ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
According to the Federal Register, what is the minimum income needed by a family of four to meet the basic needs for healthy living (that is, an income below this amount is considered insufficient to provide the food, shelter and clothing needed to preserve health)?
Correct Answer: C
Rationale: The correct answer is C: $25,200. The Federal Register calculates the poverty threshold for a family of four based on the cost of food, shelter, clothing, and other necessities. This amount is considered the minimum income needed for a family to maintain a basic standard of living. Option A is too low to cover all basic needs adequately. Option B is also below the minimum requirement. Option D is higher than the correct answer and would exceed the basic needs threshold. Hence, option C is the most accurate estimate to ensure the family's health and well-being.
Question 2 of 5
Which action would be most helpful for the nurse executive to implement evidence-based practice at a community nursing center that serves a large Cuban immigrant population?
Correct Answer: C
Rationale: The correct answer is C: Include Cuban immigrants from the community on the center's advisory board. This choice is the most helpful because involving the Cuban immigrant population directly in the decision-making process ensures that their unique needs and perspectives are considered when implementing evidence-based practice. By having Cuban immigrants on the advisory board, the nurse executive can gain valuable insights into the community's cultural preferences, beliefs, and barriers to healthcare access. This approach promotes cultural humility and fosters trust and collaboration between the center and the community. Choices A, B, and D are incorrect because they lack direct involvement of the Cuban immigrant population in the decision-making process. Having university experts review policies (A) may provide valuable insights but does not prioritize the community's input. Weekly staff meetings (B) may be helpful for internal discussions but do not involve the community directly. Sending personnel to conferences and seminars (D) can enhance knowledge but does not ensure community engagement in decision-making.
Question 3 of 5
After finding several studies related to the clinical problem, a nurse knows the studies must be evaluated. For the studies to be considered convincing, they should ideally be:
Correct Answer: B
Rationale: The correct answer is B because multiple high-quality studies with large sample sizes and consistent findings provide strong evidence to support clinical decisions. Such studies reduce bias and increase generalizability. Choice A is incorrect as federal support does not guarantee study quality. Choice C lacks emphasis on study quality and consistency. Choice D is not always necessary for convincing evidence as observational studies can also provide valuable insights.
Question 4 of 5
A nurse in community health has implemented an education program that incorporates computer games to reinforce learning in a community of older adults. Although the research demonstrates evidence of improved retention of information, the nurse experiences exactly the opposite for this group of clients. What is the most likely cause of such poor outcomes?
Correct Answer: A
Rationale: The correct answer is A: Failure to consider client and setting differences. In this scenario, the nurse implemented a program based on research that showed improved retention using computer games. However, the poor outcomes suggest that the nurse may not have considered the unique characteristics, preferences, and needs of older adults in the community. Older adults may have different learning styles, cognitive abilities, or comfort levels with technology. By not tailoring the program to fit the specific client population and setting, the nurse failed to account for these differences, leading to the poor outcomes. Choices B, C, and D are incorrect because they do not directly address the issue of client and setting differences, which is the root cause of the problem in this case.
Question 5 of 5
Research demonstrates that exercise is important for general wellness and weight control. How might the school nurse use this information to implement primary prevention?
Correct Answer: B
Rationale: The correct answer is B because increasing noncompetitive physical activity programs in schools aligns with primary prevention efforts. By implementing policies that promote regular exercise for all students, the school nurse can proactively address wellness and weight control issues. This approach targets the entire student population, not just overweight children, and encourages healthy habits for all. A: Developing individualized exercise programs for overweight children is more focused on secondary prevention rather than primary prevention. It addresses existing weight issues rather than preventing them. C: Monitoring body mass index in children focuses on early detection rather than primary prevention. It does not address the broader population or promote general wellness. D: Notifying parents about their child's weight in comparison to national norms is important but does not actively promote primary prevention through school-wide initiatives like increased physical activity programs.