a 32 year old patient with diabetes is starting on intensive insulin therapy which type of insulin will the nurse discuss using for mealtime coverage

ATI RN

ATI Leadership

1. A 32-year-old patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the nurse discuss using for mealtime coverage?

A. Lispro (Humalog)
B. Glargine (Lantus)
C. Detemir (Levemir)
D. NPH (Humulin N)

Correct answer: A

Rationale: For mealtime coverage in intensive insulin therapy, rapid-acting insulins like Lispro (Humalog) are used. Lispro has a quick onset of action, making it suitable for covering the rise in blood sugar levels after meals. Glargine (Lantus), Detemir (Levemir), and NPH (Humulin N) are all long-acting insulins and are not appropriate for mealtime coverage as they do not act quickly enough to manage postprandial glucose spikes.

2. In the traditional rating scale, what is the time period typically used for evaluation?

A. Twelve months
B. Six months
C. Three months
D. One month

Correct answer: A

Rationale: In the traditional rating scale, evaluations are typically conducted over a 12-month period. This duration allows for a comprehensive assessment of the employee's performance and progress throughout the year, capturing a broader range of experiences and accomplishments to provide a more holistic evaluation. Choices B, C, and D are incorrect because they do not align with the standard practice of conducting annual evaluations in a traditional rating scale setting.

3. Which of the following is true of malpractice?

A. Malpractice occurs when a professional shares information about a patient that could damage that patient�s reputation.
B. Malpractice is a serious criminal offense.
C. Malpractice is a minor criminal offense.
D. Malpractice is a negligent act by an individual whose duties require specialized education.

Correct answer: D

Rationale: Malpractice is a negligent act by an individual whose duties require specialized education.

4. The problem of overrating staff performance is called ___________ .

A. Recency error
B. Absolute judgment
C. Halo error
D. Leniency error

Correct answer: D

Rationale: The correct answer is D, 'Leniency error.' Leniency error occurs when a manager tends to overrate staff performance, giving higher ratings than deserved. Choice A, 'Recency error,' refers to the tendency to focus only on recent behaviors or events when evaluating performance. Choice B, 'Absolute judgment,' is not directly related to overrating staff performance; it refers to making evaluations without considering the context or comparison points. Choice C, 'Halo error,' involves allowing one positive aspect of an individual to overshadow other factors in performance evaluation, which is different from overrating overall staff performance.

5. The nurse manager compares the actual results of the budget with the projected results of the budget. What budgeting process is this?

A. Variable budgeting
B. Controlling
C. Revenue sharing
D. Incremental budgeting

Correct answer: B

Rationale: The correct answer is B: Controlling. Controlling involves comparing actual results with the projected results in the budget to assess performance and take corrective actions if necessary. Choice A, Variable budgeting, focuses on adjusting the budget based on activity levels. Choice C, Revenue sharing, refers to distributing a portion of revenue among stakeholders. Choice D, Incremental budgeting, involves making minor adjustments to the existing budget for the next period based on previous budgets.