ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
A nurse is conducting parenting classes for parents of adolescents. Which parenting style should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Authoritative. This parenting style is recommended as it combines high levels of warmth and support with clear boundaries and expectations. It promotes open communication, independence, and positive discipline strategies. Laissez-faire (A) lacks structure and guidance, which can lead to issues. Disciplinarian (C) focuses on strict rules without considering the child's emotional needs. Confrontational (D) involves hostility and aggression, which can harm the parent-child relationship. Overall, the authoritative style fosters a healthy parent-child relationship while promoting responsibility and self-discipline.
Question 2 of 5
Although it was uncomfortable, a home health nurse finally learned to discuss finances with the client and family on the very first visit. Visits had to be reimbursed. Now that she is working for a different agency, funding was no longer such a concern. Which offers the best explanation for this change?
Correct Answer: C
Rationale: Taxpayers fund official (i.e., public) home health agencies, but they also receive reimbursement from third-party payers such as Medicare, Medicaid, and private insurance companies. This additional taxpayer funding eliminates the stressor as to who will be paying for the nursing visits for both the client and the home health agency. The nurse is not working as an unpaid professional volunteer for this agency. The clients served by the official agency are not likely of a high socioeconomic class and the agency most likely does not have a large foundation to assist with paying for services that are provided.
Question 3 of 5
Which 66-year-old client who needs skilled nursing care would be eligible for home health care reimbursement by Medicare?
Correct Answer: D
Rationale: Medicare pays for short-term, skilled health care on a part-time or intermittent-care basis for persons aged 65 years or older who are eligible under Title XVIII of the Social Security Act. If family and caregiver support is available in the home to care for the patient between nurse visits, the patient is eligible.
Question 4 of 5
In addition to factual data such as name, address, and diagnosis, which information is crucial to the nurse when a referral is received?
Correct Answer: C
Rationale: The nurse prepares for the home visit by reviewing the referral form including the purpose of the visit, the geographic residence of the family, and any other pertinent information.
Question 5 of 5
Which is the best use of the nurse's time while en route to the client's home?
Correct Answer: A
Rationale: An environmental assessment begins as the nurse leaves the agency and travels to the client's home. While driving, the nurse should observe the area surrounding the client's home. It would not be appropriate to use a computer or oral recording device while driving. Although the nurse should be conducting an environmental assessment, the nurse should be considering the needs of the client during this assessment and not his/her own needs. The nurse would not want to refer the client to another agency if the client has already selected this agency.