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Leadership ATI Cards Exam With 100% Correct And Verified Answers
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Leadership ATI Cards Exam With 100% Correct And Verified Answers
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Leadership ATI Cards Exam With 100% Correct And Verified AnswersLeadership Styles: Authoritative, Democratic, Laissez-faire - Correct Answer-
Authoritative: Leader dictates decision fo the tea, use penalties and/or coercion to promote behavior change Democratic: Leader involves team member in decision-making process. Characterized by team cooperation, resulting in higher quality results
Laissez-faire: (hint=lazy) Leader provides little direction., planning. Emphasis is on group decision-making. Team result may be lacking.
ABCDE Principle in Nursing - Correct Answer-A (Airway): ensure patent airway. Stabilize cervical spine if neck/head trauma is suspected
B (breathing): assess for RR
C (circulation): check HR, BP and cap refill
D (disability): assess patient LOC
E (exposure): assess patient's body for trauma, exposure to heat/cold
Prioritization of patient care (part 1 of 3) - Correct Answer-ASSESS before taking ACTION: Ex: Pt reports dyspnea. Check O2, listen to breath sounds BEFORE notifying provider.
Ex: Check patient blood sugar BEFORE giving insulin
Prioritize UNSTABLE over STABLE pts:
Patients with expected findings for their medical diagnosis are stable. They are NOT priority.
Ex: COPD pt with SpO2 in low 90s, stroke patient with facial drooping, MS pt with ataxia
are all STABLE (ie NOT the priority)
Prioritization of patient care (part 2 of 3) - Correct Answer-Prioritize ACUTE over CHRONIC conditions:
Ex: a pt with an acute condition (ex. Abnormal vital sins or urine output <30ml/hr) takes priority over a pt with a chronic medical condition (ex. pressure ulcer)
Prioritize SYSTEMIC over LOCAL issues:
Ex: A pt with systemic symptoms (ex fever, hypotension, tachypnea, tachycardia) takes priory over a pt experiencing local symptoms (ex: leg pain and erythema)
Prioritization of patient care (part 3 of 3) - Correct Answer-Prioritize interventions using ABCDE framework: Ex: administrating O2 as ordered for a patine with dyspnea is prioritized OVER giving a pt pain medication. HINT: ADMINISTERING PAIN MEDS IS RARELY THE PRIORITY!
Prioritize using Maslow's Hierarchy of needs:
Ex: physiological needs takes precedence over need for shelter, love, self-esteem, etc
Choose LEAST invasive interventions FIRST:
Ex: Move pt at risk for falls near nursing station (and use bed alarm) instead of placing restraints
Efficient Nursing Practice : Good time management techniques - Correct Answer--Make
time to prioritize and plan at the beginning of each shift.
-complete charting as soon as possible after intervention (DO NOT wait until the end of you shift to chart you assessment or interventions)
-group tasks for a single pt (or for multiple in the same location) to prevent repeated trips to supply rm.
-Complete difficult or time-consuming tasks early in the shift (when energy is higher)
-Perform non-essential tasks later in the day
-complete tasks before starting new ones
-know when to delegate and ask for help
-Do not help other team member with low priority tasks when you still have outstanding tasks
Delegation: What tasks should the RN NOT delegate?
What tasks can the RN delegate to a PN (i.e LVN)?
What tasks can the RN delegate to assistive personnel (i.e CNA)? - Correct Answer-RN
should not delegate: Patient education, any task that requires nursing judgment, nursing
assessment, blood transfusions.
OK to delegate to PN: Medication administration, eternal feeding, urinary catheter insertion, suction, tracheostomy care, wound care, reinforcement of patient teaching.
OK to delegate to CNA: bathing, ambulating, dressing, toileting, feeding pt without swallowing precaution, positioning, VS, bed making, specimen collection, I&O's, basic CPR.
Delegation:
What are the 5 rights of delegation? - Correct Answer-*Right task: repetitive, non-
invasive, doesn't require much supervision *Right circumstances: DO NOT ASSIGN A PT WHO IS UNSTABLE
*Right person: make sure delegate is competent t and operating within their scope of practice. check facility's job descriptions or the individual's skill competency checklist. *Right direction and communication: communicate specific details of task, timeline for completion, and expectation for communicating the finding back to you.
*Right supervision and evaluation: intervene if needed, provide feedback, if delegate reports results outside the expected range, asses patient and recheck yourself!
Quality Improvement: What is it? Steps? - Correct Answer-Quality improvement: Process used to improve quality of care and/or correct performance deficiencies on a unit or team. Steps:
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