ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
A nurse established an ongoing group meeting of teenagers with diabetes. In the early stages, the nurse was very directive in arranging location, providing low-carbohydrate drinks and snacks, steering the discussion, and trying to meet all the teenagers' needs. After the group had been meeting for about 3 months, the nurse noticed that the group members no longer simply accepted everything the nurse suggested. Instead, the teenagers began making decisions themselves, and eventually, the nurse no longer controlled the group. What most likely happened to cause this shift?
Correct Answer: A
Rationale: The correct answer is A: The group became cohesive enough to share leadership tasks. This shift in group dynamics is indicative of the development of group cohesion and maturity. As the teenagers with diabetes continued to meet regularly, they likely built trust and rapport with each other and the nurse. This increased cohesion allowed for a more collaborative approach to decision-making, with members feeling empowered to take on leadership responsibilities. This shift demonstrates a positive progression in group dynamics towards shared leadership and mutual respect. Summary: B: Teenagers don't like feeling dependent on adults with power - This choice is not the best answer as it focuses on individual feelings of dependence rather than the group dynamics and cohesion that likely led to the shift. C: Teenagers often rebel against adult authority - While rebellion against authority is common in adolescence, it does not fully explain the shift in the group dynamics towards shared leadership.
Question 2 of 5
Of the following educational objectives, which example best meets all necessary criteria for a well-written objective?
Correct Answer: C
Rationale: The correct answer is C because it meets the criteria for a well-written educational objective. It is specific (identifying two vegetables), measurable (80% accuracy), achievable (within class time), relevant to the learning content, and time-bound (by the end of class). Option A is not specific enough and lacks measurability. Option B is not achievable within the school's control. Option D is not measurable and lacks specificity.
Question 3 of 5
Despite a nurse's efforts, the teenagers she is working with just do not seem to want to learn. What content should the nurse try to include in her next educational session with this group? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because encouraging discussion of feelings can help the nurse understand the teenagers' perspectives, build trust, and create a safe learning environment. By addressing their emotions, the nurse can tailor the educational session to better resonate with the teenagers, making them more receptive to learning. Option B may come across as patronizing and may not address the underlying reasons for their lack of interest. Option C, emphasizing how easy the material is, may be perceived as dismissive of their struggles and can be demotivating. Option D, reminding them of external pressures, may add unnecessary stress and may not address the root cause of their disinterest.
Question 4 of 5
In which type of research project would the nurse primarily use analytic epidemiology as a tool?
Correct Answer: B
Rationale: Analytic epidemiology is used to investigate the causes and contributing factors of a health issue. In the context of the question, childhood obesity is a complex health problem influenced by various factors such as diet, physical activity, genetics, and environment. By using analytic epidemiology, the nurse can analyze these contributing factors to understand the root causes of childhood obesity and develop effective interventions. Other choices are incorrect because they primarily involve descriptive epidemiology (e.g., communicable disease statistics, documenting population characteristics) or surveillance (e.g., determining locations of family violence).
Question 5 of 5
In what way is nursing in the community more challenging than nursing in an acute care setting?
Correct Answer: C
Rationale: The correct answer is C because in the community setting, nurses have less control over the environment compared to an acute care setting. Community environments can be more unpredictable and diverse, posing challenges in ensuring safety and providing care. Limited access to resources (A), paperwork (B), and specialization (D) are not the main reasons why nursing in the community is more challenging.