charge nurse on a pediatric unit is delegating tasks to an assistive personnel who is pregnant and reports that she is unsure of her immune status. Which of the following clients should the charge nurse assign to the AP? - A 2 year old child who has impetigo contagiosa *This is a safe assignment. If the AP practices universal precautions, there is no risk for contracting impetigo. Impetigo is a superficial skin infection caused by either staphylococcus or streptococcus. A nurse is working with an assistive personnel who appears to be under the influence of alcohol during the night shift. - Ask the nursing supervisor to observe the AP and validate the nurse's suspicion *After gathering data, the nurse must first validate suspicions with another observer, take the appropriate action to safeguard clients, and then document the incident. A nurse is ambulating a client who has an IV with an infusion pump - Turn the pump off *The pump must be turned off immediately to protect the client and the nurse from the risk of electrical injury and fire. The nurse should consider any electrical equipment that shows a sign of malfunction unsafe and place it out of service until the equipment can be checked by the facility's maintenance department. A nurse is discussing with a newly licensed nurse about how to obtain informed consent from a client who is to undergo an epidural procedure. Which of the following principles should the nurse include in the teaching? - autonomy *Informed consent is based on the ethical principle of autonomy, which is the right to self-determination, independence, and freedom of choice. An RN and a licensed practical nurse are caring for a client who has a small bowel obstruction and is NPO with a NG tube set to continuous suction - Assess for bowel sounds every 2 hr *Assessments are within the scope of practice for the RN only. While the LPN can also auscultate the client's abdomen for the presence of sounds, only the RN is qualified to evaluate the sounds and qualify them as hypoactive, normal, or hyperactive. Using quality monitoring tools, a facility committee identifies that clients who have congestive heart failure have an average length of stay this is 5 days instead of the established standard of 3 days - Determine which actions can be instituted to address this problem *Further analysis of data will identify factors that contribute to the longer lengths of stay. Identifying actions to shorten the clients' lengths of stay is the next step in the process. A client in a long term care facility falls out of bed, fracturing his left hip. The side rails on the bed were not raised at bedtime - Negligence *Negligence occurs when a client is exposed to an unreasonable risk of injury. Raised side rails help to decrease the risk of falling out of the bed and are a standard of care for clients who have been identified as at risk for falling. A nurse manager is participating in a root cause analysis following a sentinel event on her unit - The root cause analysis investigates deviations from standards of care surrounding the event *A root cause analysis is a function of quality improvement, the purpose of which is to determine what factors led to a deviation from established standards of care resulting in errors in client care. A nurse in the emergency department is preparing to obtain informed consent for surgery from a client who received meperidine hydrochloride IV during transport from a rural hospital - Obtain consent from a relative of the client *A client who has received meperidine cannot give consent, because the medication can alter the client's ability to understand the consent process. The nurse should obtain consent from a relative of the client. If a relative is unavailable and the surgery is determined to be critical, the surgery can proceed without client consent A nurse is providing discharge teaching about home safety with an older adult client and his family. which of the following statements should the nurse include in the teaching? - You should install a handrail on at least one side of the stairs *In order to decrease potential risk of falls A nurse in an emergency department is caring for four clients. which of the following requires mandatory report? - A child who was left unsupervised for several hours at home and is being treated for a fractured leg *This child exhibits findings of neglect and endangerment. The nurse is a mandatory reporter of any client situation in which children or older adult clients are being abused or neglected. A nurse is caring for four clients who are scheduled for diagnostic tests. Which of the following tests should the nurse obtain written consent from the client? - cerebral arteriogram *A cerebral arteriogram is considered invasive because it involves injecting contrast material into an artery to study the cerebral circulation. Written consent is required. A nurse manager believes that a nurse is taking breaks that are too frequent and lengthy. Which of the following is an assertive statement that the charge nurse should use to initiate discussion of the issue? - I understand you are allowed to take scheduled breaks during each shift, but you are taking more that the number allocated *Assertive communication uses "I" statements that describe the person's observations and feelings. It allows the person being confronted to respond to the issue with her own perceptions and feelings instead of feeling verbally assaulted. Subsequently, a verbal discourse that allows an open discussion of the issue can follow. A nurse is working with an assistive personnel in a long term care facility. According to the five rights of delegation, which of the following determinations should the nurse make prior to assignment of tasks? - The degree of supervision that the AP will require to complete the task *Successful delegation involves assigning the right task to the right person under the right circumstance. The person that is to perform the task must be given adequate direction and specification regarding the amount of supervision that will be provided. The right communication of expectations and the right feedback on performance must also be supplied. A charge nurse is making assignments for an oncoming shift. Which of the following clients should the charge nurse assign to a LPN? - A client who is disoriented and awaiting transfer to a long term care facility *A client who is disoriented will need observation and reality orientation, which is within the LPN's scope of practice. The client's condition can also be categorized as stable since discharge to a long-term care facility is scheduled. A nurse is caring for several clients who require diagnostic testing and is delegating tasks to an assistive personnel. Which of the following tasks should the nurse direct the AP to perform first? - Take an arterial blood gas specimen to the laboratory