ATI RN
Care of Vulnerable Populations Questions
Question 1 of 5
A health care provider is concerned about the high number of clients with type 2 diabetes mellitus who have poor glucose control. What would be the best reference for the provider to implement evidence-based practice (EBP) in the management of this problem?
Correct Answer: B
Rationale: The correct answer is B: Current research findings. This is because research findings provide the most up-to-date and evidence-based information on the management of type 2 diabetes mellitus. Research studies undergo rigorous evaluation and peer review, ensuring the validity and reliability of the information presented. By relying on current research, the health care provider can make informed decisions and implement evidence-based practices that are supported by scientific evidence. Choices A, C, and D are incorrect because: A: Published protocols may be outdated or not based on the most current evidence. C: Colleagues' opinions may be subjective and not necessarily evidence-based. D: While nursing journals may contain valuable information, they may not always provide the most recent research findings specifically related to the management of type 2 diabetes mellitus.
Question 2 of 5
Staff members have agreed to implement evidence-based practice; they have chosen a specific problem and searched the literature. The group has selected the interventions that seem the easiest to implement. What should be the staff's next step?
Correct Answer: A
Rationale: The correct answer is A: Assessing the quality of the evidence in the literature. After selecting interventions, it is crucial to evaluate the quality of evidence to ensure effectiveness and reliability. By assessing the evidence, staff can determine the validity and applicability of the interventions to their specific problem. This step helps in making informed decisions and avoiding potential harm from implementing interventions based on weak or biased evidence. Summary of other choices: B: Deciding how best to orient the staff and community to the proposed changes - Important, but not the immediate next step. C: Eliminating all nursing interventions that are not evidence based - Premature without assessing the quality of evidence first. D: Choosing another specific problem for the next literature search - Not necessary at this point; evaluating current interventions is more crucial.
Question 3 of 5
If the nurse teaches solely by lecturing to clients, what part of the education process is missing?
Correct Answer: C
Rationale: The correct answer is C: Participation. When the nurse only lectures, clients lack active involvement in the learning process, hindering their ability to engage, ask questions, and apply knowledge. Participation enhances understanding and retention by promoting active learning. Evaluation involves assessing learning outcomes, experience comes from applying knowledge, and understanding is a result of effective teaching methods.
Question 4 of 5
A nurse planned a superb presentation on the latest trends in disaster planning for the senior nursing students at the local college. However, when the nurse began to share knowledge, the students were talking to one another and essentially ignoring the nurse. What should the nurse do?
Correct Answer: B
Rationale: The correct answer is B, explain why the information is crucial to their current clinical practice. This option addresses the issue by highlighting the relevance of the information to the students' academic and professional development. By emphasizing the practical importance of the content, the nurse can engage the students and demonstrate the value of paying attention. A: Asking the students why they are being rude may come off as confrontational and can escalate the situation. C: Doing nothing and letting the course instructor handle the problem does not address the immediate issue of student disengagement. D: Telling a risqué joke may momentarily grab attention but does not address the root cause of the students' behavior or promote a professional learning environment.
Question 5 of 5
A nurse invited all the teenagers who were newly diagnosed with diabetes to a group meeting to discuss issues they all had in common. One teenager replied, "I don't know if I want to share all the problems I'm having with strangers." What is the best nurse response?
Correct Answer: D
Rationale: The correct answer is D because it addresses the teenager's concerns while emphasizing the purpose of the group. The nurse acknowledges the teenager's hesitation and clarifies that the group is a safe space for sharing common issues. This response validates the teenager's feelings, emphasizes the benefits of group support, and encourages participation without pressure. Option A is incorrect as it may discourage the teenager from seeking support altogether. Option B acknowledges the teenager's statement but does not provide reassurance or guidance. Option C is incorrect because it does not address the teenager's concerns about sharing personal information with strangers and may not alleviate their apprehension.