a diabetic patient who has reported burning foot pain at night receives a new prescription which information should the nurse teach the patient about

ATI RN

ATI Leadership Proctored Exam 2019 Quizlet

1. A diabetic patient who has reported burning foot pain at night receives a new prescription. Which information should the nurse teach the patient about amitriptyline (Elavil)?

A. Amitriptyline decreases the depression caused by your foot pain.
B. Amitriptyline helps prevent transmission of pain impulses to the brain.
C. Amitriptyline corrects some of the blood vessel changes that cause pain.
D. Amitriptyline improves sleep and reduces awareness of nighttime pain.

Correct answer: B

Rationale: The correct answer is B. Amitriptyline is a tricyclic antidepressant that works by inhibiting the reuptake of serotonin and norepinephrine, which helps in reducing the transmission of pain impulses to the brain. Choice A is incorrect because amitriptyline primarily works on pain transmission rather than directly on depression. Choice C is inaccurate as amitriptyline's mechanism of action is not related to correcting blood vessel changes. Choice D is partially true as amitriptyline can improve sleep, but the primary mechanism related to pain relief is by preventing pain impulses from reaching the brain.

2. What is the primary focus of case management in nursing?

A. Direct patient care
B. Resource management
C. Financial planning
D. Quality assurance

Correct answer: A

Rationale: The primary focus of case management in nursing is direct patient care, which involves providing and coordinating services for patients. While resource management, financial planning, and quality assurance are important aspects of healthcare, they are not the primary focus of case management. Resource management deals with optimizing resources, financial planning involves managing financial aspects, and quality assurance focuses on maintaining high standards of care.

3. A unit director at a local hospital knows even leadership may face ethical dilemmas. Which of the following should the director take into consideration when dealing with an employee who is incompetent?

A. The situation should be tolerated for as long as possible because of the amount of time and paperwork required to terminate an incompetent nurse.
B. Incompetence only impacts the individual nurse.
C. The director should follow her institution�s formal process for reporting and handling practices that jeopardize patient safety.
D. Most nurse practice acts direct how to handle incompetent nurses.

Correct answer: C

Rationale: Incompetence jeopardizes patient safety. Therefore, the formal process for handling these practices should be followed.

4. What is a common barrier to effective delegation?

A. Lack of trust in team members
B. Lack of communication
C. Inadequate training
D. Lack of resources

Correct answer: A

Rationale: One of the common barriers to effective delegation is a lack of trust in team members. Delegating tasks involves entrusting responsibilities to others, and without trust in the team members' capabilities, the delegator may struggle to effectively assign tasks. Trust is essential for successful delegation as it allows for empowerment and accountability within the team. While lack of communication is crucial for effective delegation, the lack of trust has a more profound impact as it directly affects the ability to delegate tasks. Inadequate training and lack of resources, although important factors, are not as fundamental as trust in team members when it comes to effective delegation.