ATI RN
Introduction to Community Health Nursing Questions
Question 1 of 5
A young mother asks the nurse in a pediatric office for information about safety, diet, and immunizations for her baby. Which nursing diagnosis would be appropriate for this patient?
Correct Answer: C
Rationale: The correct answer is C: Readiness for Enhanced Parenting. This nursing diagnosis is appropriate as the mother is seeking information to enhance her parenting skills. She is proactive in seeking knowledge about safety, diet, and immunizations for her baby, indicating readiness for enhanced parenting. Choice A is incorrect because the mother is actively seeking information, indicating a readiness to learn rather than a deficit in knowledge. Choice B is incorrect as there is no evidence of impaired health maintenance in the scenario. Choice D is incorrect as there is no indication of coping issues, rather the mother is seeking information to enhance her parenting skills.
Question 2 of 5
The patient is dying of cancer and can no longer swallow. The son states to the nurse, <You must give dad some water, he always drank a lot of water!= The nurse9s best response is:
Correct Answer: A
Rationale: The correct answer is A because it demonstrates empathy and active listening to the son's emotional state. By acknowledging and exploring his feelings, the nurse can provide emotional support and build rapport. Choice B is incorrect as it focuses solely on medical evidence without addressing the emotional needs of the son. Choice C is incorrect as it lacks empathy and may come off as insensitive. Choice D is incorrect as it jumps to a technical solution without addressing the son's emotional concerns. Overall, choice A is the best response as it prioritizes the son's emotional well-being during a difficult time.
Question 3 of 5
The nurse reviews a healthcare provider9s (HCP) order and finds that the medication amount is greater than the standard dose. What should the nurse do?
Correct Answer: B
Rationale: The correct answer is B: Call the HCP to discuss the order. First, the nurse should verify the order and confirm the discrepancy. Calling the HCP allows for clarification and potential adjustment if necessary. Informing the nursing supervisor (A) may delay necessary action. Giving the drug as ordered by the HCP (C) could lead to potential harm due to the higher dose. Giving the standard dose (D) without clarification may not address the issue of the incorrect dosage. Therefore, option B is the most appropriate course of action to ensure patient safety and adherence to best practices.
Question 4 of 5
The nurse is developing a plan of care for a client with disturbed body image. Which interventions would the nurse most likely include in the plan? Select all that apply.
Correct Answer: A
Rationale: 1. **Establish rapport with the client**: Building trust and a therapeutic relationship is crucial in addressing disturbed body image. 2. **Role model appropriate behavior**: While important, this may not directly address the client's body image concerns. 3. **Encourage client to make positive self-statements**: This can be helpful, but establishing rapport is more foundational. 4. **Assist the client in accepting responsibility for own actions**: This is important but not directly related to addressing body image concerns.
Question 5 of 5
Which step of the nursing process involves setting long-term goals and short-term expectations?
Correct Answer: B
Rationale: The correct answer is B: Planning. In the nursing process, planning involves setting long-term goals and short-term expectations based on the assessment data gathered. This step determines the best course of action to achieve desired outcomes. Assessment (A) involves collecting data, not goal-setting. Implementation (C) is carrying out the plan, not goal-setting. Evaluation (D) is assessing the effectiveness of the plan, not goal-setting. Therefore, B is the correct choice for setting goals and expectations in the nursing process.