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

ATI RN

ATI Leadership Practice A

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. Selecting a person/unit to negotiate on the group's behalf is known as:

A. Labor negotiations.
B. Bargaining.
C. Establishing a union.
D. Representation election.

Correct answer: D

Rationale: The correct answer is D, representation election. Representation election is the process where individuals within a group vote to select a person or unit to represent and negotiate on their behalf. Options A and B are incorrect because they refer to the broader concepts of labor negotiations and bargaining, not specifically the process of selecting a representative. Option C, establishing a union, is also incorrect as it refers to the formation of a labor union rather than the act of choosing a representative for bargaining.

3. What should the nurse do after a 36-year-old patient treated with intramuscular glucagon for hypoglycemia regains consciousness?

A. Assess the patient for symptoms of hyperglycemia.
B. Give the patient a snack of peanut butter and crackers.
C. Have the patient drink a glass of orange juice or nonfat milk.
D. Administer a continuous infusion of 5% dextrose for 24 hours.

Correct answer: B

Rationale: After a patient treated with intramuscular glucagon for hypoglycemia regains consciousness, providing a snack of peanut butter and crackers is essential to prevent another episode of hypoglycemia. Peanut butter and crackers contain a combination of protein and carbohydrates, which can help stabilize the patient's blood glucose levels. This choice is the most appropriate immediate action to prevent recurrence of hypoglycemia in this scenario. Assessing for symptoms of hyperglycemia (choice A) is not the immediate priority after treating hypoglycemia. While orange juice or nonfat milk (choice C) can help raise blood sugar, they lack the sustained effect of protein found in peanut butter. Administering a continuous infusion of dextrose (choice D) is excessive and not indicated after the patient has already regained consciousness.

4. Professionalism has historically been difficult to define. Early definitions of professionalism included which of the following characteristics?

A. Expertise
B. Empathy
C. Ethical and moral values
D. Honesty

Correct answer: A

Rationale: The correct answer is A: 'Expertise.' Historically, professionalism was defined by one's knowledge and expertise in a particular field. Choices B, C, and D are incorrect because early definitions of professionalism did not focus on qualities like empathy, ethical and moral values, or honesty, but rather on the individual's level of skill and competence in their area of work.

5. Which of the following is considered voluntary turnover?

A. Desire to leave
B. Termination
C. Forced resignation
D. Floating

Correct answer: A

Rationale: The correct answer is A, 'Desire to leave.' Voluntary turnover occurs when an employee chooses to leave the organization. In this case, it is a direct function of the nurse's desire to leave. Termination and forced resignation are involuntary processes where the decision is made by the employer, not the employee. 'Floating' refers to the reassignment of a nurse to a unit different from their usual work unit and is not directly related to turnover.