Nursing Elites

1. In order to assist an older diabetic patient to engage in moderate daily exercise, which action is most important for the nurse to take?

• A. Determine what type of activities the patient enjoys.
• B. Remind the patient that exercise will improve self-esteem.
• C. Teach the patient about the effects of exercise on glucose levels.
• D. Give the patient a list of activities that are moderate in intensity.

Correct answer: A

Rationale: The correct answer is to determine what type of activities the patient enjoys. This approach is crucial as it helps in personalizing the exercise plan to the patient's preferences, making it more likely for them to adhere to it. Choice B is incorrect because focusing on self-esteem may not directly motivate the patient to engage in exercise. Choice C, although important, may not be the initial step as understanding the patient's preferences comes first. Choice D limits the patient's autonomy by not involving them in the decision-making process.

2. Which of the following is a skill emotionally intelligent leaders must develop?

• A. Encourage constructive criticism.
• B. Work to complete all assigned tasks on his or her own.
• C.
• D. Encourage others to work efficiently and independently.

Correct answer: A

Rationale: Encourage constructive criticism.

3. What is the primary role of a nurse mentor?

• A. To supervise nursing staff
• B. To provide emotional support
• C. To guide new nurses in their roles
• D. To enforce policy compliance

Correct answer: C

Rationale: The primary role of a nurse mentor is to guide new nurses in their roles. This involves providing support, sharing knowledge and expertise, offering guidance for professional development, and assisting new nurses in adjusting to their roles and responsibilities. Option A, supervising nursing staff, is more aligned with a nurse manager's responsibilities rather than a mentor's. Option B, providing emotional support, is a part of the mentorship role but not the primary focus. Option D, enforcing policy compliance, is essential but not the primary role of a mentor, as mentoring focuses more on nurturing and developing new nurses.

4. A 38-year-old patient who has type 1 diabetes plans to swim laps daily at 1:00 PM. The clinic nurse will plan to teach the patient to

• A. check glucose levels before, during, and after swimming.
• B. delay eating the noon meal until after swimming.
• C. increase the morning dose of neutral protamine Hagedorn (NPH) insulin.
• D. time the morning insulin injection so that the peak occurs while swimming.

Correct answer: A

Rationale: The correct answer is to teach the patient to check glucose levels before, during, and after swimming. This is important to monitor blood sugar levels and make adjustments as needed to prevent hypoglycemia or hyperglycemia. Delaying eating the noon meal until after swimming (Choice B) is not advisable as the patient needs proper nutrition both before and after exercise. Increasing the morning dose of NPH insulin (Choice C) should not be done without proper medical advice as it can lead to hypoglycemia. Timing the morning insulin injection to coincide with swimming (Choice D) is risky as the peak effect of insulin may lead to hypoglycemia during swimming.

5. Two RNs are discussing the benefits of professional liability insurance. Which of the following is a reason for an RN to have a professional liability insurance policy?

• A. No expenses are involved in frivolous lawsuits.
• B. If a nurse is found guilty of malpractice, the institution cannot sue the nurse.
• C. Liability policies may also cover charges of libel, slander, assault, and HIPAA violations.
• D. Only doctors are sued for malpractice.

Correct answer: C

Rationale: The correct answer is C. Liability policies can cover charges of libel, slander, assault, and HIPAA violations, in addition to malpractice claims. Choice A is incorrect as there are expenses involved in frivolous lawsuits. Choice B is incorrect because institutions can sue nurses found guilty of malpractice. Choice D is incorrect as nurses, not just doctors, can be sued for malpractice.

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