LEADERSHIP AND MANAGEMENT ATI COMPREHENSIVE EXAM STUDYGUIDE!
2 views 0 purchase
Course
Leadership and Management ATI
Institution
Leadership And Management ATI
LEADERSHIP AND MANAGEMENT ATI COMPREHENSIVE EXAM STUDYGUIDE!
Which is a recommended guideline for safe computerized charting?
Passwords to the computer system should only be changed if lost.
2.
Computer terminals may be left unattended during client-care activities.
3.
Accidental deletion...
leadership and management ati comprehensive exam s
Written for
Leadership and Management ATI
All documents for this subject (29)
Seller
Follow
LectAziim
Reviews received
Content preview
LEADERSHIP AND MANAGEMENT ATI
COMPREHENSIVE EXAM STUDYGUIDE!
Which is a recommended guideline for safe computerized charting?
Passwords to the computer system should only be changed if lost.
2.
Computer terminals may be left unattended during client-care activities.
3.
Accidental deletions from the computerized file need to be reported to the nursing manager or
supervisor. (correct)
4.
Copies of printouts from computerized files should be kept on a clipboard at the nurses' station for
other nurses to access.
rationale: After any inadvertent deletions of permanent computerized records, the nurse should type
an explanation into the computer file with the date, time, and his or her initials. The nurse should also
contact the nursing manager or supervisor with a written explanation of the situation. Options 1, 2,
and 4 represent unsafe charting actions. Only option 3 follows the guidelines for safe computer
charting.
The licensed practical nurse (LPN) enters a client's room and finds the client sitting on the floor. The
LPN calls the registered nurse, who checks the client thoroughly and then assists the client back into
bed. The LPN completes an incident report, and the nursing supervisor and health care provider (HCP)
are notified of the incident. Which is the next nursing action regarding the incident?
Place the incident report in the client's chart.
2.
Make a copy of the incident report for the HCP.
3.
Document a complete entry in the client's record concerning the incident. (correct)
4.
Document in the client's record that an incident report has been completed
RATIONALE: The incident report is confidential and privileged information, and it should not be
copied, placed in the chart, or have any reference made to it in the client's record. The incident report
is not a substitute for a complete entry in the client's record concerning the incident.
An unconscious client, bleeding profusely, is brought to the emergency department after a serious
accident. Surgery is required immediately to save the client's life. With regard to informed consent for
the surgical procedure, which is the best action?
Call the nursing supervisor to initiate a court order for the surgical procedure.
2.
Try calling the client's spouse to obtain telephone consent before the surgical procedure.
3.
Ask the friend who accompanied the client to the emergency department to sign the consent form.
4.
,Transport the client to the operating department immediately, as required by the health care
provider, without obtaining an informed consent. (CORRECT)
RATIONALE: Generally there are only two instances in which the informed consent of an adult client is
not needed. One instance is when an emergency is present and delaying treatment for the purpose of
obtaining informed consent would result in injury or death to the client. The second instance is when
the client waives the right to give informed consent. Options 1, 2, and 3 are inappropriate
The nurse arrives at work and is told to report (float) to the pediatric unit for the day because the unit
is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the
pediatric unit. Which is the appropriate nursing action?
.
Call the hospital lawyer.
2.
Call the nursing supervisor.
3.
Refuse to float to the pediatric unit.
4.
Report to the pediatric unit and identify tasks that can be safely performed (correct)
RATIONALE: Floating is an acceptable legal practice used by hospitals to solve their understaffing
problems. Legally the nurse cannot refuse to float unless a union contract guarantees that the nurse
can only work in a specified area or the nurse can prove a lack of knowledge for the performance of
assigned tasks. When faced with this situation, the nurse should identify potential areas of harm to
the client
The nurse enters a client's room and notes that the client's lawyer is present and that the client is
preparing a living will. The living will requires that the client's signature be witnessed, and the client
asks the nurse to witness the signature. Which is the appropriate nursing action?
Decline to sign the will. (CORRECT)
2.
Sign the will as a witness to the signature only.
3.
Call the hospital lawyer before signing the will.
4.
Sign the will, clearly identifying credentials and employment agency.
RATIONALE: Living wills are required to be in writing and signed by the client. The client's signature
either must be witnessed by specified individuals or notarized. Many states prohibit any employee
from being a witness, including the nurse in a facility in which the client is receiving care.
The nurse finds the client lying on the floor. The nurse calls the registered nurse, who checks the
client and then calls the nursing supervisor and the health care provider to inform them of the
occurrence. The nurse completes the incident report for which purpose?
roviding clients with necessary stabilizing treatments
2.
,A method of promoting quality care and risk management (correct)
3.
Determining the effectiveness of interventions in relation to outcomes
4.
The appropriate method of reporting to local, state, and federal agencies
RATIONALE: Proper documentation of unusual occurrences, incidents, accidents, and the nursing
actions taken as a result of the occurrence are internal to the institution or agency. Documentation on
the incident report allows the nurse and administration to review the quality of care and determine
any potential risks present. Options 1, 3, and 4 are incorrect.
The nurse observes that a client received pain medication 1 hour ago from another nurse, but the
client still has severe pain. The nurse has previously observed this same occurrence. Based on the
nurse practice act, the observing nurse should plan to take which action?
Report the information to the police.
2.
Call the impaired nurse organization.
3.
Talk with the nurse who gave the medication.
4.
Report the information to a nursing supervisor. (CORRECT)
RATIONALE: Nurse practice acts require reporting the suspicion of impaired nurses. The state board of
nursing has jurisdiction over the practice of nursing and may develop plans for treatment and
supervision. This suspicion needs to be reported to the nursing supervisor, who will then report to the
board of nursing. Options 1 and 2 are inappropriate. Option 3 may cause a conflict.
A nurse lawyer provides an education session to the nursing staff regarding client rights. The nurse
asks the lawyer to describe an example that may relate to invasion of client privacy. Which nursing
action indicates a violation of client privacy?
Threatening to place a client in restraints
2.
Performing a surgical procedure without consent
3.
Taking photographs of the client without consent (CORRECT)
4.
Telling the client that he or she cannot leave the hospital
RATIONALE: Invasion of privacy takes place when an individual's private affairs are intruded on
unreasonably. Threatening to place a client in restraints constitutes assault. Performing a surgical
procedure without consent is an example of battery. Not allowing a client to leave the hospital
constitutes false imprisonment
An older woman is brought to the emergency department. When caring for the client, the nurse notes
old and new ecchymotic areas on both of the client's arms and buttocks. The nurse asks the client
, how the bruises were sustained. The client, although reluctant, tells the nurse in confidence that her
daughter frequently hits her if she gets in the way. Which is the appropriate nursing response?
I have a legal obligation to report this type of abuse." (CORRECT)
2.
"I promise I won't tell anyone, but let's see what we can do about this."
3.
"Let's talk about ways that will prevent your daughter from hitting you."
4.
"This should not be happening. If it happens again, you must call the emergency department."
RATIONALE: Confidential issues are not to be discussed with nonmedical personnel or with the client's
family or friends without the client's permission. Clients should be assured that information is kept
confidential unless it places the nurse under a legal obligation. The nurse must report situations
related to child, older adult abuse, and other types of abuse, depending on state laws; gunshot
wounds; stabbings; and certain infectious diseases.
The nurse is recording a nursing hands-off (end-of-shift) report for a client. Which information needs
to be included?
As-needed medications given that shift (correct)
2.
Normal vital signs that have been normal since admission
3.
All of the tests and treatments the client has had since admission
4.
Total number of scheduled medications that the client received on that shift
RATIONALE: The nursing hands-off (end-of-shift) report needs to be an efficient and accurate account
of the client's condition during the last shift. It needs to include pertinent information about the
client, such as tests and treatments; as-needed medications given or therapies performed during the
past 24 hours, including the client's response to them; changes in the client's condition; scheduled
tests and treatments; current problems; and any other special concerns. It is not necessary to include
the total number of medications given or a list of all the tests and treatments that the client has had
since admission. Only significant vital signs need to be included.
The nurse is planning the client assignments for the day. Which is the most appropriate assignment
for the unlicensed assistive personnel (UAP)?
A client who requires wound irrigation
2.
A client who requires frequent ambulation (correct)
3.
A client who is receiving continuous tube feedings
4.
A client who requires frequent vital signs after a cardiac catheterization
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LectAziim. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.99. You're not tied to anything after your purchase.
