ATI RN
ATI Nutrition
1. A client with diabetes is being taught by a nurse about the dietary source that should provide the greatest percentage of calories. Which of the following statements indicates the client understands the teaching?
- A. “Most of my calories each day should be from fats.”
- B. “I should eat more calories from complex carbohydrates than anything else.”
- C. “Simple sugars are needed more than other calorie sources.”
- D. “Protein should be my main source of calories.”
Correct answer: “I should eat more calories from complex carbohydrates than anything else.”
Rationale: The correct answer is '“I should eat more calories from complex carbohydrates than anything else.”' Clients with diabetes should focus on complex carbohydrates as their primary calorie source because they have a lower impact on blood sugar levels compared to simple sugars or fats. Choice A is incorrect because a high intake of fats can lead to various health issues. Choice C is incorrect because simple sugars can cause rapid spikes in blood sugar levels. Choice D is incorrect as while protein is important, it should not be the main source of calories for someone with diabetes.
2. A charge nurse is preparing to lead negotiations among nursing staff due to conflict about overtime requirements. Which of the following strategies should the nurse use to promote effective negotiation?
- A. Identify solutions prior to the negotiation.
- B. Focus on how to resolve the conflict.
- C. Attempt to understand both sides of the issue.
- D. Avoid personalizing the conflict.
Correct answer: C
Rationale: In negotiating conflicts, it is crucial to attempt to understand both sides of the issue. This strategy helps the charge nurse gain insights into the perspectives and concerns of all parties involved, facilitating a more effective negotiation process. Choice A is not ideal as identifying solutions prior to negotiation may overlook important viewpoints or needs. Choice B is vague and does not provide a specific action plan for resolving the conflict. Choice D is incorrect as personalizing the conflict can lead to biased decision-making and hinder the negotiation process.
3. Which of the following hormones do the kidneys secrete to increase red blood cell production?
- A. Erythropoietin
- B. Insulin and glycogen
- C. Testosterone
- D. Thyroid stimulating hormone
Correct answer: A
Rationale: The correct answer is A: Erythropoietin. The kidneys produce erythropoietin to stimulate the production of red blood cells. Insulin and glycogen are not hormones secreted by the kidneys; insulin is produced by the pancreas, and glycogen is a stored form of glucose. Testosterone is a hormone primarily produced by the testes in males and to a lesser extent in females. Thyroid stimulating hormone is produced by the pituitary gland to regulate thyroid function, not red blood cell production.
4. What information should the nurse include in patient education for a patient prescribed valproic acid for bipolar disorder?
- A. Avoid consuming dairy products while taking this medication.
- B. Regular blood tests are necessary to monitor medication levels.
- C. Take the medication on an empty stomach for better absorption.
- D. It is safe to stop the medication abruptly if side effects occur.
Correct answer: B
Rationale: The correct answer is B: Regular blood tests are crucial when taking valproic acid to monitor the medication levels in the bloodstream. This monitoring helps ensure that the patient is receiving the correct dosage for effective treatment and to prevent adverse effects associated with either subtherapeutic or toxic levels of the medication. Choice A is incorrect because there is no specific interaction between valproic acid and dairy products. Choice C is incorrect as valproic acid can generally be taken with food to reduce gastrointestinal side effects. Choice D is incorrect as abruptly stopping valproic acid can lead to withdrawal symptoms and worsening of the condition.
5. The cognitive perspective contends that to fully understand human behavior, psychologists need to focus attention on?
- A. The role of the unconscious.
- B. Internal mental events.
- C. The interrelations among the mind, body, and behavior.
- D. The adaptive value of a behavior.
Correct answer: B
Rationale: The cognitive perspective emphasizes understanding human behavior by focusing on internal mental events such as thoughts, beliefs, and perceptions. This helps in explaining how individuals process information, solve problems, and make decisions. Choice A, the role of the unconscious, is associated with psychoanalytic theory rather than the cognitive perspective. Choice C, the interrelations among the mind, body, and behavior, is more aligned with a holistic or biopsychosocial perspective. Choice D, the adaptive value of a behavior, is more related to evolutionary psychology rather than the cognitive perspective.
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