ATI RN
Care of Vulnerable Populations Questions
Question 1 of 5
A patient tells a nurse, “I know all about this already. I read about it on the Internet." The patient then summarizes what he has learned. Since some of this information seems incorrect, what questions would be effective for the nurse to ask? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: "Were you able to find what you wanted easily on the website?" This question is effective because it assesses the patient's ability to navigate and understand the information on the website. If the patient had difficulty finding the information or understanding it, it may indicate a lack of reliable information. Choice B is incorrect because while it is important to know when information was updated, it does not directly address the patient's understanding of the information. Choice C is also incorrect as knowing who is responsible for the information does not necessarily determine its accuracy. Choice D is irrelevant as it does not address the patient's comprehension of the information.
Question 2 of 5
Several small communities requested help from the state department of health for improving their teenage pregnancy rate. Which community should the nurse suggest get funds first?
Correct Answer: A
Rationale: The correct answer is A: Community A - with 23 single teenage pregnancies in a city of 500. This community has the highest rate of teenage pregnancies per capita compared to the other communities. By calculating the teenage pregnancy rate per capita, we can see that Community A has the highest rate (4.6%) compared to the other communities. Therefore, it is more urgent to address the issue in Community A first. Community B has a teenage pregnancy rate of 4.5% (45/1000), Community C has a rate of 4.5% (90/2000), and Community D has a rate of 6% (90/1500). While Community D has the same number of teenage pregnancies as Community C, it has a higher teenage pregnancy rate per capita, making it a less urgent priority.
Question 3 of 5
This year 600 of 8000 young women ages 17 to 20 years at a university health center tested positive for a sexually transmitted infection (STI). What does this finding represent?
Correct Answer: C
Rationale: The correct answer is C: Prevalence. Prevalence refers to the proportion of a specific population that has a particular condition at a specific point in time. In this case, the finding of 600 out of 8000 young women testing positive for an STI represents the prevalence of STIs among women aged 17 to 20 at the university health center. Rationale: 1. Epidemic (A) is incorrect because the term refers to a sudden increase in the number of cases of a disease in a specific population, which is not indicated in the question. 2. Incidence (B) is incorrect because it refers to the rate of new cases of a disease within a specified time period, not the total number of existing cases at a particular point in time. 3. Risk (D) is incorrect because it refers to the probability of an individual developing a specific condition, not the proportion of the population that currently has the condition.
Question 4 of 5
In a particular community, high school students were starting to be diagnosed with diabetes during annual high school health fairs. Over the next few years, a nursing staff worked very hard to establish and maintain educational programs on diabetes risk factors and proper nutrition. How will the nurses know if they are having any impact?
Correct Answer: C
Rationale: The correct answer is C: The prevalence of diabetes is slowly decreasing during screening events. This is the most appropriate measure to assess the impact of the nursing staff's educational programs. Prevalence refers to the total number of individuals with a disease in a population at a specific time. By tracking the prevalence of diabetes during screening events over time, the nurses can determine if their efforts are effective in reducing the number of students diagnosed with diabetes. Now, let's analyze why the other choices are incorrect: A: The epidemic of diabetes in the high school is gradually ending - This choice is too broad and doesn't provide a specific measure of impact. Ending an epidemic would require more than just the efforts of the nursing staff. B: The incidence of diabetes is slowly decreasing during screening events - Incidence refers to the number of new cases of a disease within a specific time period. While this is important, it does not capture the overall impact of the educational programs on the existing diabetic cases in the community.
Question 5 of 5
What statistic do countries use to compare the success of their health care systems?
Correct Answer: B
Rationale: The correct answer is B: Infant mortality rate. This statistic is used to compare the success of health care systems as it reflects the number of deaths of infants under one year of age per 1,000 live births. A lower infant mortality rate indicates better healthcare access and quality. A: Attack rate is used to measure the frequency of new cases of a disease in a population during a specific time period and is not specific to healthcare system comparison. C: Cause-specific morbidity rate focuses on the prevalence of specific diseases and does not provide a comprehensive measure of healthcare system success. D: Cause-specific mortality rate looks at the number of deaths from a specific cause and is not a holistic indicator of overall healthcare system performance.