an active 28 year old male with type 1 diabetes is being seen in the endocrine clinic which finding may indicate the need for a change in therapy

ATI RN

ATI Leadership Proctored Exam 2019 Quizlet

1. An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?

A. Hemoglobin A1C level 6.2%
B. Blood pressure 146/88 mmHg
C. Heart rate at rest 58 beats/minute
D. High-density lipoprotein (HDL) level 65 mg/dL

Correct answer: B

Rationale: The correct answer is B. In a young adult with type 1 diabetes, a blood pressure of 146/88 mmHg may indicate the need for a change in therapy as it is above the recommended target levels. High blood pressure can increase the risk of cardiovascular complications in diabetic patients. Choices A, C, and D are within normal ranges and do not necessarily indicate the need for an immediate change in therapy. A Hemoglobin A1C level of 6.2% is generally considered good control for a diabetic patient, a resting heart rate of 58 beats/minute is normal for an active individual, and an HDL level of 65 mg/dL is considered to be in the desirable range for heart health.

2. An environment that rewards good __________ is the goal in a work environment.

A. Performance
B. Turnover
C. Strategies
D. Stress

Correct answer: A

Rationale: An environment that rewards good performance is the goal in a work environment as it promotes productivity and motivation among employees. Rewarding performance leads to improved outcomes and helps in achieving organizational objectives. Choice B, 'Turnover,' is incorrect as turnover refers to the rate at which employees leave an organization, and it is not a goal to be rewarded. Choice C, 'Strategies,' does not directly relate to rewarding good behavior but rather focuses on plans or approaches to achieve goals. Choice D, 'Stress,' is not something that should be rewarded in a work environment; instead, it should be managed and reduced to promote employee well-being.

3. Which of the following should be included in a discussion of advance directives with new nurse graduates?

A. According to the Patient Self-Determination Act, nurses are required to inform clients of their right to create an advance directive.
B. The advance directive designates an individual who will make financial decisions for the client if he or she is unable to do so.
C. A living will designates who will make health-care decisions for an individual in the event the individual is unable or incompetent to make his or her own decisions.
D. The advance directive designates a health-care surrogate who will make known the client�s wishes regarding medical treatment if the client is unable to do so.

Correct answer: A

Rationale: According to the Patient Self-Determination Act, nurses are required to inform clients of their right to create an advance directive.

4. What is the primary goal of a root cause analysis (RCA) in healthcare?

A. To assign blame for errors
B. To prevent future errors by identifying underlying causes
C. To improve patient satisfaction
D. To analyze the financial impact of errors

Correct answer: B

Rationale: The correct answer is B: 'To prevent future errors by identifying underlying causes.' Root cause analysis (RCA) in healthcare aims to delve deep into the factors contributing to an error to prevent its recurrence. Choice A is incorrect as RCA focuses on identifying system issues, not blaming individuals. Choice C is incorrect as while improving patient satisfaction may result from the process, it is not the primary goal. Choice D is incorrect as the main focus of RCA is not financial analysis but rather improving patient safety.

5. What is the primary goal of evidence-based practice (EBP)?

A. Reduce healthcare costs
B. Improve patient outcomes
C. Enhance clinical decision making
D. Ensure patient safety

Correct answer: C

Rationale: The primary goal of evidence-based practice (EBP) is to enhance clinical decision making by integrating the best available evidence with clinical expertise and patient values. While improving patient outcomes is a significant result of EBP, the ultimate aim is to ensure that healthcare decisions are based on the most current, relevant, and reliable evidence. While reducing healthcare costs and ensuring patient safety are important in healthcare, they are not the primary goals of evidence-based practice.