ATI LEADERSHIP PROCTORED EXAM
1. A nurse is describing a patient’s perceived ability to successfully complete a
task. Which term should the nurse use to describe this attribute?
a. Self-efficacy
b. Motivation
c. Attentional set
d. Active participation
ANS: A
Self-efficacy, a concept inclu...
1. A nurse is describing a patient’s perceived ability to successfully complete a
task. Which term should the nurse use to describe this attribute?
a. Self-efficacy
b. Motivation
c. Attentional set
d. Active participation
ANS: A
Self-efficacy, a concept included in social learning theory, refers to a person’s
perceived ability to successfully complete a task. Motivation is a force that acts
on or within a person (e.g., an idea, an emotion, a physical need) to cause the
person to behave in a particular way. An attentional set is the mental state that
allows the learner to focus on and comprehend a learning activity. Learning
occurs when the patient is actively involved in the educational session.
2. A toddler is going to have surgery on the right ear. Which teaching method
is most appropriate for this developmental stage?
a. Encourage independent learning.
b. Develop a problem-solving scenario.
c. Wrap a bandage around a stuffed animal’s ear.
d. Use discussion throughout the teaching session.
ANS: C
Use play to teach a procedure or activity (e.g., handling examination equipment,
applying a bandage to a doll) to toddlers. Encouraging independent learning is
for the young or middle adult. Use of discussion is for older children,
adolescents, and adults, not for toddlers. Use problem solving to help
adolescents make choices.
Problem solving is too advanced for a toddler.
3. A nurse is preparing to teach a patient about smoking cessation. Which
factors should the nurse assess to determine a patient’s ability to learn?
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b. Stage of grieving and overall physical health
c. Developmental capabilities and physical capabilities
d. Psychosocial adaptation to illness and active participation
ANS: C
Developmental and physical capabilities reflect one’s ability to learn.
Sociocultural background and motivation are factors determining readiness to
learn. Psychosocial adaptation to illness and active participation are factors in
readiness to learn. Readiness to learn is related to the stage of grieving. Overall
physical health does reflect ability to learn; however, because it is paired here
with stage of grieving (which is a readiness to learn factor), this is incorrect.
4. A nurse is teaching a patient about heart failure. Which environment will the
nurse use?
a. A darkened, quiet room
b. A well-lit, ventilated room
c. A private room at 85° F temperature
d. A group room for 10 to 12 patients with heart failure
ANS: B
The ideal environment for learning is a room that is well lit and has good
ventilation, appropriate furniture, and a comfortable temperature. Although a
quiet room is appropriate, a darkened room interferes with the patient’s ability to
watch your actions, especially when demonstrating a skill or using visual aids
such as posters or pamphlets. A room that is cold, hot, or stuffy makes the patient
too uncomfortable to focus on the information being presented. Learning in a
group of six or less is more effective and avoids distracting behaviors.
5. Which assessment finding will cause the nurse to begin teaching a patient
because the patient is ready to learn?
a. A patient has the ability to grasp and apply the elastic bandage.
A patient has sufficient upper body strength to move from a bed to a
b. wheelchair.
A patient with a below-the-knee amputation is motivated about how to
c. walk with assistive devices.
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