Leadership Practice ATI_Nursing Education. 60, Questions and Answers With the Rationale.

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ATI_Nursing Education Detailed Answer Key Leadership Practice ATI 1. A nurse is transcribing a client’s medication prescriptions and is having difficulty reading a written prescription by the pro... vider. Which of the following nursing actions should the nurse take? A. Clarify the prescription with the client’s family. Rationale: The nurse should not clarify the medication prescription with the client’s family, because this action could be a breach of confidentiality. B. Interpret the prescription based on the client’s health history. Rationale: The nurse should not interpret the medication prescription based on the client’s health history, because incorrect information may result. C. Ask the pharmacist for clarification of the prescription. Rationale: The nurse should not ask the pharmacist for clarification of the prescription, because incorrect information may result. D. Contact the provider to clarify the prescription. Rationale: The nurse should contact the provider for clarification of the prescription to confirm the correct interpretation of the prescription. 2. A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes? A. Establish a benchmark to identify a standard of performance. Rationale: A benchmark measures the practices of an organization against a best–performing organization in order to develop improvement of performance. It is used as a tool to determine the desired standard of performance. B. Compare the number of medication errors before and after the action was implemented. Rationale: Preimplementation and postimplementation statistics for medication errors will provide information to determine the success of the actions. C. Provide the staff with a questionnaire to quantify staff satisfaction with the changes. Rationale: A questionnaire that determines staff satisfaction can provide a means of communication regarding the new practice, but it does not measure the success of the new measures. D. Conduct a study about the time and money costs of implementing the change. Rationale: A study about the time and money costs of the effort is useful for comparing the success of the changes to the cost required to make them. However, this will not measure how successful the changes were in reducing medication errors. Created on:03/25/2019 Page 1Detailed Answer Key Leadership Practice ATI 3. A charge nurse is delegating tasks to nursing personnel on a 10-bed medical-surgical nursing unit. Which of the following assignments is an example of overdelegation? A. Assigning two assistive personnel (AP) to ambulate all clients Rationale: Assigning two APs to ambulate 10 clients follows the rights of delegation and expectations of the APs. It is not an example of overdelegation. B. Assigning a new graduate nurse to perform a wet-to-dry dressing change Rationale: Assigning a new graduate nurse to perform a wet-to-dry dressing change follows the rights of delegation and expectations of the nurse. It is not an example of overdelegation. C. Assigning the most efficient AP to perform glucometer monitoring for each client Rationale: Asking the most efficient AP to perform glucometer testing based on her efficiency in performing this task is an example of overdelegation. This can result in the AP becoming overworked and tired, thus decreasing productivity. D. Assigning the most competent RN to perform a central line dressing change Rationale: Assigning the most competent RN to perform a central line dressing change follows the rights of delegation and expectations of the nurse. It is not an example of overdelegation. 4. A nurse on a medical unit is planning care for several clients. Which of the following clients should benefit most from the nurse acting as an advocate? A. A client who has previously undergone a procedure that is to be performed for a second time Rationale: The nurse supports the client in this situation, but it is not an example of a client benefitting most from the nurse acting as an advocate. [Show More]

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