Ati Leadership Practice B Test Questions – Flashcards

assign client care to staff Rationale: meeting patient's needs are first priority (Maslow's Hierachy).

check the urinary output at 1100 for John Doe and report it to me immediately Rationale: RN is following 5 rights of delegation, (right direction/communication) by including data to collect client-specific info, time line and detailed communication of findings back to nurse

check pt's leg 10 mins after applying pad Rationale: greatest risk is injury from heat application and altered mental status; its nurse's responsibility to f/u after applying this type of device and the priority action

-issue informal verbal reprimand -give nurse a formal written reprimand -suspend nurse w/o pay -terminate nurse's employment Rationale: First step is counseling the employee. Manager should ensure nurse understands position expectations. Manager must explain what has to be done to correct behavior. If it continues a written reprimand is issued and nurse must sign acknowledgement of issue discussion. If performance doesn't improve suspension occurs followed with termination as last step.

have grandmother sign consent Rationale: Nurse should assist in obtaining consent from grandmother since it's emergency and parents aren't available

home health Rationale: home health agency can provide visiting nurses who will help new mother learn necessary skills and assess progress of infant

use benchmarks to establish practice standards Rationale: first step is to use benchmarks to establish standards when using quality control process

adult w/ femur fracture reporting SOB Rationale: this is highest priority (ABC approach)

pt w/hx of esophageal varices w/ diaphoresis and pallor Rationale: manifestations indicate that pt could be hemorrhaging from ruptured esophageal varices (Urgent vs. Non-urgent approach)

review AP's skill competency checklist Rationale: checklist should validate if she has demonstrated ability to safely perform procedure

explore alternative solutions to address unit workflow with nurses Rationale: exploring alternatives allows nurses to collaborate and has high probability that they will reach solution

report issue to nurse manager Rationale: its's nurse manager's responsibility to ensure standards of care are met

there must be documentation in medical record about whether pt has advance directives -Rationale: advance directives must be documented in pt's med records in order to provide medical care based on pt's wishes

grouping activities for several pts in the same location Rationale: demonstrates time effective skills

pt refuses to attend PT sessions Rationale: greatest risk is post-op complications due to immobility, so pt's refusal of PT is priority