ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse working in an infectious disease clinic is caring for a client with a new diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily reporting cases of this disease to the CDC?
Correct Answer: B
Rationale: The correct answer is B: State health department. The state health department is responsible for voluntarily reporting cases of Lyme disease to the CDC as part of the national surveillance system for infectious diseases. State health departments collect and report data on various diseases to monitor trends, detect outbreaks, and implement public health interventions. The Office of the Surgeon General does not handle disease reporting, the Hospital infection control department focuses on preventing healthcare-associated infections within the hospital, and the Local Red Cross chapter is not involved in disease surveillance. Thus, the state health department is the appropriate agency for reporting cases of Lyme disease to the CDC.
Question 2 of 5
A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: You should have your stool tested for blood every other year until the age of 74. This is important for early detection of colorectal cancer, which is recommended starting at age 50. Stool testing for blood helps identify any signs of bleeding in the digestive tract, a potential indicator of colorectal cancer. The other choices are incorrect because eye examinations should be done annually after age 65, hearing screening should be done every 3-5 years, fasting blood glucose should be checked more frequently for diabetes screening, and stool testing for blood should be continued beyond age 74 due to the ongoing risk of colorectal cancer.
Question 3 of 5
A nurse is discussing short and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include?
Correct Answer: D
Rationale: The correct answer is D because learning functional skills to replace defense mechanisms and behaviors is crucial for long-term recovery from alcohol use disorder. By acquiring healthy coping mechanisms, the client can effectively manage triggers and stressors without resorting to alcohol. This promotes sustained sobriety and prevents relapse.
A is incorrect as disulfiram is not typically used for withdrawal symptoms but rather to deter alcohol consumption by causing unpleasant reactions.
B is incorrect as physical activity may be beneficial, but it does not directly address the underlying issues related to alcohol use disorder.
C is incorrect as Al-Anon meetings are for family and friends of individuals with alcohol use disorder, not for the individuals themselves to seek role models.
Therefore, D is the most appropriate statement as it focuses on building essential skills for long-term recovery.
Question 4 of 5
During a home health visit a school age child who has muscular dystrophy confidesin the nurse that he was struck by his parents. which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: report the incident to local authorities. The nurse's first priority is to ensure the safety and well-being of the child. Reporting to local authorities is crucial to protect the child from further harm and to initiate an investigation. Checking for injuries (
B) is important but secondary to ensuring the child's safety. Referring the parent to a social service agency (
C) or enrolling them in anger management classes (
D) does not address the immediate safety concerns of the child. In this situation, immediate action through reporting to authorities is the most appropriate course of action.
Question 5 of 5
a nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: help students recognize the value of making healthy food choices. This is the first step the nurse should take because it focuses on educating and empowering the students to understand the importance of healthy eating. By helping students recognize the value of making healthy food choices, the nurse can lay the foundation for long-term behavior change. Providing positive feedback (choice
A) can come later once students have started making better choices. Providing resources (choice
C) and determining motivation (choice
D) are important but secondary steps after helping students understand the value of healthy eating.
Choices E and F are irrelevant and not related to the scenario.