an rns current patient and family have presented her with an ethical dilemma what is the first step the rn should take to find a workable solution to

ATI RN

ATI Leadership Proctored Exam 2019

1.

A. Planning
B. Assessment
C. Evaluation
D. Implementation

Correct answer: B

Rationale: The first step the RN should take to find a workable solution to the problem is assessment.

2. What information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?

A. Select flat-soled leather shoes
B. Apply heating pads on a low temperature.
C. Avoid using callus remover for corns or calluses.
D. Refrain from soaking feet in warm water for an hour each day.

Correct answer: A

Rationale: The correct answer is to select flat-soled leather shoes. Patients with peripheral arterial disease, type 2 diabetes, and sensory neuropathy are at risk for foot injuries due to decreased sensation and poor circulation. Flat-soled leather shoes can help prevent injuries and provide adequate support without causing pressure points. Choice B is incorrect as using heating pads can lead to burns for patients with sensory neuropathy. Choice C is wrong because using callus remover may lead to skin damage for patients with compromised circulation. Choice D is not recommended as soaking feet in warm water can further damage the skin due to decreased sensation.

3. What is the primary purpose of clinical pathways in healthcare?

A. Reduce hospital readmissions
B. Standardize care
C. Provide individualized care
D. Streamline care processes

Correct answer: C

Rationale: The primary purpose of clinical pathways in healthcare is to provide individualized care. While clinical pathways do involve standardizing treatment plans, their main goal is to tailor these plans to the individual needs of patients. This customization ensures that patients receive care that is specific to their condition and requirements, rather than a one-size-fits-all approach. Choices A, B, and D are incorrect because although reducing hospital readmissions, standardizing care, and streamlining care processes can be benefits of clinical pathways, they are not the primary purpose. The main focus is on delivering personalized treatment paths to enhance patient outcomes.

4. A nurse is planning an educational program for a group of older adults at a senior living center. Which of the following recommendations should the nurse include?

A. You should receive a pneumococcal vaccine when you are 65 years old.
B. You should receive a shingles vaccine when you are 70 years old.
C. You should receive a tetanus booster every 5 years.
D. You should have an eye examination every 2 years.

Correct answer: A

Rationale: The correct answer is A. The CDC recommends a pneumococcal vaccine for all adults aged 65 years and older. This vaccine helps protect against serious pneumococcal disease. Choice B is incorrect as the shingles vaccine is recommended for adults aged 50 years and older, not specifically at 70 years. Choice C is incorrect because a tetanus booster is recommended every 10 years, not every 5 years. Choice D is incorrect as the general recommendation for eye examinations in older adults is annually, not every 2 years.