ATI RN
Care of Vulnerable Populations Questions
Question 1 of 5
A migrant farmworker presents to the clinic reporting an acute onset of severe abdominal pain, nausea, vomiting, diarrhea, and headache with difficulty concentrating. What condition might cause such symptoms?
Correct Answer: C
Rationale: The correct answer is C: Pesticide poisoning. The symptoms described align with acute pesticide poisoning, including abdominal pain, nausea, vomiting, diarrhea, headache, and neurologic symptoms like difficulty concentrating. Pesticide exposure commonly occurs in farmworkers, making it a likely cause. Appendicitis typically presents with localized abdominal pain, while bacterial gastroenteritis usually includes fever and may have a more gradual onset. A viral illness would not typically cause such severe and acute symptoms. Thus, pesticide poisoning is the most likely explanation based on the symptoms and the patient's occupation.
Question 2 of 5
A nurse who cares for Mexican migrant farmworkers must be certain to assess for which of the following? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Hepatitis. Mexican migrant farmworkers are at higher risk for Hepatitis due to poor sanitation and crowded living conditions. Hepatitis is a common infectious disease among this population. Assessing for Hepatitis is crucial for early detection and prevention. Rationale: 1. Cholera (A) is not typically associated with Mexican migrant farmworkers and is more common in areas with poor sanitation and contaminated water. 2. High blood level of lead (C) may be a concern due to exposure in agricultural settings, but Hepatitis is a more significant health risk for this population. 3. Malaria (D) is not commonly found in Mexico and is more prevalent in tropical regions. Assessing for Hepatitis among Mexican migrant farmworkers is a higher priority due to their living and working conditions.
Question 3 of 5
A student nurse was seriously shocked when late one night the she saw a former high school friend going through a trash bin outside a fast-food restaurant and pulling out half-eaten food. What is a likely explanation for a healthy young adult engaging in such behavior?
Correct Answer: B
Rationale: The correct answer is B because it provides a plausible explanation for why a healthy young adult would engage in such behavior. The scenario suggests that the individual is experiencing financial struggles despite having full-time employment. This aligns with the behavior of searching for food in a trash bin out of necessity due to inadequate income to cover basic expenses. Choice A is incorrect because it assumes the individual wanted more food after finishing a meal, which is not supported by the scenario. Choice C is incorrect as it relies on a speculative assumption that the individual was looking for a friend's untouched food. Choice D is also incorrect as there is no indication of fraternity initiation or obligation in the scenario.
Question 4 of 5
What is the most rapidly growing group of homeless?
Correct Answer: B
Rationale: The correct answer is B: Families with children. This group is the most rapidly growing homeless population due to various factors like high housing costs, lack of affordable housing, and economic instability. Families with children are particularly vulnerable as they often face challenges in finding stable housing. The other choices are incorrect because while they do contribute to homelessness, the rate of increase among families with children is the highest, making them the most rapidly growing group. Adolescents, single men, and persons in crisis are also affected by homelessness, but not at the same escalating rate as families with children.
Question 5 of 5
What action by the nurse can best ensure long-term positive health outcomes of poor pregnant teens and their children?
Correct Answer: B
Rationale: The correct answer is B. Developing programs that allow teen mothers to complete their education is crucial for ensuring long-term positive health outcomes for poor pregnant teens and their children. By completing their education, teen mothers increase their likelihood of securing better job opportunities, financial stability, and access to healthcare for themselves and their children. This ultimately leads to improved overall health outcomes. A: Assisting teen mothers to learn about their body changes during pregnancy is important but may not address the long-term health and socioeconomic factors affecting poor pregnant teens and their children. C: Offering courses in proper care of babies and how to be a parent is valuable but may not address the broader issues related to education, financial stability, and access to healthcare that are crucial for long-term positive health outcomes. D: Monitoring pregnant teens to detect early problems with pregnancy is necessary for immediate health concerns but does not address the long-term factors that impact health outcomes over time.