a 28 year old male patient with type 1 diabetes reports how he manages his exercise and glucose control which behavior indicates that the nurse should

ATI RN

ATI Leadership

1. A 28-year-old male patient with type 1 diabetes reports how he manages his exercise and glucose control. Which behavior indicates that the nurse should implement additional teaching?

A. The patient always carries hard candies when engaging in exercise.
B. The patient goes for a vigorous walk when his glucose is 200 mg/dL.
C. The patient has a peanut butter sandwich before going for a bicycle ride.
D. The patient increases daily exercise when ketones are present in the urine.

Correct answer: D

Rationale: The correct answer is D because increasing exercise when ketones are present in the urine is inappropriate and potentially dangerous for a patient with type 1 diabetes. This behavior can worsen the ketosis and lead to further complications. Choices A, B, and C demonstrate appropriate self-management strategies for a patient with type 1 diabetes. Carrying hard candies during exercise can help prevent hypoglycemia, going for a walk with a glucose level of 200 mg/dL can help lower blood sugar, and having a snack before physical activity can provide necessary energy.

2. Which of the following best describes the concept of cultural humility in nursing?

A. A fixed set of cultural competencies
B. Recognizing and addressing power imbalances
C. Adapting care to fit different cultural contexts
D. Learning from patients and adapting to their needs

Correct answer: D

Rationale: Cultural humility in nursing is about approaching patient care with an open mind, being willing to learn from patients, and adapting to their individual needs. Choice A is incorrect as cultural humility is not about a fixed set of competencies, but rather an ongoing process of self-reflection and learning. Choice B, recognizing and addressing power imbalances, is related to cultural competence but not the core concept of cultural humility. Choice C, adapting care to fit different cultural contexts, is more aligned with cultural competence rather than cultural humility.

3. How did the Social Security Act of 1935 impact public health nursing?

A. Disabled children
B. Mentally disabled
C. Older adults
D. Opioid addicts

Correct answer: A

Rationale: The Social Security Act of 1935 impacted public health nursing by containing provisions for care for disabled children. This helped in improving the health and well-being of this vulnerable population. The Act did not specifically address care for mentally disabled individuals, older adults, or opioid addicts. Therefore, the correct answer is disabled children.

4. An RN is explaining to a student nurse what professionalism in nursing means. Which of the following statements, if made by the student nurse, demonstrates teaching has been successful?

A. Commitment to others means I should be honest and accountable for my actions.
B. I should encourage my fellow nurses to talk when they are having a bad day.
C. I should be flexible with myself and my fellow nurses when it comes to the dress code.
D. If I need a day off, I should promptly call in sick to give my manager plenty of time to find a replacement.

Correct answer: A

Rationale: Commitment to others involves accountability for one�s actions, lifelong learning, and commitment to colleagues.

5. What is the best description of cultural competence in nursing?

A. Ignoring cultural differences
B. Adapting care to cultural needs
C. Learning about different cultures
D. Teaching cultural awareness

Correct answer: B

Rationale: Cultural competence in nursing means adapting care to meet the cultural needs of patients. This involves understanding and respecting the cultural differences of individuals to provide effective and appropriate healthcare. Choice A is incorrect because ignoring cultural differences goes against the essence of cultural competence. Choice C is not the best description as cultural competence is more than just learning about different cultures; it is about applying that knowledge in providing care. Choice D is not the best description as teaching cultural awareness is only a part of developing cultural competence, but it also requires practical application in care delivery.