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 is a potential benefit of social media?

A. Sharing the fun side of nursing by posting a video of nurses singing and dancing in the hallways of the hospital while on duty
B. Connecting with clients to keep up with their health status
C. Connecting with the public to encourage healthy behaviors
D. Sharing pictures of interesting clinical experiences with friends

Correct answer: C

Rationale: The correct answer is C because connecting with the public to encourage healthy behaviors is a significant benefit of social media. It allows for the dissemination of valuable health information, promoting healthy habits, and raising awareness about important health issues. Choices A, B, and D are not as impactful as choice C in terms of promoting public health and healthy behaviors. Choice A focuses more on entertainment rather than health promotion, choice B is specific to client connections rather than public health initiatives, and choice D is more about sharing experiences rather than encouraging healthy behaviors.

3. What is the primary focus of the Triple Aim in healthcare?

A. Improving patient experience
B. Reducing healthcare costs
C. Improving population health
D. Ensuring regulatory compliance

Correct answer: A

Rationale: The primary focus of the Triple Aim in healthcare is indeed improving patient experience. While reducing healthcare costs and improving population health are important components of the Triple Aim framework, the primary goal is to enhance the overall experience of patients. Ensuring regulatory compliance, although important in healthcare, is not one of the primary focuses of the Triple Aim.

4. A client discharges AMA (against medical advice). This is an example of the _________ type of risk category?

A. nurse-focused
B. physician-focused
C. medical-legal incident
D. Patient-focused

Correct answer: C

Rationale: When a client discharges AMA, it falls under the medical-legal incident risk category. This choice focuses on the legal aspect of the situation, as it involves the patient's right to make decisions about their care, informed consent, and the associated legal implications. Choices A and B are incorrect as they unnecessarily specify individual healthcare roles and do not encompass the broader legal implications of discharging against medical advice. Choice D, patient-focused, is also incorrect as it doesn't capture the legal and risk-related aspects of the scenario.

5. Which of the following best describes the role of a clinical nurse specialist (CNS)?

A. Direct patient care provider
B. Administrator of healthcare facilities
C. Consultant for nursing staff
D. Policy maker in healthcare organizations

Correct answer: C

Rationale: The correct answer is C. A clinical nurse specialist (CNS) serves as a consultant for nursing staff, providing expert advice and guidance on clinical practice. Choice A, 'Direct patient care provider,' is incorrect as CNS typically focus more on education, research, and consultation rather than direct patient care. Choice B, 'Administrator of healthcare facilities,' is incorrect as this role is usually fulfilled by nurse administrators or nurse managers. Choice D, 'Policy maker in healthcare organizations,' is incorrect as policy-making roles are typically held by individuals in healthcare administration or government positions.