ATI RN
Community Needs Assessment Questions Questions
Question 1 of 5
A male client is brought to the emergency department as the result of a motorcycle accident. He was not wearing a helmet at the time of the accident, and states that he
Correct Answer: C
Rationale: Rationale for Choice C: 1. Choice C empowers the client by encouraging him to consider wearing a helmet, promoting his safety. 2. It acknowledges the client's autonomy while emphasizing the importance of helmet use. 3. The nurse's response aligns with the principles of health promotion and injury prevention. Summary of Other Choices: - Choice A: TTM focuses on stages of behavior change, not the immediate safety concern of helmet use. - Choice B: This response fails to address the critical safety issue at hand, prioritizing individual choice over safety. - Choice D: While true, this choice does not address the client's current behavior or provide guidance for future actions.
Question 2 of 5
The nurse is designing a community health project based on a report provided by the World Health Organization that describes healthcare problems in the United States. Which healthcare issue should the nurse give the highest priority when planning the project?
Correct Answer: C
Rationale: The correct answer is C: Number of people without access to healthcare. This should be the highest priority as it directly addresses a fundamental issue of healthcare accessibility and equity. Without access to healthcare, individuals cannot receive necessary medical care, leading to poorer health outcomes and increased healthcare disparities. Choice A (Overuse of diagnostic technology) is not the highest priority as it focuses on efficiency rather than accessibility. Choice B (Government-based health insurance) is important but does not directly address the issue of lack of access to healthcare. Choice D (The neonatal and infant mortality rates) is also important but does not target the root cause of lack of access to healthcare for the general population. Prioritizing addressing the number of people without access to healthcare will help improve overall health outcomes and reduce disparities in the community.
Question 3 of 5
The home health nursing director is conducting an educational program for registered nurses and practical nurses about Medicare reimbursement. To obtain payment for Medicare services, what must be included in the client's record?
Correct Answer: C
Rationale: Rationale for Correct Answer (C): Documentation of a skilled care service provided during the visit is essential for Medicare reimbursement as it demonstrates that the services delivered were medically necessary and met the criteria for coverage. Medicare requires evidence of skilled care to justify payment. Including this documentation ensures compliance with Medicare guidelines. Summary of Incorrect Choices: A: A prescription from the healthcare provider is not directly related to Medicare reimbursement. While prescriptions may be part of the client's record, they are not a mandatory requirement for Medicare payment. D: A copy of the client's health history and social is important for providing comprehensive care but not specifically required for Medicare reimbursement. This information may be part of the client's record for clinical purposes but does not directly impact reimbursement.
Question 4 of 5
The nurse is screening children at a local community health clinic for infectious diseases. Which child is at highest risk for hepatitis B virus (HBV)?
Correct Answer: A
Rationale: The correct answer is A, a newborn, as they are at higher risk due to potential exposure during birth from an infected mother. Newborns can acquire HBV through vertical transmission. Choice B, a 3-year-old, and choice D, a 7-year-old, are less at risk compared to newborns. Choice C, which seems to be incomplete, does not provide any relevant information.
Question 5 of 5
A community health nurse is conducting a neighborhood discussion group about disaster planning. What information regarding the transmission of anthrax should the nurse provide to the group?
Correct Answer: A
Rationale: The correct answer is A: Infection is acquired when anthrax spores enter a host. Anthrax is caused by Bacillus anthracis spores entering the body through inhalation, ingestion, or a skin break. Spores can remain dormant for long periods and become active in a suitable host. Explanation of incorrect choices: B: Mature anthrax bacteria do not live dormant on inanimate objects. Anthrax is primarily transmitted through contact with contaminated animal products or soil. C: Spores can survive for extended periods outside a host. This resilience is a key factor in anthrax's ability to cause infection. D: Anthrax is not transmitted through respiratory droplets from person to person. It is more commonly acquired through contact with infected animals or contaminated materials.