ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching participants at a community center about advance directives. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: A health care surrogate makes health care decisions when the client is no longer able. This information is crucial for understanding advance directives as it highlights the role of a health care surrogate in making decisions on behalf of the client when they are incapacitated. This empowers individuals to ensure their wishes are carried out even when they are unable to communicate them.
Choice A is incorrect because creating a do-not-resuscitate order is just one aspect of advance directives, not a mandatory requirement.
Choice B is incorrect as advance directives can be updated or changed as long as the individual is competent to do so.
Choice D is incorrect as assigning a health care surrogate does not always require legal consultation, although it may be recommended in some cases.
Question 2 of 5
A nurse in a community clinic is caring for a client who requests assistance with smoking cessation. The nurse should expect a prescription for which of the following medications?
Correct Answer: D
Rationale: The correct answer is D: Bupropion. Bupropion is an antidepressant that is also FDA-approved for smoking cessation. It works by reducing nicotine cravings and withdrawal symptoms. Naltrexone (
A) is used for alcohol and opioid dependence, not smoking cessation. Chlordiazepoxide (
B) is a benzodiazepine used for alcohol withdrawal. Clonidine (
C) is used to manage withdrawal symptoms in opioid and alcohol dependence, not specifically for smoking cessation.
Therefore, Bupropion is the most appropriate choice for assisting the client with smoking cessation.
Question 3 of 5
A nurse is counseling a group of clients from a town that was affected by a hurricane 6 months ago. For which of the following clients should the nurse initiate a referral to assess for the presence of posttraumatic stress disorder? (Select all that apply.)
Correct Answer: A, B, E
Rationale: The correct answer is A, B, E. Feeling disconnected, having nightmares, and persistent anger are common symptoms of posttraumatic stress disorder (PTS
D) following a traumatic event like a hurricane. Referring these clients for further assessment is crucial to determine if they meet the criteria for PTSD diagnosis.
Choice C describes a realistic assessment of the situation and does not necessarily indicate PTSD.
Choice D, which is repeated, also describes persistent anger, which is a symptom but is already covered by choice E.
Question 4 of 5
A public health nurse is managing several projects for the community. Which of the following interventions should the nurse identify as a primary prevention strategy?
Correct Answer: C
Rationale: The correct answer is C: Teaching parenting skills to expectant mothers and their partners. This is a primary prevention strategy because it aims to prevent the occurrence of health issues by promoting positive behaviors and skills before any problems arise. By educating expectant mothers and their partners on parenting skills, the nurse is helping to establish a healthy family environment which can lead to positive health outcomes for both the parents and the child.
Explanation of why the other choices are incorrect:
A: Conducting mental health screenings - This is more of a secondary prevention strategy aimed at early detection and treatment of mental health issues.
B: Referring clients with obesity to exercise programs - This is more of a tertiary prevention strategy focused on managing existing health conditions.
D: Providing crisis intervention - This is a secondary prevention strategy addressing immediate mental health crises but not preventing future issues.
Question 5 of 5
A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Use three-pronged grounded plugs. This is important because three-pronged grounded plugs help prevent electrical fires by providing a path for excess electricity to safely dissipate, reducing the risk of overheating and sparking. This is crucial in preventing electrical fires.
A: Removing the plug by pulling the cord can damage the cord and increase the risk of electrical hazards.
B: Checking for a tingling sensation is not a reliable method to ensure electricity is working and does not prevent electrical fires.
C: Covering extension cords with a rug can create a fire hazard by trapping heat and increasing the risk of overheating.
E, F, G: No other options were provided.