ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
According to general systems theory, which of the following events represents a change in a family's subsystem?
Correct Answer: D
Rationale: In general systems theory, a subsystem is a smaller component within a larger system that performs specific functions. When a family moves to another home, it represents a change in the family's physical environment and living arrangements, impacting the family subsystem. This change can lead to adjustments in family dynamics, roles, and interactions within the family unit. On the other hand, choices A, B, and C relate to individual events or changes that may affect family members but do not directly impact the family subsystem as a whole. Divorce, job loss, and other personal events do not necessarily alter the structure or functioning of the family as a system.
Question 2 of 5
A community nurse is making a home visit to a client who has recently had a baby and has a history of experiencing IPV. During the visit, the nurse observes an interaction between the client and the baby's father. The father seems very loving and attentive to the client. Which of the following is the most appropriate conclusion by the nurse?
Correct Answer: D
Rationale: The correct answer is D because the nurse must consider the possibility that the couple is in the honeymoon phase of the IPV cycle. This phase often involves increased affection and attentiveness from the abuser, potentially leading the victim to believe the abuse has stopped. It is crucial for the nurse to recognize this pattern and not dismiss the client's history based solely on a single observation. Choice A is incorrect as it assumes the client's history is inaccurate without further assessment. Choice C is incorrect because IPV is a complex issue that often requires ongoing support. Choice B is incomplete and does not provide any relevant information.
Question 3 of 5
The community health nurse is working with a group of sexual assault survivors. During a group discussion, the nurse offers each client 10 minutes to share their feelings with the group. This action by the nurse is consistent with which of the CDC's principles of trauma-informed care?
Correct Answer: B
Rationale: The correct answer is B: Empowerment and choice. By offering each client 10 minutes to share their feelings, the nurse is providing them with a sense of empowerment and choice in deciding how they want to express themselves. This aligns with the principle of empowering survivors to have control over their own experiences and decisions. A: Cultural, historical, and gender issues - While important in trauma-informed care, this choice does not directly relate to the nurse's action of offering time for sharing feelings. C: Collaboration and mutuality - This involves working together with clients, which is valuable, but does not directly address the individual choice given to each client in this scenario. D: Trustworthiness and transparency - Important principles for building trust, but not directly related to the nurse's action of empowering survivors through choice.
Question 4 of 5
The nurse is working with a family that has a member who was just diagnosed with a mental illness. Another family member tells the nurse that he believes the client is "just being annoying and trying to get attention." Which of the following best describes the family member's statement?
Correct Answer: A
Rationale: The correct answer is A: It reflects the public stigma around mental illness. This is because the family member's statement demonstrates a lack of understanding and empathy towards mental illness, attributing the behavior to attention-seeking rather than recognizing it as a symptom of a serious health condition. Public stigma perpetuates negative stereotypes and discrimination. Choice B (institutional stigma) is incorrect as the family member's statement does not involve any institutional influence. Choice C (self-stigma) is incorrect because self-stigma refers to internalizing negative stereotypes about oneself, which is not evident in the family member's statement.
Question 5 of 5
Which of the following would alert the nurse that a client may be a victim of human trafficking?
Correct Answer: C
Rationale: The correct answer is C because the adult not wanting to leave the client alone with healthcare staff can indicate control or coercion, common in human trafficking. This behavior may signal a red flag for potential trafficking. A, B, and D are incorrect as they do not directly indicate possible human trafficking. A driver's license and home address are not specific indicators, and feeling tired or hungry is a common occurrence in healthcare settings and does not necessarily point to trafficking.