ATI RN
History of Public Health Nursing Questions
Question 1 of 5
A client at a rural community health center has been diagnosed with diabetes and has scheduled a telehealth appointment with a diabetes educator. Which client statement about seeing a provider via telehealth indicates to the community health nurse that more teaching is needed?
Correct Answer: C
Rationale: The correct answer is C because stating that telehealth reduces communication with the diabetes educator indicates a misunderstanding. Telehealth actually facilitates communication by allowing clients to easily connect with providers remotely. Option A is incorrect because telehealth can provide the same level of care as in-person visits. Option B is incorrect as telehealth can save time and resources by eliminating the need for long drives. Option D is incorrect as telehealth can indeed enable close monitoring of the client's diabetes through regular check-ins and data sharing.
Question 2 of 5
Which intervention should the nurse use to instill trust in underrepresented clients in a community health center?
Correct Answer: B
Rationale: The correct answer is B because assessing the client's potential barriers to care demonstrates cultural competence and individualized care, which can help build trust with underrepresented clients. By understanding their specific challenges, the nurse can tailor interventions to meet their needs effectively. Option A is incorrect because asking family members to remain in the waiting area may not necessarily address the client's trust concerns or barriers to care. Option C is incorrect because providing education materials in English may not be helpful if the client's primary language is different, leading to potential misunderstandings and lack of trust. Option D is incorrect because simply reading about the client's culture may not provide accurate or relevant information to establish trust; direct communication and assessment are more effective in this context.
Question 3 of 5
The nurse is recommending that a client in a rural area monitor their blood pressure electronically at home to determine the effectiveness of antihypertensive medication and lifestyle changes and to follow up using telehealth. Which information will the nurse provide the client about telehealth visits?
Correct Answer: B
Rationale: The correct answer is B: It allows the nurse to see trends in the client's blood pressure. Rationale: Telehealth allows the nurse to remotely monitor the client's blood pressure readings over time, enabling the identification of trends and patterns. This data helps in assessing the effectiveness of medications and lifestyle changes. It enhances continuity of care and enables timely interventions. Summary of other choices: A: There is no charge for telehealth visits - This is not necessarily true as telehealth services may involve costs. C: It increases the number of emergency department visits - Telehealth aims to reduce unnecessary emergency visits by providing proactive monitoring and management. D: It is not as effective in treating conditions as in-office visits - Telehealth has been shown to be effective in managing various health conditions, including hypertension.
Question 4 of 5
A nurse is preparing to educate a community group on reducing the risk of cardiovascular disease. Which behavior modification should the nurse emphasize first?
Correct Answer: A
Rationale: The correct answer is A: Smoking cessation. Smoking is a major risk factor for cardiovascular disease, leading to arterial damage and increased risk of heart attacks and strokes. By quitting smoking, individuals can significantly reduce their risk of developing cardiovascular disease. It is the most crucial behavior modification to address first in this scenario. Weight loss, increasing physical activity, and reducing dietary sodium intake are also important in preventing cardiovascular disease, but smoking cessation should be emphasized first due to its direct impact on cardiovascular health.
Question 5 of 5
A nurse is providing care to an elderly client who lives alone. Which factor should the nurse assess first when planning care for this client?
Correct Answer: C
Rationale: Step 1: Assessing the client's social support system is essential as it impacts the client's overall well-being and safety. Step 2: Social support can provide emotional, physical, and financial assistance to the elderly client living alone. Step 3: Lack of social support can lead to isolation, depression, and inadequate care. Step 4: By assessing the client's social support system first, the nurse can identify potential risks and address them effectively. Step 5: Financial resources (B), ADLs (A), and access to healthcare (D) are important but assessing social support (C) takes priority as it directly influences the client's ability to thrive independently.