Leadership ATI Proctored

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A 26-year-old female with type 1 diabetes develops a sore throat and runny nose after caring for her sick toddler. The patient calls the clinic for advice about her symptoms and a blood glucose level of 210 mg/dL despite taking her usual glargine (Lantus) and lispro (Humalog) insulin. The nurse advises the patient to

  • A. use only the lispro insulin until the symptoms are resolved
  • B. limit calorie intake until the glucose is less than 120 mg/dL
  • C. monitor blood glucose every 4 hours and notify the clinic if it continues to rise
  • D. decrease carbohydrate intake until glycosylated hemoglobin is less than 7%
Correct Answer: C

Rationale: The correct answer is C: monitor blood glucose every 4 hours and notify the clinic if it continues to rise. In this scenario, the patient is experiencing an illness (sore throat and runny nose) which can lead to elevated blood glucose levels due to increased stress hormones. It is essential to closely monitor blood glucose levels to prevent hyperglycemia-related complications. The nurse's advice aligns with the goal of closely monitoring the patient's condition and seeking medical attention if blood glucose levels continue to rise.

Choice A is incorrect because using only lispro insulin may not be sufficient to manage the elevated blood glucose levels caused by illness. Choice B is incorrect as limiting calorie intake may not be the appropriate action to take in this situation. Choice D is incorrect because decreasing carbohydrate intake based on glycosylated hemoglobin levels is not an immediate solution to address the current elevated blood glucose levels due to illness.

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A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following types of role-performance stress?

  • A. Role ambiguity
  • B. Role overload
  • C. Role conflict
  • D. Sick role
Correct Answer: C

Rationale: The correct answer is C: Role conflict. Role conflict occurs when an individual experiences conflicting demands from different roles they hold, causing stress. In this scenario, the partner is struggling to balance the roles of caregiver and managing household responsibilities, leading to frustration.

A: Role ambiguity refers to uncertainty or lack of clarity about one's responsibilities, which is not evident in the scenario.
B: Role overload is when an individual has too many responsibilities to manage effectively, but in this case, the partner is specifically struggling with conflicting roles.
D: Sick role is when an individual's illness affects their ability to fulfill their roles, which is not the primary issue in this scenario.

In summary, the partner's frustration in balancing caregiving and household responsibilities indicates role conflict as the correct type of role-performance stress being experienced.

Which of the following statements accurately describes the relationship between ethical principles and laws?

  • A. The government enforces ethics.
  • B. Laws guide decision making by setting standards.
  • C. Ethics are highly detailed.
  • D. Ethical principles can serve as the foundation for laws.
Correct Answer: D

Rationale: The correct answer is D because ethical principles can indeed serve as the foundation for laws. Laws often reflect societal ethical values and principles. Ethical principles provide a moral framework that lawmakers may use to create laws that promote justice and fairness. By basing laws on ethical principles, societies aim to uphold shared values and promote good conduct. In contrast, A is incorrect as the government enforces laws, not ethics. B is incorrect because laws are legal rules, not ethical principles. C is incorrect as ethics are principles of right and wrong, not necessarily highly detailed.

Penalties should be __________ .

  • A. Determining the employee's awareness of the policy
  • B. Describing the staff nurse's behavior that violated the policy
  • C. Progressive
  • D. Confrontation
Correct Answer: C

Rationale: The correct answer is C: Progressive. Progressive penalties involve a gradual increase in severity for repeated violations, promoting learning and corrective action. This approach allows for improvement and prevents immediate termination. Choice A is incorrect as awareness is not a basis for penalties. Choice B focuses on describing behavior rather than the penalty itself. Choice D, confrontation, is not a recommended penalty approach as it can lead to negative outcomes. Therefore, the progressive approach is the most effective in promoting growth and compliance.

During a physical assessment of adult clients, which of the following techniques should the nurse use?

  • A. Use the Face, Legs, Activity, Cry, and Consolability (FLACC) pain rating scale for a client experiencing pain.
  • B. Palpate the client's abdomen before auscultating bowel sounds.
  • C. Ensure the bladder of the blood pressure cuff surrounds 80% of the client's arm.
  • D. Obtain an apical heart rate by auscultating at the third intercostal space to the left of the sternum.
Correct Answer: B

Rationale: Step 1: Palpating the client's abdomen before auscultating bowel sounds is the correct technique during a physical assessment. This sequence is important because palpation can potentially disrupt bowel sounds, leading to inaccurate assessment results.

Step 2: Palpation helps to identify any tenderness, masses, or abnormalities in the abdomen before proceeding to auscultate bowel sounds. This way, any abnormal findings during palpation can be correlated with bowel sound assessment.

Step 3: By following this sequence, the nurse ensures a systematic and accurate assessment of the client's abdomen, which is crucial for detecting any gastrointestinal issues or abnormalities.

In summary, option B is correct because it follows the appropriate sequence of assessment techniques, ensuring a thorough and accurate evaluation of the client's abdomen. Options A, C, and D are incorrect because they do not pertain to the correct sequence or technique for assessing the abdomen during a physical assessment.

Change is a mandatory skill for managers. Successful change agents display certain characteristics. Some of these characteristics are: (Select all that apply.)

  • A. Energy
  • B. Confidence
  • C. Ambiguity
  • D. Trustworthiness
Correct Answer: C

Rationale: The correct answer is C: Ambiguity. Successful change agents must be comfortable with uncertainty and ambiguity inherent in the change process. They need to navigate through unknown situations and adapt to unforeseen challenges. Energy and confidence (choices A and B) are valuable traits but not specifically tied to managing change. Trustworthiness (choice D) is important for building relationships but not a defining characteristic of successful change agents.

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