A 38-year-old patient who has type 1 diabetes plans to swim laps daily at 1:00 PM. The clinic nurse will plan to teach the patient to

Correct Answer: A

Rationale: The correct answer is A because the patient with type 1 diabetes should check glucose levels before, during, and after swimming to monitor for fluctuations and adjust insulin or food intake accordingly. This allows for better glycemic control and prevents hypoglycemia or hyperglycemia during and after swimming. Choice B is incorrect because delaying eating can lead to hypoglycemia during swimming due to increased insulin action without adequate glucose intake. Choice C is incorrect as increasing NPH insulin dose without monitoring glucose levels can result in hypoglycemia during exercise. Choice D is incorrect because timing the insulin injection for peak action while swimming can also lead to hypoglycemia if glucose levels are not monitored.

Correct Answer: B

Rationale: The correct answer is B because note-taking forces the manager to deal with the problem by documenting important information, actions, and decisions. This helps in tracking progress, identifying trends, and making informed decisions. It promotes accountability and ensures issues are addressed promptly. A: Not specific and behavior-oriented - Incorrect. Note-taking should be specific and focus on behaviors to provide accurate and detailed information. C: Records only undesirable events - Incorrect. Note-taking should capture both positive and negative events for a comprehensive view. D: Failure to give performance feedback - Incorrect. Note-taking is a tool to provide feedback and track performance effectively.

Correct Answer: A

Rationale: In suspected hyperglycemia, increased thirst supports it, not sweating, cramps, or dry skin. High glucose drives polydipsia sweating's hypo, cramps electrolytes, dry's late. Leadership notes this imagine drinking; it guides insulin, aligning with diabetes care effectively.

Correct Answer: B

Rationale: The correct answer is B (as soon as possible) because individuals with type 2 diabetes are at risk for diabetic retinopathy, a complication that can lead to vision loss. Early detection through a dilated eye exam allows for timely intervention to prevent or slow down progression. Choice A (every 2 years) may not be frequent enough for early detection. Choice C (when the patient is 39 years old) is not specific to the individual's diabetes diagnosis. Choice D (within the first year after diagnosis) is too delayed for optimal monitoring. Thus, scheduling a dilated eye exam as soon as possible is crucial for early detection and management of diabetic retinopathy.

Correct Answer: C

Rationale: For cervical radioactive implants, requiring the client to wear a dosimeter at all times indicates a misunderstanding. Time limits, tongs for dislodgement, and distance are correct safety measures radiation risks are managed externally, not by client monitoring. The client isn't the staff; dosimeters track staff exposure. Leadership corrects this imagine unnecessary burden; it ensures proper radiation safety, aligning with oncology care effectively. This reflects nursing's focus on protocol accuracy.

Correct Answer: B

Rationale: Laissez-faire leaders are passive, delegating decisions, unlike group planning, fostering creativity, or limiting autonomy. Nurse managers like allowing staff flexibility step back, contrasting with control. It suits self-driven teams but risks chaos in healthcare, aligning leadership with minimal oversight.

Correct Answer: D

Rationale: Thinking alone doesn't manage stress, unlike lists, programs, or priorities. Nurse leaders like task plans act, contrasting with rumination. In healthcare, proactive steps reduce stress, aligning leadership with control.

Correct Answer: B

Rationale: The correct answer is B: Fear of failure. Working in a high-volume, noisy emergency room with a high incidence of assault victims can lead to staff experiencing fear of failure due to the intense and high-pressure nature of the work environment. Staff may feel overwhelmed by the constant influx of critical cases and the need to make quick decisions, which can contribute to a fear of not being able to save every patient. This fear can impact their confidence and increase stress levels. Incorrect choices: A: Feelings of extreme overload - While staff may feel overwhelmed, the specific impact mentioned in this choice is not directly related to the work environment described. C: A pessimistic sense about the world - This choice is too broad and not necessarily tied to the specific challenges of working in this type of emergency room. D: Inability to separate intense work situations from personal situations - While this can be a challenge, it is not the primary effect discussed in the question stem.

Correct Answer: B

Rationale: Leanne's role in operationalizing the group's plan engaging businesses with pre-set needs and participation methods demonstrates followership. She actively supports and executes the collective agenda, not setting it (leadership), but advancing it with loyalty and skill. This aligns with effective followership, where individuals contribute to shared goals without directing them. Professionalism reflects standards, not her specific action, and knowledge of context aids but isn't her primary trait here. Her effectiveness lies in faithfully driving the group's vision forward, a hallmark of strong followership.