a 55 year old female patient with type 2 diabetes has a nursing diagnosis of imbalanced nutrition more than body requirements which goal is most impor

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ATI Leadership Proctored Exam 2019 Quizlet

1. For a 55-year-old female patient with type 2 diabetes and a nursing diagnosis of imbalanced nutrition: more than body requirements, which goal is most important?

A. The patient will reach a glycosylated hemoglobin level of less than 7%.
B. The patient will follow a diet and exercise plan that results in weight loss.
C. The patient will choose a diet that distributes calories throughout the day.
D. The patient will state the reasons for eliminating simple sugars in the diet.

Correct answer: A

Rationale: The most important goal for a 55-year-old female patient with type 2 diabetes and imbalanced nutrition due to more than body requirements is to reach a glycosylated hemoglobin level of less than 7%. This goal directly addresses the management of diabetes and is crucial in preventing complications associated with high blood sugar levels. Choice B focuses on weight loss, which may be beneficial but is not as critical as controlling blood sugar levels. Choice C, distributing calories throughout the day, is important for glycemic control but not as immediate as reaching a target HbA1c level. Choice D, stating the reasons for eliminating simple sugars, is a good educational goal but not as urgent as achieving glycemic control.

2. A nurse enters a client's room and finds them on the floor. The client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. Which of the following statements should the nurse document about this incident?

A. Incident report completed.
B. Client climbed over the side rails.
C. Client was trying to get out of bed.
D. Client found lying on floor.

Correct answer: C

Rationale: The correct answer is C: "Client was trying to get out of bed." This statement accurately reflects the sequence of events leading to the client's fall and provides crucial information for assessing the situation. Choice A is incorrect because documenting the completion of an incident report is not relevant to describing the incident itself. Choice B incorrectly states that the client climbed over the side rails, which is not supported by the information provided. Choice D is too vague and does not provide details about the client's actions prior to falling.

3. Which of the following factors may affect successful communication?

A. Cultural background
B. Organizational structure
C. Method of communication
D. All of the above

Correct answer: D

Rationale: Various factors can influence successful communication. Cultural background is crucial as different cultures may have distinct communication styles and norms. Organizational structure plays a role by determining the flow of information within an organization. The method of communication chosen can impact the clarity and effectiveness of the message being conveyed. Therefore, all the options provided - cultural background, organizational structure, and method of communication - can affect successful communication, making 'All of the above' the correct answer.

4. What is the primary goal of discharge planning?

A. Reducing readmission rates
B. Improving patient outcomes
C. Ensuring continuity of care
D. Ensuring medication adherence

Correct answer: C

Rationale: The primary goal of discharge planning is to ensure continuity of care for patients transitioning from one level of care to another. While reducing readmission rates and improving patient outcomes are important aspects of discharge planning, the main focus is on coordinating care to prevent gaps and ensure a seamless transition for the patient. Ensuring medication adherence is also crucial but falls under the broader goal of continuity of care.