ATI RN
Care of Vulnerable Populations Questions
Question 1 of 5
A group of teenagers with diabetes become upset and angry because they cannot agree on whether or not to have meetings during summer vacation. Which of the following should the nurse do to be effective in helping the teenagers resolve the conflict?
Correct Answer: A
Rationale: The correct answer is A because it promotes open communication and collaboration among the teenagers. By acknowledging the difficulty in reaching a consensus and encouraging the group to work together to find a solution, the nurse fosters a sense of ownership and empowerment among the teenagers. This approach respects the autonomy and opinions of each group member, facilitating a constructive dialogue to address the conflict. Choice B is incorrect as it disregards the teenagers' autonomy and imposes an authoritative decision that may not align with the group's needs. Choice C is incorrect as it labels some members as "stubborn" and suggests exclusion, which can exacerbate conflict and create a hostile environment.
Question 2 of 5
The nursing educator, who is offering a course on preparing for motherhood, asks the women taking her class to identify what they wish to learn and to write their own learning objectives. What is this method of gaining commitment called?
Correct Answer: A
Rationale: The correct answer is A: A learning contract. This method of gaining commitment involves having individuals actively participate in setting their own learning goals and objectives. By asking the women in the class to identify what they wish to learn and write their own learning objectives, the nursing educator is essentially creating a mutual agreement or contract with them regarding their learning journey. This process increases motivation, engagement, and accountability as the learners have a personal stake in their own learning outcomes. Summary of other choices: B: Clarifying objectives - While this is related to the concept of setting objectives, it doesn't capture the aspect of mutual agreement or commitment between the educator and learners. C: Feedback mechanisms - This refers to the process of providing feedback on performance, which is different from setting individual learning objectives. D: Pedagogical principles - This term refers to the methods and strategies used in teaching and learning, but it does not specifically address the concept of gaining commitment through mutual agreement on learning objectives.
Question 3 of 5
A patient tells a nurse, “I know all about this already. I read about it on the Internet." The patient then summarizes what he has learned. Since some of this information seems incorrect, what questions would be effective for the nurse to ask? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: "Were you able to find what you wanted easily on the website?" This question is effective because it assesses the patient's ability to navigate and understand the information on the website. If the patient had difficulty finding the information or understanding it, it may indicate a lack of reliable information. Choice B is incorrect because while it is important to know when information was updated, it does not directly address the patient's understanding of the information. Choice C is also incorrect as knowing who is responsible for the information does not necessarily determine its accuracy. Choice D is irrelevant as it does not address the patient's comprehension of the information.
Question 4 of 5
In which of the following activities is the nurse acting in the role of a nurse epidemiologist?
Correct Answer: B
Rationale: The correct answer is B, evaluating the number of clients presenting with similar diseases. A nurse acting as a nurse epidemiologist focuses on studying and analyzing patterns of disease occurrence in populations. By evaluating the number of clients with similar diseases, the nurse can identify potential outbreaks, trends, and risk factors. This role involves data collection, analysis, and interpretation to prevent and control diseases at a population level. A: Eliciting the health history focuses on individual clients, not population-level data analysis. C: Performing a physical examination is part of direct patient care and not epidemiological analysis. D: Providing treatment and health education is important but does not involve the systematic study of disease patterns in populations.
Question 5 of 5
Several small communities requested help from the state department of health for improving their teenage pregnancy rate. Which community should the nurse suggest get funds first?
Correct Answer: A
Rationale: The correct answer is A: Community A - with 23 single teenage pregnancies in a city of 500. This community has the highest rate of teenage pregnancies per capita compared to the other communities. By calculating the teenage pregnancy rate per capita, we can see that Community A has the highest rate (4.6%) compared to the other communities. Therefore, it is more urgent to address the issue in Community A first. Community B has a teenage pregnancy rate of 4.5% (45/1000), Community C has a rate of 4.5% (90/2000), and Community D has a rate of 6% (90/1500). While Community D has the same number of teenage pregnancies as Community C, it has a higher teenage pregnancy rate per capita, making it a less urgent priority.