ATI RN Community Health 2023 with NGN -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: a client who is ambulatory and exhibits manic behavior. In a triage situation, priority should be given to clients who have the highest risk of deterioration or immediate life-threatening conditions. In this scenario, a client exhibiting manic behavior may be a sign of an underlying medical or psychological emergency that requires immediate attention to prevent harm to themselves or others. This client may be at risk of causing harm or disrupting the triage process, making it necessary to address their condition promptly. Clients with superficial burns, femur fractures with a pedal pulse, or rigid abdomen with shock manifestations are important to assess and treat, but they do not present an immediate threat to themselves or others like a client exhibiting manic behavior.

Correct Answer: D

Rationale: The correct answer is D because assessing for risk factors of intimate partner abuse during health examinations falls under tertiary prevention, which aims to minimize the impact of a health condition or injury. By identifying risk factors, healthcare professionals can intervene to prevent further harm or escalation of abuse.

A: Presenting community education programs about stress management is an example of primary prevention, focusing on preventing the occurrence of violence.
B: Developing resources for victims of abuse is an example of secondary prevention, aiming to intervene and provide support after violence has occurred.
C: Urging community leaders to make nonviolence a priority is also an example of primary prevention, focusing on promoting non-violent behaviors in the community.

Correct Answer: A

Rationale: The correct answer is A because a public health nurse's role includes notifying family members and coworkers about possible exposure to anthrax to prevent further spread.
Choice B is incorrect as quarantine is typically done by health authorities, not the nurse.
Choice C is incorrect as the nurse does not directly prescribe antibiotics.
Choice D is incorrect as the client, not the nurse, should wear a mask for protection.

Correct Answer: B

Rationale: The correct answer is B: hypothermia. Alcohol withdrawal can lead to a decrease in the body's ability to regulate temperature, resulting in hypothermia. This is due to alcohol's impact on the central nervous system's ability to regulate body temperature. Bradycardia (
A) is not typically associated with alcohol withdrawal; increased appetite (
C) is more commonly seen during the acute intoxication phase; insomnia (
D) is a symptom of alcohol withdrawal, but it is not a manifestation related to temperature regulation.

Correct Answer: C

Rationale: The correct answer is C: discuss the risks of being homeless with the client. This is the first action the nurse should take because it addresses the immediate health and safety concerns of the client. By discussing the risks associated with homelessness, the nurse can help the client understand the potential dangers and motivate them to seek assistance. Option A focuses on assessing the client's understanding, which can come later once immediate risks are addressed. Option B involves future planning and is not the most urgent priority. Option D involves teaching strategies, which may not be effective if the client is not aware of the risks.
Therefore, option C is the most appropriate initial action to ensure the client's immediate well-being.