ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
A nursing staff has worked very hard and successfully screening for diabetes in the community. Which of the following might best persuade the health board to increase funding for diabetic clinics in this community?
Correct Answer: C
Rationale: The correct answer is C: The prevalence of diabetes is now higher than previously recognized in the community. This answer is correct because it directly addresses the need for increased funding by highlighting the actual current burden of diabetes in the community. By providing concrete data on the prevalence of diabetes, the nursing staff can effectively demonstrate the urgency and importance of expanding diabetic clinics. Explanation for why the other choices are incorrect: A: An epidemic of diabetes is now recognized and must be addressed - This choice is not as effective as choice C because it does not provide specific data on the prevalence of diabetes in the community. B: The incidence of diabetes is now higher than previously recognized in the community - While incidence is important, prevalence gives a more accurate picture of the overall burden of the disease in the community. D: The risk for diabetes in the community could decrease if funding is received - This choice focuses on potential future outcomes rather than the current situation, making it less persuasive in requesting increased funding.
Question 2 of 5
Which model would be helpful to the nurse in examining the various factors that can lead to disease and suggesting several areas where the nurse could possibly intervene to reduce future incidence of disease?
Correct Answer: D
Rationale: The correct answer is D, Web of causality. This model helps the nurse explore the complex interplay of multiple factors contributing to disease. By understanding the interconnectedness of various factors, the nurse can identify points of intervention to prevent or reduce disease incidence. The other choices are incorrect because: A: Epidemiologic triangle focuses on host, agent, and environment, but may not capture all contributing factors. B: Health promotion is more about promoting health behaviors rather than examining disease causation. C: Levels of prevention outline different stages of prevention (primary, secondary, tertiary) but do not provide a comprehensive view of disease causation.
Question 3 of 5
A nurse is conducting a screening at the local high school, and all community residents have been invited. A large group of people have gathered to have various screening tests done. The nurse has only a regular blood pressure (BP) cuff. Since it will be used on individuals who are extremely obese as well as some students who look anorexic, what might the BP results lack?
Correct Answer: A
Rationale: The correct answer is A: Reliability. The regular BP cuff may lack reliability in this scenario due to its size not being suitable for extremely obese individuals or very thin students. This can lead to inaccurate BP readings, affecting the reliability of the screening results. Sensitivity (B) refers to the ability of a test to correctly identify those with the condition, specificity (C) refers to the ability to correctly identify those without the condition, and validity (D) refers to the overall accuracy of the test. In this case, the main issue lies in the reliability of the BP cuff for different body types, making it the most appropriate choice.
Question 4 of 5
A woman is sitting in a corner of the clinical waiting room, crying audibly. The nurse asks, "What's wrong? Can I help?" The woman responds, "They just told me I have a positive mammogram and I need to see my doctor for follow-up tests. I know I'm going to die of cancer. How can I tell my family?" What does the nurse need to know in order to help the woman cope with her news?
Correct Answer: B
Rationale: The correct answer is B: The positive predictive value of mammography. The nurse needs to understand the likelihood that a positive mammogram result truly indicates cancer in this specific patient. By knowing the positive predictive value, the nurse can provide accurate information and support to the woman. Choice A is incorrect because the negative predictive value is not relevant in this scenario. Choice C is incorrect as the reliability of mammography does not address the woman's immediate emotional distress. Choice D is incorrect as the validity of mammography does not directly help the nurse in supporting the woman's emotional needs.
Question 5 of 5
Two women seem to agree on almost everything from favorite music to favorite media stars to the best way to prepare a meal. What might help explain this similarity in the two women?
Correct Answer: B
Rationale: Rationale: B: They are close friends - This is the correct answer because close friends often share similar interests and values due to spending a significant amount of time together, influencing each other's preferences. A: They are both members of the same birth cohort - Being born in the same time period does not necessarily explain their similarities in preferences. C: They attended the same school - Attending the same school may not directly lead to similarities in preferences unless they were close friends during that time. D: They both go to the same church - Sharing the same religious affiliation does not necessarily explain their similarities in other aspects of life.