ATI LEADERSHIP PROCTORED MAIN EXAMIATION TEST QUESTIONS AND SOLUTIONS MARKED A+

ATI LEADERSHIP PROCTORED MAIN EXAMIATION TEST
QUESTIONS AND SOLUTIONS MARKED A+
✔✔Nurses must ______ ______ and _______ priorities in order to meet the needs of
multiple clients and to maintain client safety - ✔✔continuously set and reset

✔✔Prioritize _________ before ____________
Life before limb - ✔✔SYSTEMIC before LOCAL (life before limb)

✔✔Prioritize ____________ (less opportunity) before _____________ (greater
opportunity) - ✔✔ACUTE (less opportunity for physical adaption) before CHRONIC
(greater opportunity for physical adaption)

✔✔Prioritize __________ problems before ______________ _________ problems -
✔✔ACTUAL problems before POTENTIAL FUTURE problems

✔✔Listen carefully to clients and don't ____________ - ✔✔ASSUME

✔✔recognize and respond to ________ vs _________ finding - ✔✔TRENDS vs.
TRANSIENT findings

✔✔Recognize indications of ___________ __________ and _________ vs.
_______________ findings - ✔✔MEDICAL EMERGENCIES and COMPLICATIONS vs.
EXPECTED findings

✔✔apply ________ ________ to procedural standards to determine the priority action -
✔✔CLINICAL KNOWLEDGE

✔✔Priority Setting Frameworks - ✔✔1. Maslow's Hierarchy
2. Airway , Breathing , Circulation (ABC's)
3. Safety/Risk reduction
4. Assessment/data collection First
5. Survival potential
6. Least restrictive/least invasive
7. Acute vs Chronic, Urgent vs. non urgent, Stable vs. Unstable

✔✔Maslow's Hierarchy of Needs - ✔✔1. physiological
2. Safety and Security
3. Love and belonging
4. Self-esteem
5. Self-actualization

✔✔ABC's framework - ✔✔1. Airway
2. Breathing

,3. Circulation
4. Disability
5. Exposure

✔✔Safety/risk reduction framework - ✔✔look for safety risk. Ask what the risk to the
client is. Give priority to respond to the greatest risk to clients well-being

✔✔Assessment/data collection framework - ✔✔use process to gather information prior
to making a decision regarding a plan of action

✔✔Survival Potential Framework - ✔✔used in situations in which health resources are
extremely limited (mass casualty, disaster triage)
Give priority to clients who have a reasonable change of survival.

✔✔Least restrictive/least invasive framework - ✔✔select interventions that maintain
client safety while posing the least amount of restriction to client

✔✔Acute vs chronic framework - ✔✔acute problems take priority over chronic problems

✔✔Urgent vs non urgent framework - ✔✔urgent needs take priority over non urgent
needs

✔✔Stable vs unstable framework - ✔✔unstable findings take priority over stable
findings

✔✔Time management benefits - ✔✔1. Facilitates greater productivity
2. Decreases work-related stress
3. Helps ensure the provision of quality and appropriately prioritized client care
4. Enhances satisfaction with client provided

✔✔process of transferring the authority, accountability, and responsibility of client care
to another member of the health care team - ✔✔assigning

✔✔process of transferring the authority and responsibility to another team member to
complete a task, while retaining the accountability - ✔✔delegating

✔✔process of directing, monitoring, and evaluating the performance of tasks another
member of the health care team. - ✔✔supervising
Ex: RN are supervise tasks delegated to AP and PN

✔✔RN's CANNOT delegate what? - ✔✔Nursing process, client education, or tasks that
require clinical judgment to Pos or AP

✔✔What needs to be thought out before delegation? - ✔✔1. Predictability of outcome

, 2. Potential for harm
3. Complexity of care
4. Need for problem solving and innovation
5. Level of interaction with client

✔✔5 rights of delegation - ✔✔1. Right task (what tasks the nurse delegate)
2. Right circumstance (under what circumstance)
3. Right person (to whom)
4. Right direction/communication (what information should be communicated)
5. Right supervision/evaluation (how to supervise/evaluate)

✔✔Right task - ✔✔1. Identify what tasks are appropriate to delegate for each specific
client
-is repetitive, requires little supervision, and relatively noninvasive to client

✔✔Right circumstance - ✔✔1. assessing health status and complexity of care required
by client;
-match complexity of care to skill level; also consider workload of member

✔✔Right person - ✔✔1. assess and verify the competency of the healthcare team
member
-make sure it's within their scope of practice

✔✔Right direction/communication - ✔✔Communicate verbally or in writing
Steps: collect data, report concerns/findings, specific tasks to be performed, expected
results, time lines, and expectations for follow-up communication

✔✔Right supervision/evaluation - ✔✔Supervise directly or indirectly;
Provide clear directions and expectations; monitor performance; provide feedback;
intervene if necessary; evaluate and determine if clients outcomes were met; and
identify needs for quality improvement and/or additional resources

✔✔Orientation to the institution - ✔✔1. introduced to philosophy, mission, and goals of
institution and department
2. Policies and procedures based on institutional standards
3. Use of and access to institutions computers system
4. Safety and security protocols are emphasized

✔✔Orientation to the Unit - ✔✔1. Classroom orientation and onto unit with assigned
preceptor
2. Preceptor orienting to a unit and supervising their performance and acquisition of
skills
3. Preceptors are assigned for a limited amount of time
4. Mentors may be assigned and their relationship usually lasts longer and focuses
more on assumption of professional role and relationship