the nurse is interviewing a new patient with diabetes who receives rosiglitazone avandia through a restricted access medication program what is most i

ATI RN

ATI Leadership Practice B

1. The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia) through a restricted access medication program. What is most important for the nurse to report immediately to the health care provider?

A. The patient's blood pressure is 154/92.
B. The patient has a history of emphysema
C. The patient's blood glucose is 86 mg/dL.
D. The patient has chest pressure when walking

Correct answer: D

Rationale: Chest pressure while walking may indicate heart-related issues such as angina or a heart attack. Rosiglitazone (Avandia) has been associated with increased risks of cardiovascular events like heart failure. Given these risks, chest pressure is an urgent symptom that must be reported immediately to prevent potentially life-threatening complications.

2. Which of the following best describes intrinsic values?

A. Intrinsic values are often abstract ideas.
B. Intrinsic values are basic needs for sustaining life.
C. Intrinsic values are qualities patients consider to be important in their private lives.
D. Intrinsic values are qualities patients consider important for nurses to have.

Correct answer: B

Rationale: The correct answer is B. Intrinsic values refer to basic needs for sustaining life, such as food, water, shelter, and safety. Choices A, C, and D are incorrect because intrinsic values are not abstract ideas, qualities important in private lives, or qualities important for nurses to have.

3. Which of the following factors contributes to conflicts in professional nursing today?

A. Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation
B. Balancing state practice acts, codes of ethics, and standards of practice
C. Advances in technology
D. Multiple generations in the workforce

Correct answer: D

Rationale: The presence of multiple generations in the nursing workforce today with diverse viewpoints and work styles can lead to conflicts. This diversity in perspectives and approaches may result in disagreements on how tasks should be done or how patient care should be managed. Option A refers to economic factors impacting individual nurses rather than conflicts within the profession. Option B is related to compliance and ethical considerations, not conflicts. Option C, advances in technology, may influence nursing practices but is not directly linked to conflicts among professionals.

4. What behaviors can be observed before a person becomes violent? (EXCEPT)

A. Wandering
B. Tense shoulders and clenched fists
C. Blank stare
D. Positioned with one foot in back and an arm pulled back

Correct answer: A

Rationale: Before a person becomes violent, observable behaviors may include tense shoulders, clenched fists, a blank stare, and being positioned with one foot in back and an arm pulled back. Wandering is not typically associated with threatening behaviors signaling imminent violence. DelBel (2003) suggests that strategies such as relaxed body language, maintaining physical distance, and silence can help de-escalate an agitated individual's response.

5. The staff nurse delegates AM care for two patients to the UAP (Unlicensed Assistive Person). What principle of delegation is the nurse following?

A. Delegation requires a situation with clearly defined superiors.
B. Delegation can only exist with a subordinate.
C. Delegation is a tool used by various healthcare professionals.
D. You can delegate only those tasks.

Correct answer: D

Rationale: The correct answer is D: 'You can delegate only those tasks.' Delegation in nursing involves transferring responsibility for the performance of a task while retaining accountability for the outcome. The principle of delegation does not require a situation with clearly defined superiors (choice A). Delegation can exist not only with a subordinate but also with colleagues or other healthcare team members (choice B). Delegation is not exclusive to nurses and is a tool used by various healthcare professionals (choice C). Therefore, the best choice is D as it accurately reflects the principle of delegation in nursing.