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ATI Leadership practice 2019 A
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  • Course
  • ATI Leadership
  • Institution
  • ATI Leadership

An assistive personnel tells a charge nurse that it is unfair that they have to take care of all the clients who are incontinent. Which of the following responses should the charge nurse make? A. I delegate tasks to personnel based on their job descriptions B. Everyone working here has to care fo...

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  • May 9, 2022
  • 12
  • 2021/2022
  • Exam (elaborations)
  • Questions & answers

Subjects

  • leadership practice 2019 a
  • an assistive personnel tells a charge nurse that it is unfair that they have to take care of all the clients who are incontinent which of the following responses should the

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  • ATI Leadership
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Leadership practice 2019 A
An assistive personnel tells a charge nurse that it is unfair that they have to take care of
all the clients who are incontinent. Which of the following responses should the charge
nurse make?
A. I delegate tasks to personnel based on their job descriptions
B. Everyone working here has to care for clients who are in continent
C. Let's talk about organizing the workflow so you care for fewer of these clients
D. Why do you not want to care for clients who are in continent.? - correct answer A. I
delegate tasks to personnel based on their job descriptions.

This response addresses the AP's concerns and provides clear information about the
charge nurse's responsibility when delegating tasks.

A nurse on a MedSurg unit is caring for four clients. The nurse should recognize that
which of the following clients is the priority?
A. A client who is scheduled for a tubal ligation in two hours and is crying
B. A client who has PVD and absent pulse in right foot
C. A client who has T1DMN needs first dressing change for ulcer
D. A client who has MR essay and axillary temp of 38°C - correct answer B. A client
who has peripheral vascular disease and absent pulse in right foot.

When using the airway, breathing, circulation approach to client care, the nurse
determines that the priority finding is an absent pulse, which indicates no blood flow to
the extremity.

Which of the following instructions provided by a nurse reflects effective communication
regarding delegation of a task to an AP?
A. Take vital signs every two hours for the client you had a choleycystectomy in room
6122
B. Check the UO at 11 o'clock for John Doe and report it to me immediately
C. Report to me if the chest tube drainage is excessive for Jane doe in room 2438
D. Please notify me of any clients who is vital signs or blood glucose levels are
significant - correct answer B. Check the Urinary Output at 1100 for John Doe and
report it to me immediately

This instruction follows the five rights of delegation by including the requirements for
right direction/communication:

the data to collect, client-specific information, a timeline for coat collection, and the
expectation for communicating the findings back to the nurse

A client on a general surgical unit tells the nurse that staff members are not answering
the call light promptly. The client request to be transferred to another unit. Which of the
following actions should the nurse take first?
A. Notify charge nurse of clients request to transfer
B. Assured client that their concern has been shared with the staff
C. Tell client that future calls will be answered in timely manner

, Leadership practice 2019 A
D. Ask client to verbalize their expectations - correct answer D. Ask client to verbalize
their expectations.

The first action the nurse should take using the nursing process is to assess; therefore,
the first action the nurse should take is to assess the client's feelings and clarify
expectations.

A nurse is caring for a client who is recovering from a stroke. The provider recommends
extracranial-intracranial bypass, but the client tells the nurse that he will not have the
surgery. Which of the following action should the nurse take?
A. Informed the client of consequences of decreased cerebral circulation
B. Initiate mental health consult to determine why client refuses surgery
C. Discussed clients concerns about having the surgery
D. Provide client with information on additional treatment options - correct answer C.
Discuss clients concerns about having the surgery.

The nurse should ask the client relevant questions to determine their concerns
regarding having the surgery. By asking relevant, open-ended questions, the nurse can
help the client clarify their thoughts and feelings about the surgery. The nurse can then
relay these concerns to the provider for further discussion if needed.

A charge nurse is supervising the care of several clients. Which of the following actions
requires intervention by the charge nurse?
A. A nurse photocopying their assigned clients diagnostic test results
B. AP documents a client VS on clients paper-based graph record
C. Unit secretary faxing clients lab results to the provider
D. RN stays with client who is reading the medical records that were requested - correct
answer A. Nurse photocopying their assigned clients diagnostic test results

A nurse is receiving report from the AP assigned to the nurse's group of clients. Which
of the following statements from the EAP indicates the client the nurse should assess
first
A nurse is receiving report from the AP assigned to the nurses group of clients. Which
of the following statements from the AP indicates the client the nurse should assess
first?
A. Client who had ABD surgery three days ago and reporting feeling constipated
B. Client who had hip surgery reports pain 4/10
C. Client indwelling urinary catheter removed eight hours ago reports inability to void
D. Client who is scheduled for discharge today states they are ready to sign their paper
- correct answer C. Client who had indwelling urinary catheter removed eight hours ago
reports inability to void.

Not voiding for 6 to 8 hr after indwelling urinary catheter removal indicates this client is
at risk for urinary retention, which can cause a UTI.

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