ATI RN
History of Public Health Nursing Questions
Question 1 of 5
A nurse is working in a community health clinic that serves a large Asian population. Which health factor should the nurse consider when providing care to this population?
Correct Answer: A
Rationale: The correct answer is A because Asian populations have a higher prevalence of hepatitis B compared to other ethnic groups due to various cultural and biological factors. Hepatitis B is endemic in many Asian countries, leading to a higher transmission rate within these communities. Additionally, certain cultural practices such as sharing personal items or traditional medical practices may contribute to the spread of the virus. It is important for the nurse to be aware of this higher prevalence to provide appropriate care and preventive measures. Choices B, C, and D are incorrect. Choice B is incorrect because the rate of tuberculosis is actually higher among Asian populations, especially in countries with limited access to healthcare. Choice C is incorrect because mental health stigma is prevalent in many Asian cultures, leading to underreporting and underutilization of mental health services. Choice D is incorrect because Asian populations have a higher genetic predisposition to conditions like diabetes, including prediabetes.
Question 2 of 5
The nurse is recommending that a client in a rural area monitor their blood pressure electronically at home to determine the effectiveness of antihypertensive medication and lifestyle changes and to follow up using telehealth. Which information will the nurse provide the client about telehealth visits?
Correct Answer: B
Rationale: The correct answer is B: It allows the nurse to see trends in the client's blood pressure. Rationale: Telehealth allows the nurse to remotely monitor the client's blood pressure readings over time, enabling the identification of trends and patterns. This data helps in assessing the effectiveness of medications and lifestyle changes. It enhances continuity of care and enables timely interventions. Summary of other choices: A: There is no charge for telehealth visits - This is not necessarily true as telehealth services may involve costs. C: It increases the number of emergency department visits - Telehealth aims to reduce unnecessary emergency visits by providing proactive monitoring and management. D: It is not as effective in treating conditions as in-office visits - Telehealth has been shown to be effective in managing various health conditions, including hypertension.
Question 3 of 5
A nurse is preparing to educate a community group on reducing the risk of cardiovascular disease. Which behavior modification should the nurse emphasize first?
Correct Answer: A
Rationale: The correct answer is A: Smoking cessation. Smoking is a major risk factor for cardiovascular disease, leading to arterial damage and increased risk of heart attacks and strokes. By quitting smoking, individuals can significantly reduce their risk of developing cardiovascular disease. It is the most crucial behavior modification to address first in this scenario. Weight loss, increasing physical activity, and reducing dietary sodium intake are also important in preventing cardiovascular disease, but smoking cessation should be emphasized first due to its direct impact on cardiovascular health.
Question 4 of 5
A nurse is providing care to an elderly client who lives alone. Which factor should the nurse assess first when planning care for this client?
Correct Answer: C
Rationale: Step 1: Assessing the client's social support system is essential as it impacts the client's overall well-being and safety. Step 2: Social support can provide emotional, physical, and financial assistance to the elderly client living alone. Step 3: Lack of social support can lead to isolation, depression, and inadequate care. Step 4: By assessing the client's social support system first, the nurse can identify potential risks and address them effectively. Step 5: Financial resources (B), ADLs (A), and access to healthcare (D) are important but assessing social support (C) takes priority as it directly influences the client's ability to thrive independently.
Question 5 of 5
Which of the following is a priority concern when planning a disaster response for a community?
Correct Answer: C
Rationale: The correct answer is C: Ensuring that communication systems are functioning. This is a priority concern in disaster response as efficient communication is crucial for coordinating emergency efforts, disseminating information, and ensuring the safety of individuals. Without functioning communication systems, response efforts may be hindered, leading to delays and potential confusion. Explanation: 1. Immediate medical care (choice A) is important but without communication, it may be difficult to coordinate and prioritize medical resources effectively. 2. Evacuating non-essential personnel (choice B) is also important, but without communication, the evacuation process may not be well-coordinated. 3. Securing funding for long-term recovery efforts (choice D) is essential, but in the immediate aftermath of a disaster, ensuring communication is more critical for effective response and coordination. In summary, while all options are important in disaster response, ensuring that communication systems are functioning is the priority concern as it underpins the effectiveness of all other response efforts.