ATI RN
Nursing Care of Vulnerable Populations Questions
Question 1 of 5
A mother and her son are in the emergency department. The mother is extremely upset. Earlier, the son had become so angry that he put his hand through a glass window and had to have stitches. The physician suggested a psychiatric consult. Now the mom asks, "Do you think my son is crazy?" Which is the most appropriate response?
Correct Answer: D
Rationale: The correct answer is D because it addresses the concerns of both the mother and the son appropriately. It acknowledges the son's behavioral issues and the distress it causes, highlighting the need for help in coping with life effectively. It emphasizes the role of a psychiatrist in providing support and guidance for the son to improve his behavior. Choice A focuses more on behavior modification rather than addressing the mother's concerns about her son being "crazy." Choice B dismisses the mother's worries and focuses on hormonal changes in adolescence. Choice C shifts the responsibility of determining if the son is crazy solely to the psychiatrist, not providing reassurance or guidance to the mother. In summary, choice D is the most appropriate response as it addresses the behavioral problems, acknowledges the distress felt by both the mother and son, and emphasizes the psychiatrist's role in helping the son cope with life effectively.
Question 2 of 5
A nurse is concerned about stress related to the heavy caregiving burden assumed by adult children of older clients. What action by the nurse would use secondary prevention to limit caregiver stress?
Correct Answer: C
Rationale: The correct answer is C: Establishing support groups for caregivers of older parents. This is the best choice for secondary prevention as it involves providing a structured support system for caregivers to share their experiences, receive emotional support, and learn coping strategies. Support groups can help caregivers feel less isolated, provide a sense of community, and offer practical advice in managing caregiving stress. Choice A may help in addressing caregiver stress but lacks the comprehensive support provided by a support group. Choice B is a good suggestion for self-care, but it does not offer ongoing support or address the underlying stressors. Choice D involves delegating tasks but may not address the emotional and psychological needs of the caregiver like a support group would.
Question 3 of 5
A teenager who has just come in for her prenatal visit appears to be about 6 months pregnant. What are the most typical reasons that a teenage girl might wait so long to come in for prenatal care? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Her friends were suggesting ways to make the problem go away. This is the most typical reason for a teenager to delay prenatal care because peer influence can lead to denial or avoidance of the pregnancy. The other choices are incorrect: B: She knew she could not be pregnant because her boyfriend said he used a condom - This is not a common reason as relying solely on a partner's claim is risky. C: She was afraid her parents would pressure her to terminate the pregnancy - While this could be a reason, it is not as common as peer influence. D: She kept hoping the pregnancy would just go away - This is an unrealistic expectation and not a common reason for delaying prenatal care.
Question 4 of 5
What advice would you give a new nurse on how to care for very poor families? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because being supportive in any way possible is essential in caring for very poor families. As a nurse, offering emotional support, empathy, and understanding can help build trust and rapport with the family, leading to better health outcomes. Choice B is incorrect because while educating families on free health resources is important, it may not address the immediate needs of very poor families who may require more practical support. Choice C is incorrect because offering medication samples may not always be feasible or sustainable. It is crucial to consider the long-term implications and potential ethical issues related to providing free medication samples. Choice D is incorrect because recognizing the family's poverty should not mean refraining from discussing payment options. Open communication regarding financial constraints can help in finding solutions and ensuring the family receives the care they need.
Question 5 of 5
A school health nurse plans to use evidence-based practice (EBP) to guide the development of health education programs most likely to increase retention of learning in elementary school children. What may be the best way to use EBP in this situation?
Correct Answer: B
Rationale: The correct answer is B because comparing and contrasting randomized clinical trials related to learning in elementary school children allows the nurse to identify the most effective strategies backed by scientific evidence. This method ensures that the health education programs are based on proven interventions, increasing the likelihood of improving learning retention. Choice A is incorrect as it relies on anecdotal evidence and personal experiences rather than empirical data from research. Choice C involves developing games, but without referring to research or evidence, it lacks a systematic approach. Choice D suggests using the Internet, which may not guarantee access to high-quality, evidence-based programs.