ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
An adolescent boy tells the nurse that he has recently had homosexual feelings. What knowledge should the nurse’s response be based on?
Correct Answer: D
Rationale: The correct answer is D because the nurse should encourage the adolescent to share his feelings and experiences. This approach promotes open communication, trust, and emotional support, which are crucial for the adolescent's well-being. It allows the nurse to provide appropriate guidance and resources without making assumptions about the adolescent's sexual orientation. Choices A and B are incorrect as sexual orientation is not determined solely by feelings in adolescence. Referring the adolescent for psychotherapy (Choice C) may not be necessary unless there are underlying issues affecting his mental health.
Question 2 of 5
A nurse is conducting parenting classes for parents of adolescents. Which parenting style should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Authoritative. This parenting style is recommended as it combines high levels of warmth and support with clear boundaries and expectations. It promotes open communication, independence, and positive discipline strategies. Laissez-faire (A) lacks structure and guidance, which can lead to issues. Disciplinarian (C) focuses on strict rules without considering the child's emotional needs. Confrontational (D) involves hostility and aggression, which can harm the parent-child relationship. Overall, the authoritative style fosters a healthy parent-child relationship while promoting responsibility and self-discipline.
Question 3 of 5
The nurse should teach the adolescent that the long-term effects of tanning can cause which conditions? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Increased number of moles. Tanning increases melanin production, leading to the formation of moles. Moles are a risk factor for skin cancer. Phototoxic reactions (A) result from exposure to certain medications or chemicals, not tanning. Premature aging (C) is a result of sun damage, but not specifically related to moles. Striae (D) are stretch marks caused by rapid weight gain or growth, not tanning. Therefore, the long-term effect of tanning that can cause an increased number of moles is the most relevant answer.
Question 4 of 5
Although it was uncomfortable, a home health nurse finally learned to discuss finances with the client and family on the very first visit. Visits had to be reimbursed. Now that she is working for a different agency, funding was no longer such a concern. Which offers the best explanation for this change?
Correct Answer: C
Rationale: Taxpayers fund official (i.e., public) home health agencies, but they also receive reimbursement from third-party payers such as Medicare, Medicaid, and private insurance companies. This additional taxpayer funding eliminates the stressor as to who will be paying for the nursing visits for both the client and the home health agency. The nurse is not working as an unpaid professional volunteer for this agency. The clients served by the official agency are not likely of a high socioeconomic class and the agency most likely does not have a large foundation to assist with paying for services that are provided.
Question 5 of 5
Which 66-year-old client who needs skilled nursing care would be eligible for home health care reimbursement by Medicare?
Correct Answer: D
Rationale: Medicare pays for short-term, skilled health care on a part-time or intermittent-care basis for persons aged 65 years or older who are eligible under Title XVIII of the Social Security Act. If family and caregiver support is available in the home to care for the patient between nurse visits, the patient is eligible.