ATI RN
Care of Vulnerable Populations Questions
Question 1 of 5
A young adolescent boy tells the nurse he “feels gawky.†How should the nurse explain why this occurs in adolescents?
Correct Answer: A
Rationale: The correct answer is A because during adolescence, growth of the extremities and neck typically precedes growth in other areas due to the rapid bone growth that occurs during puberty. This can result in a period of awkwardness or feeling gawky as the body adjusts to these rapid changes. Incorrect choices: B: Growth in the trunk and chest - While trunk and chest growth do occur during adolescence, it is not the primary reason for feeling gawky. C: Hip and chest breadth increases - While this is true, it does not fully explain why adolescents may feel gawky. D: Growth spurt occurs earlier in boys - This is not directly related to the feeling of gawkiness and does not explain the specific growth patterns in adolescents.
Question 2 of 5
Which screening tests should the school nurse perform for the adolescent? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Vision. Vision screening is important for adolescents to detect any visual impairments early. Regular vision checks can help identify issues like nearsightedness or astigmatism. Glucose, hearing, and cholesterol tests are not typically performed by school nurses as routine screenings for adolescents. Glucose testing is more relevant for diabetes screening, hearing tests are usually done by audiologists, and cholesterol screening is typically recommended later in life. Vision screening is the most appropriate choice for school nurses to perform for adolescents to ensure their visual health.
Question 3 of 5
A nurse is going to visit a client who needs assistance with personal hygiene and feeding. Which suggestion should be made to the family?
Correct Answer: A
Rationale: The only thing the nurse can do if the care needed is maintenance and assistance with activities of daily living is suggest a home health aide if the family can afford it, or teach the family how to help the client. Currently, most reimbursement for nursing services is based on the patient's need for skilled nursing. On each patient visit, the nurse must document that the care provided is of a skilled nature that requires the knowledge and assessment skills of a nurse and must verify that the patient or a family member could not provide the same level of care.
Question 4 of 5
Which best explains why home health care agencies that are part of national chains are doing better in the competitive marketplace than individually owned agencies?
Correct Answer: D
Rationale: Agencies within chains have a financial advantage over single agencies. The chains have lower administrative costs because a larger single corporate structure provides many services. For example, a multiagency corporation has greater purchasing power for supplies and equipment because they purchase a larger volume. A single corporate office can provide administrative services such as payroll and employee benefits for all chain employees, thereby reducing duplication of these services. It is unlikely that they are doing better because they receive better media coverage, offer less quality care, or have a more experienced chief executive officer.
Question 5 of 5
Which best explains the purpose of the Outcome and Assessment Information Set (OASIS)?
Correct Answer: B
Rationale: OASIS is a data set that measures outcomes of adult home care patients to monitor outcome-based quality improvement. These items are used to monitor outcomes, plan patient care, provide reports on patient characteristics for each agency, and evaluate and improve clinical performance. The use of OASIS is mandatory for all Medicare and Medicaid patients receiving skilled care. The primary purpose of OASIS is not to analyze the cost-effectiveness of health agencies. This data set does not publicize hospital data or survey patient satisfaction of care from the health agencies.