which question during the assessment of a diabetic patient will help the nurse identify autonomic neuropathy

ATI RN

ATI Leadership

1. Which question during the assessment of a diabetic patient will help the nurse identify autonomic neuropathy?

A. �Do you feel bloated after eating?�
B. �Have you seen any skin changes?�
C. �Do you need to increase your insulin dosage when you are stressed?�
D. �Have you noticed any painful new ulcerations or sores on your feet?�

Correct answer: A

Rationale:

2. Which of the following is a trait that was found to be common among leaders in trait theory?

A. Communication of duties assigned
B. Adaptability and changing priorities
C. Order giving and decision making for a group
D. Communication of goal direction

Correct answer: D

Rationale: The correct answer is D, 'Communication of goal direction.' Trait theory suggests that effective leaders possess certain traits, one of which is the ability to clearly communicate the direction and goals of the group. This trait helps in aligning the efforts of the team towards a common objective. Choices A, B, and C are incorrect because while communication, adaptability, decision-making, and order giving are important skills for leaders, the specific trait commonly associated with leaders in trait theory is the ability to communicate the direction and goals.

3. A healthcare professional is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the healthcare professional identify as an indication that the treatment was successful?

A. Increase in hematocrit
B. Increase in respiratory rate
C. Decrease in heart rate
D. Decrease in capillary refill time

Correct answer: D

Rationale: The correct answer is D: Decrease in capillary refill time. In a client with fluid volume deficit, improving capillary refill time indicates that the perfusion status is improving due to the increase in fluid volume. Choices A, B, and C are incorrect. An increase in hematocrit may indicate hemoconcentration due to fluid loss, an increase in respiratory rate may suggest respiratory distress, and a decrease in heart rate may not be directly related to fluid volume status.

4. What is the role of the Joint Commission in healthcare?

A. Advocacy for patients
B. Setting standards for patient care
C. Providing direct patient care
D. Approving healthcare facilities

Correct answer: D

Rationale: The correct answer is D: 'Approving healthcare facilities.' The Joint Commission's primary role is to accredit and certify healthcare organizations and programs in the United States. This accreditation ensures that healthcare facilities meet specific quality and safety standards. Choices A, B, and C are incorrect because the Joint Commission focuses on evaluating and accrediting healthcare facilities rather than advocating for patients, providing direct care, or setting standards for patient care.

5. How does decision making differ from problem solving?

A. Decision making always involves selecting from a set of alternatives.
B. Problem solving always involves selecting one of several alternatives.
C. Problem solving never involves decision making.
D. Decision making always involves solving a problem.

Correct answer: A

Rationale: The correct answer is A because decision making always involves selecting from a set of alternatives, while problem solving involves diagnosing a problem. Option B is incorrect as problem solving involves diagnosing a problem rather than selecting one of several alternatives. Option C is incorrect because decision making is often a part of problem-solving processes. Option D is incorrect as decision making may involve selecting from alternatives, not necessarily solving a problem.