ATI RN
Economic Foundation of the US Healthcare Delivery System Questions
Question 1 of 5
A public health nurse is working in a rural clinic. On the basis of risk, which would be the priority group for care?
Correct Answer: D
Rationale: The correct answer is D: Migrant and seasonal farmworkers (MSFW). 1. They are a vulnerable population due to limited access to healthcare. 2. They face occupational hazards and environmental exposures. 3. They often lack health insurance and have language barriers. 4. By focusing on this group, the nurse can address high-risk factors, preventive care, and health education. Summary: A: Elderly women may need care, but MSFW have higher risk factors. B: Disabled adults require care, but MSFW face unique challenges. C: Hispanic children are important, but MSFW may have immediate health risks.
Question 2 of 5
A woman stumbled into the rural health clinic and explained that she had an incredible headache. She was sweating and began vomiting into the wastebasket by the intake nurse’s desk. Which diagnosis should be anticipated by the nurse?
Correct Answer: D
Rationale: The correct answer is D, Acute pesticide poisoning. The symptoms described - headache, sweating, vomiting - are consistent with pesticide poisoning. Headache can be a common symptom due to the toxic effects of pesticides. Sweating and vomiting are also typical signs of pesticide poisoning. The setting of a rural area further supports this possibility as pesticide exposure is more common in rural settings. Now let's analyze why the other choices are incorrect: A: Acute panic disorder - Symptoms of panic disorder do not typically include sweating and vomiting. Panic attacks are more commonly associated with symptoms such as chest pain, shortness of breath, and palpitations. B: Acute alcohol intoxication - While alcohol intoxication can lead to vomiting, it is less likely to cause a severe headache and sweating in the absence of other common symptoms like slurred speech or impaired coordination. C: Acute appendicitis - Appendicitis typically presents with abdominal pain, not just headache. Vomiting may occur but is usually preceded
Question 3 of 5
A nurse was becoming very frustrated at the ongoing stream of farmworkers with respiratory problems each spring. Which action should be taken by the nurse?
Correct Answer: A
Rationale: The correct answer is A: Provide community education on herbicides and other chemicals spread each spring with information on self-protective measures, such as respirators. This is the most appropriate action because it addresses the root cause of the issue by educating the community on how to protect themselves from respiratory problems caused by the chemicals. By providing education and promoting self-protective measures, the nurse can empower farmworkers to take control of their health and safety. Choice B is incorrect because it is not feasible or realistic to expect farmers to quit spreading chemicals on their fields each spring, as it is likely essential for their farming practices. Choice C is incorrect because spraying water may not effectively reduce the harmful effects of the chemicals on respiratory health. Choice D is incorrect because telling farm workers to obtain different employment does not address the problem at hand and disregards their livelihoods.
Question 4 of 5
Which best describes a proposed strategy to address the lack of health care professionals in rural communities?
Correct Answer: C
Rationale: The correct answer is C because supporting local students to obtain an education while living at home addresses the lack of healthcare professionals in rural communities by creating a pipeline of qualified professionals who are likely to stay and work in their hometowns. This strategy helps to retain talent in rural areas and provides opportunities for local individuals to pursue healthcare careers without having to leave their communities. Advertising relocation incentives (A) may attract some professionals but does not address the root issue of retaining local talent. Professional development workshops (B) are beneficial but do not directly increase the number of healthcare professionals in rural areas. Building more healthcare facilities (D) is not a sustainable solution if there are not enough professionals to staff them.
Question 5 of 5
What is one of the most significant barriers to accessing healthcare in rural areas?
Correct Answer: C
Rationale: The correct answer is C: Geographic isolation and lack of transportation. This is a significant barrier to accessing healthcare in rural areas because rural communities often have limited healthcare facilities and providers, and individuals may have to travel long distances to access care. Lack of transportation options further compounds this issue, making it difficult for residents to reach healthcare services in a timely manner. Inadequate insurance coverage (A) may be a barrier, but it is not as prominent as geographic isolation in rural areas. Increased unemployment (B) and lack of available food and nutrition (D) are important factors affecting health outcomes in rural areas, but they are not direct barriers to accessing healthcare services.