ATI Leadership Practice B

Correct Answer: D

Rationale: The correct answer is D, 'All of the above.' Established critical pathways, collaborative practice teams, and quality management systems are indeed key elements essential to the implementation of case management. Collaborative practice teams allow for multidisciplinary collaboration, established critical pathways help guide patient care, and a quality management system ensures that care provided meets established standards. Choice A, collaborative practice teams, is correct as they are fundamental for effective case management, involving various professionals working together. Choice B, established critical pathways, is also correct as they provide a structured approach to managing patient care. Choice C, quality management system, is correct as it ensures that care is delivered at high standards and continuously monitored for improvement. Therefore, all these elements are crucial for successful case management implementation.

Correct Answer: C

Rationale: The correct answer is C, smart infusion pumps. Smart infusion pumps are an example of a clinical decision support system (CDSS) as they help ensure accurate medication delivery by providing alerts and dosage calculations. Choice A, electronic health record (EHR), is not a CDSS but rather a digital version of a patient's paper chart. Choice B, barcode medication administration, involves scanning barcodes to verify medication administration but is not a CDSS. Choice D, automated drug dispensing system, automates the medication dispensing process but is not specifically a CDSS.

Correct Answer: B

Rationale: The correct answer is B: Political skills. Politics involve interpersonal endeavors, collective activities, analysis, planning, and managing image. In this scenario, the nurse manager is skillfully building team morale and influencing staff dynamics by emphasizing teamwork ('there is no I in team') and boosting morale through occasional treats. This demonstrates the use of political skills to influence and manage relationships within the team. Choices A, C, and D are incorrect because the manager's actions are not solely focused on image enhancement, reward power, or expert power. Instead, they are aimed at fostering teamwork and boosting staff morale.

Correct Answer: C

Rationale: The correct answer is C: 'Combining clinical expertise with the best available research evidence.' Evidence-based practice (EBP) emphasizes integrating clinical expertise with the most current and relevant research evidence when making decisions about patient care. Choice A is incorrect because EBP does not rely solely on clinical expertise. Choice B is incorrect as EBP considers research evidence alongside clinical expertise, not as the sole basis. Choice D is incorrect because EBP is not about blindly following institutional guidelines, but rather about integrating research evidence with clinical judgment to provide the best possible care.

Correct Answer: D

Rationale: The correct answer is D, 'Collective bargaining.' The American Nurses Association is a registered labor organization, but it does not engage in direct collective bargaining. The actual certification of units, negotiation of contracts, and administration of contracts is conducted by the state nurses associations (SNAs). Choices A, B, and C are incorrect as the ANA's role does not involve empowering, rewarding, or encouraging union affiliation directly.