which information will the nurse include in teaching a female patient who has peripheral arterial disease type 2 diabetes and sensory neuropathy of th

ATI RN

ATI Leadership Proctored

1. What information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?

A. Select flat-soled leather shoes
B. Apply heating pads on a low temperature.
C. Avoid using callus remover for corns or calluses.
D. Refrain from soaking feet in warm water for an hour each day.

Correct answer: A

Rationale: The correct answer is to select flat-soled leather shoes. Patients with peripheral arterial disease, type 2 diabetes, and sensory neuropathy are at risk for foot injuries due to decreased sensation and poor circulation. Flat-soled leather shoes can help prevent injuries and provide adequate support without causing pressure points. Choice B is incorrect as using heating pads can lead to burns for patients with sensory neuropathy. Choice C is wrong because using callus remover may lead to skin damage for patients with compromised circulation. Choice D is not recommended as soaking feet in warm water can further damage the skin due to decreased sensation.

2. Which of the following is a key component of patient-centered care?

A. Provider-centered decision making
B. Timely discharge
C. Respect for patient preferences
D. Focusing on clinical outcomes

Correct answer: C

Rationale: The correct answer is C: Respect for patient preferences. Patient-centered care focuses on involving patients in their care decisions and respecting their preferences. Choice A, provider-centered decision making, goes against the concept of patient-centered care as it prioritizes the provider over the patient. Timely discharge, choice B, is important but not a defining component of patient-centered care. Focusing on clinical outcomes, choice D, is essential in healthcare but does not solely represent patient-centered care, which is more about personalized care and involving patients in decision-making.

3. 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 because intrinsic values refer to fundamental beliefs and principles that guide a person's behavior and decision-making. These values are deeply ingrained and are essential for sustaining life and well-being. Choices A, C, and D are incorrect because intrinsic values are not just abstract ideas, qualities important in private lives, or qualities patients desire in others; they are the core principles that individuals hold dear to lead a fulfilling life.

4. The nurse manager can use several strategies to improve communication when giving directions. Asking the subordinate to repeat the instructions would be which of the following strategies?

A. Verifying through feedback
B. Follow-up communication
C. Getting positive attention
D. Knowing the context of the instruction

Correct answer: A

Rationale: Asking the subordinate to repeat the instructions is a strategy known as verifying through feedback. This approach ensures that the receiver has understood the request correctly. Choice B, 'Follow-up communication,' refers to checking in after the initial communication, not necessarily asking for repetition. Choice C, 'Getting positive attention,' is unrelated to confirming understanding. Choice D, 'Knowing the context of the instruction,' deals with understanding the background or reasons behind the instructions, not confirming comprehension.

5. What is the primary role of a nurse in palliative care?

A. To provide emotional support to patients and families
B. To coordinate patient care and provide pain management
C. To administer medications and treatments
D. To conduct research on end-of-life care

Correct answer: B

Rationale: The correct answer is B. In palliative care, a nurse's primary role is to coordinate patient care and provide pain management. While emotional support (Choice A) is a crucial aspect of palliative care, it is not the primary role of a nurse in this setting. Administering medications and treatments (Choice C) is part of the nurse's responsibilities but not the primary role. Conducting research (Choice D) is important for advancing palliative care but is not the primary role of a nurse providing direct patient care in this context.