ATI RN Community Health 2023 with NGN -Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Motor vehicle safety. Adolescents are at the highest risk of death due to motor vehicle accidents, making it a crucial topic for safety education. This age group is more likely to engage in risky driving behaviors such as speeding, distracted driving, and not wearing seat belts. By focusing on motor vehicle safety, the nurse can address the leading cause of death and help adolescents make safer choices.

Incorrect

Choices:
B: Sports injury prevention - While sports injuries are common, they are not the leading cause of death for adolescents.
C: Substance abuse prevention - Substance abuse is a significant concern, but it is not the primary cause of death for this age group.
D: Gun safety - While gun safety is important, it is not the leading cause of death for adolescents.

Correct Answer: D

Rationale: The correct answer is D: Chinese cultural practices include enduring pain to prevent family dishonor. In Chinese culture, there is a strong emphasis on maintaining harmony within the family and avoiding bringing shame or dishonor.
Therefore, individuals may endure pain silently to avoid burdening their family or appearing weak. This cultural value often leads to underreporting of pain in healthcare settings.

A: Middle Eastern cultural practices typically value stoicism and may involve hiding pain to avoid appearing vulnerable to others.
B: Native American cultural practices may vary, but being outspoken about pain is not a common generalization.
C: Puerto Rican cultural practices may value stoicism as well, but it is not specifically tied to shame in expressing pain.

In summary, the nurse should include information about Chinese cultural practices of enduring pain to prevent family dishonor, as it highlights an important aspect of cultural variances in pain expression.

Correct Answer: B

Rationale: The correct answer is B: Determine the client's ability to self-feed. The priority action is to assess the client's capacity to feed themselves independently. This is crucial in identifying any issues or barriers the client may be facing in terms of feeding. By determining the client's ability to self-feed, the nurse can develop an appropriate plan of care tailored to the client's specific needs.



Choices A, C, and D are incorrect because they do not address the immediate concern of evaluating the client's ability to feed themselves. While arranging for Meals on Wheels or directing the home health aide to assist with meals may be helpful interventions, they do not address the root cause of the issue. Referring the client's partner to an Alzheimer's support group may be beneficial in the long term but does not address the immediate need to assess the client's ability to self-feed.

Correct Answer: C

Rationale: The correct answer is C: Distribute health risk appraisal questionnaires at community functions. This is prioritized because it helps identify health risks at a population level, enabling targeted interventions.
Choice A focuses on individual weight reduction, not community health.
Choice B targets a specific group, neglecting the broader community.
Choice D only addresses one aspect of health in a specific population.

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.