ATI RN
Care of Vulnerable Populations Questions
Question 1 of 5
A 14-year-old boy seems to be always eating, although his weight is appropriate for his height. What is the best explanation for this?
Correct Answer: A
Rationale: The correct answer is A. At the age of 14, boys typically experience a growth spurt and increase in body mass due to puberty. This increased growth and development require more energy, leading to increased appetite. As the boy's weight is appropriate for his height, his eating habits are likely normal for his stage of development. Explanation for other choices: B: This is premature as the boy's weight is appropriate and does not suggest future obesity. C: Without knowing the specifics of his caloric intake, it is not accurate to assume it is excessive. D: Incomplete option.
Question 2 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 3 of 5
Which screening tests should the school nurse perform for the adolescent? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Vision. Vision screening is important for adolescents to detect any visual impairments early. Regular vision checks can help identify issues like nearsightedness or astigmatism. Glucose, hearing, and cholesterol tests are not typically performed by school nurses as routine screenings for adolescents. Glucose testing is more relevant for diabetes screening, hearing tests are usually done by audiologists, and cholesterol screening is typically recommended later in life. Vision screening is the most appropriate choice for school nurses to perform for adolescents to ensure their visual health.
Question 4 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 5 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.