ATI RN
Care of Vulnerable Populations Questions
Question 1 of 5
A 13-year-old is being seen in the clinic for a routine health check. The adolescent has not been in the clinic for 3 years but was up
Correct Answer: A
Rationale: Rationale: 1. Adolescents require catch-up immunizations to maintain protection against various diseases. 2. Recommended vaccines for 13-year-olds include Tdap, MCV4, HPV, Influenza, etc. 3. Selecting all applicable immunizations ensures comprehensive protection. 4. Other choices lack the breadth of coverage needed for a routine health check in a 13-year-old.
Question 2 of 5
A nurse is going to visit a client who needs assistance with personal hygiene and feeding. Which suggestion should be made to the family?
Correct Answer: A
Rationale: The only thing the nurse can do if the care needed is maintenance and assistance with activities of daily living is suggest a home health aide if the family can afford it, or teach the family how to help the client. Currently, most reimbursement for nursing services is based on the patient's need for skilled nursing. On each patient visit, the nurse must document that the care provided is of a skilled nature that requires the knowledge and assessment skills of a nurse and must verify that the patient or a family member could not provide the same level of care.
Question 3 of 5
Which best explains why home health care agencies that are part of national chains are doing better in the competitive marketplace than individually owned agencies?
Correct Answer: D
Rationale: Agencies within chains have a financial advantage over single agencies. The chains have lower administrative costs because a larger single corporate structure provides many services. For example, a multiagency corporation has greater purchasing power for supplies and equipment because they purchase a larger volume. A single corporate office can provide administrative services such as payroll and employee benefits for all chain employees, thereby reducing duplication of these services. It is unlikely that they are doing better because they receive better media coverage, offer less quality care, or have a more experienced chief executive officer.
Question 4 of 5
Which best explains the purpose of the Outcome and Assessment Information Set (OASIS)?
Correct Answer: B
Rationale: OASIS is a data set that measures outcomes of adult home care patients to monitor outcome-based quality improvement. These items are used to monitor outcomes, plan patient care, provide reports on patient characteristics for each agency, and evaluate and improve clinical performance. The use of OASIS is mandatory for all Medicare and Medicaid patients receiving skilled care. The primary purpose of OASIS is not to analyze the cost-effectiveness of health agencies. This data set does not publicize hospital data or survey patient satisfaction of care from the health agencies.
Question 5 of 5
Which is the primary task to be accomplished during the initial telephone contact between the home health nurse and the client?
Correct Answer: C
Rationale: The nurse contacts the client and informs him or her about the service referral. The first telephone contact with the client or family consists of an exchange of essential information, including an introduction by the nurse, identification of the agency that received the referral, and the purpose of the visit. After the initial exchange of information, the nurse informs the client of his or her desire to make the home visit, the client gives permission, and the group sets a mutually acceptable time for the visit. The nurse is a guest in the client's home but not in the usual social sense. Public health nurses who are reimbursed by tax dollars may not require evidence of insurance coverage.