ATI RN
Nursing Care of Vulnerable Populations Questions
Question 1 of 5
A school nurse was caring for an 8-year-old child who had been hurt on the school playground. During the nurse's assessment, the child admitted that her mother was working but didn't make much money so the girl and her mother were living in their car. Based on this information, what might the nurse suspect?
Correct Answer: C
Rationale: The correct answer is C: The child may be a member of the 5H club. The 5H club stands for homeless, hungry, helpless, hopeless, and hurting. Given that the child and her mother are living in their car due to financial constraints, the nurse may suspect that the child is experiencing homelessness, hunger, helplessness, hopelessness, and potentially being hurt. This situation can significantly impact the child's physical and mental well-being, making it crucial for the nurse to address these issues promptly. Incorrect Choices: A: The child is accident-prone and clumsy - This choice does not address the underlying issue of homelessness and financial struggles indicated by the child's living situation. B: The child is being bullied and pushed around by other children - While bullying is a valid concern, the child's living situation suggests a more urgent issue related to homelessness and poverty. D: The child tripped, so perhaps she needs vision screening - Vision screening may be important for general health,
Question 2 of 5
A school health nurse presents a program on preventing teen pregnancy to a group of parents. Following the presentation, what comment by a parent would cause concern?
Correct Answer: B
Rationale: Correct Answer: B Rationale: - Choice B shows a parent's assumption that intelligence alone can prevent teenage pregnancy, ignoring the influence of peer pressure and emotions. - Intelligence does not always protect teenagers from engaging in risky behaviors like unprotected sex. - This comment reflects a lack of understanding of the complex factors contributing to teenage pregnancy, potentially leading to a false sense of security. - It is crucial for parents to have open and honest discussions about relationships and sexuality with their children, regardless of their intelligence level.
Question 3 of 5
A mother and her son are in the emergency department. The mother is extremely upset. Earlier, the son had become so angry that he put his hand through a glass window and had to have stitches. The physician suggested a psychiatric consult. Now the mom asks, "Do you think my son is crazy?" Which is the most appropriate response?
Correct Answer: D
Rationale: The correct answer is D because it addresses the concerns of both the mother and the son appropriately. It acknowledges the son's behavioral issues and the distress it causes, highlighting the need for help in coping with life effectively. It emphasizes the role of a psychiatrist in providing support and guidance for the son to improve his behavior. Choice A focuses more on behavior modification rather than addressing the mother's concerns about her son being "crazy." Choice B dismisses the mother's worries and focuses on hormonal changes in adolescence. Choice C shifts the responsibility of determining if the son is crazy solely to the psychiatrist, not providing reassurance or guidance to the mother. In summary, choice D is the most appropriate response as it addresses the behavioral problems, acknowledges the distress felt by both the mother and son, and emphasizes the psychiatrist's role in helping the son cope with life effectively.
Question 4 of 5
What can the nurse do to decrease the risk for depression in older adults?
Correct Answer: B
Rationale: The correct answer is B because monitoring for signs and symptoms of depression allows for early detection and intervention. This proactive approach helps in addressing the issue promptly, preventing it from worsening. Encouraging moving to a nursing home (A) may not necessarily decrease the risk for depression as it can lead to feelings of isolation. Organizing an exercise program (C) is beneficial but may not directly address the root cause of depression. Teaching clients to focus on strengths (D) is positive but may not be sufficient in preventing depression. Monitoring for signs and symptoms is crucial for timely intervention.
Question 5 of 5
A nurse is concerned about stress related to the heavy caregiving burden assumed by adult children of older clients. What action by the nurse would use secondary prevention to limit caregiver stress?
Correct Answer: C
Rationale: The correct answer is C: Establishing support groups for caregivers of older parents. This is the best choice for secondary prevention as it involves providing a structured support system for caregivers to share their experiences, receive emotional support, and learn coping strategies. Support groups can help caregivers feel less isolated, provide a sense of community, and offer practical advice in managing caregiving stress. Choice A may help in addressing caregiver stress but lacks the comprehensive support provided by a support group. Choice B is a good suggestion for self-care, but it does not offer ongoing support or address the underlying stressors. Choice D involves delegating tasks but may not address the emotional and psychological needs of the caregiver like a support group would.