which statement by the patient indicates a need for additional instruction in administering insulin

ATI RN

ATI Leadership Practice B

1. Which statement by the patient indicates a need for additional instruction in administering insulin?

A. 'I need to rotate injection sites among my arms, legs, and abdomen each day.'
B. 'I can buy the 0.5 mL syringes because the line markings will be easier to see.'
C. 'I should draw up the regular insulin first after injecting air into the NPH bottle.'
D. 'I do not need to aspirate the plunger to check for blood before injecting insulin.'

Correct answer: A

Rationale: This statement indicates a need for additional instruction because while site rotation is essential, it's important to rotate sites within the same anatomical region (such as staying within the abdomen for several injections before moving to a different region). Rotating too frequently between different regions can cause inconsistent insulin absorption, which can affect blood sugar control.

2. What is a benefit of effective delegation?

A. It increases the manager's workload
B. It allows the manager to make all the decisions
C. It empowers staff to make decisions
D. It decreases staff involvement

Correct answer: C

Rationale: The correct answer is C: 'It empowers staff to make decisions.' Effective delegation involves entrusting tasks and decisions to staff, which not only lightens the manager's load but also empowers employees, enhancing their skills and confidence. Choice A is incorrect because effective delegation should reduce the manager's workload by distributing tasks appropriately. Choice B is incorrect as effective delegation involves empowering staff to make decisions rather than the manager making all decisions. Choice D is incorrect as effective delegation actually increases staff involvement by giving them more responsibilities and decision-making power.

3. 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.

4. Which of the following is true of malpractice?

A. Malpractice occurs when a professional shares information about a patient that could damage that patient�s reputation.
B. Malpractice is a serious criminal offense.
C. Malpractice is a minor criminal offense.
D. Malpractice is a negligent act by an individual whose duties require specialized education.

Correct answer: D

Rationale: Malpractice is a negligent act by an individual whose duties require specialized education.

5. How did the Social Security Act of 1935 impact public health nursing?

A. Disabled children
B. Mentally disabled
C. Older adults
D. Opioid addicts

Correct answer: A

Rationale: The Social Security Act of 1935 impacted public health nursing by containing provisions for care for disabled children. This helped in improving the health and well-being of this vulnerable population. The Act did not specifically address care for mentally disabled individuals, older adults, or opioid addicts. Therefore, the correct answer is disabled children.