ATI RN
ATI Nutrition
1. A healthcare provider is teaching a client who has constipation about a high-fiber diet. Which of the following foods should be included as sources of fiber? (Select one that does not apply.)
- A. Whole wheat bread
- B. Kidney beans
- C. Refined cereals
- D. Blackberries
Correct answer: Refined cereals
Rationale: Refined cereals are not a good source of fiber as they have been processed and stripped off most of their fiber content. Whole wheat bread, kidney beans, and blackberries are excellent sources of fiber. Whole wheat bread is made from whole grains, which are high in fiber. Kidney beans are rich in fiber and can help alleviate constipation. Blackberries are a good source of fiber and can aid in promoting bowel regularity.
2. While working the night shift, a nurse observes a colleague behaving strangely. What is the best course of action?
- A. Ignore the behavior and continue working
- B. Report the behavior to the supervisor
- C. Ask the colleague if everything is okay
- D. Discuss the behavior with other colleagues
Correct answer: B
Rationale: When a nurse observes a colleague behaving strangely, the best course of action is to report the behavior to the supervisor. Unusual behavior by a healthcare professional could compromise patient safety and should be addressed promptly. Ignoring the behavior (Choice A) could potentially lead to negative outcomes for patients. Asking the colleague directly (Choice C) may not be appropriate if the behavior poses a risk. Discussing the behavior with other colleagues (Choice D) may not directly address the issue and could lead to gossip rather than a resolution.
3. Which of the following statements is least likely to be made by a humanist?
- A. Humans are unique.
- B. The behavior of humans tends to be influenced by environmental circumstances.
- C. Humans have a basic need to fulfill their potentials.
- D. Research on animals has little relevance to understanding human behavior.
Correct answer: B
Rationale: The corrected question assesses the least likely statement made by a humanist. Choice B, 'The behavior of humans tends to be influenced by environmental circumstances,' is least likely to be made by a humanist. Humanists believe that human behavior is not simply dictated by environmental circumstances but is influenced by a combination of factors, including personal experiences, emotions, and conscious decisions. Choices A, C, and D are more aligned with humanist perspectives. Choice A acknowledges the uniqueness of humans, which is a common theme in humanistic psychology. Choice C reflects the humanistic belief that individuals strive to reach their full potential and self-actualization. Choice D contrasts with humanist views as humanists often consider research on animals to be relevant in understanding human behavior due to shared basic psychological processes.
4. 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: In this scenario, the nurse should advise the patient to monitor her blood glucose every 4 hours and notify the clinic if it continues to rise. This is important because the patient is experiencing symptoms of an illness (sore throat and runny nose) that can lead to fluctuations in blood glucose levels. By monitoring frequently, any significant rise in blood glucose can be detected early, enabling prompt intervention. Choice A is incorrect because abruptly stopping glargine (Lantus) insulin can lead to uncontrolled blood glucose levels. Choice B is incorrect as limiting calorie intake is not the appropriate immediate action for managing high blood glucose levels. Choice D is also incorrect as adjusting carbohydrate intake based on glycosylated hemoglobin levels is not the immediate action needed in this acute situation.
5. A client taking antibiotics develops diarrhea. Which of the following foods should the nurse recommend to include in the client’s diet?
- A. Whole wheat bread
- B. Fresh orange sections
- C. Ice cream
- D. Yogurt
Correct answer: D
Rationale: Yogurt is the correct answer because it contains probiotics that can help restore normal gut flora and reduce antibiotic-associated diarrhea. Whole wheat bread (Choice A) may worsen diarrhea due to its high fiber content. Fresh orange sections (Choice B) are acidic and may irritate the digestive system further. Ice cream (Choice C) is high in sugar and fat, which can exacerbate diarrhea.
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