ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
a community health nurse is planning an educational program for a group of women who are postmenopausal. which of the following outcomes is appropriate for this program?
Correct Answer: C
Rationale: The correct answer is C: clients will start hormone replacement therapy. Postmenopausal women often experience hormonal imbalances that can lead to various health issues such as osteoporosis and heart disease. Hormone replacement therapy can help alleviate symptoms and reduce the risk of these conditions. Scheduling bone density screenings (
A) is important but does not address the underlying hormonal changes. Mammograms (
B) are essential for breast cancer screening but are not directly related to postmenopausal hormonal health. Significantly decreasing caloric intake (
D) is not a suitable outcome for a program targeted at postmenopausal women's health. The question also includes unrelated information about a health maintenance organization (E), which is a distractor.
Question 4 of 5
a client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. which of the following is the first action the nurse should take when assisting this client?
Correct Answer: D
Rationale: The correct answer is D: explain diabetes exchange list. The nurse should first explain the diabetes exchange list to the client as it educates on portion sizes and food groups suitable for managing diabetes. This empowers the client to make informed choices. Providing a printed recipe (
A) assumes the client understands portion control. Observing the client during food preparation (
B) doesn't address education on appropriate food choices. Using cookbooks (
C) may not align with the client's cultural preferences or dietary needs. The other choices are incomplete without addressing the foundational education needed for diabetes management.
Question 5 of 5
a nurse is conducting a community assessment. which of the following information should the nurse include as part of the windshield survey?
Correct Answer: A
Rationale: The correct answer is A: demographic data. In a windshield survey, the nurse observes the community from a car to gather data. Demographic data, such as age, gender, ethnicity, and socioeconomic status, provides a foundational understanding of the community's composition and needs. Mortality rate (
B) and housing quality (
D) are important but are not typically assessed through a windshield survey. Informant interviews (
C) involve direct communication and are not part of a windshield survey method.