ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
In what way is nursing in the community more challenging than nursing in an acute care setting?
Correct Answer: C
Rationale: The correct answer is C because in the community setting, nurses have less control over the environment compared to an acute care setting. Community environments can be more unpredictable and diverse, posing challenges in ensuring safety and providing care. Limited access to resources (A), paperwork (B), and specialization (D) are not the main reasons why nursing in the community is more challenging.
Question 2 of 5
A nursing staff has worked very hard and successfully screening for diabetes in the community. Which of the following might best persuade the health board to increase funding for diabetic clinics in this community?
Correct Answer: C
Rationale: The correct answer is C: The prevalence of diabetes is now higher than previously recognized in the community. This answer is correct because it directly addresses the need for increased funding by highlighting the actual current burden of diabetes in the community. By providing concrete data on the prevalence of diabetes, the nursing staff can effectively demonstrate the urgency and importance of expanding diabetic clinics. Explanation for why the other choices are incorrect: A: An epidemic of diabetes is now recognized and must be addressed - This choice is not as effective as choice C because it does not provide specific data on the prevalence of diabetes in the community. B: The incidence of diabetes is now higher than previously recognized in the community - While incidence is important, prevalence gives a more accurate picture of the overall burden of the disease in the community. D: The risk for diabetes in the community could decrease if funding is received - This choice focuses on potential future outcomes rather than the current situation, making it less persuasive in requesting increased funding.
Question 3 of 5
A man is diagnosed with prostate cancer. What does the nurse need to know to be able to answer the man when he asks, "What are the chances I'll survive this thing?"
Correct Answer: B
Rationale: The correct answer is B: Case fatality rate. Case fatality rate indicates the proportion of individuals diagnosed with a specific condition who die from that condition within a specified time frame. In the context of prostate cancer, the case fatality rate will provide the man with an estimation of the likelihood of survival post-diagnosis. Rationale: 1. Attack rate (Choice A) is the proportion of individuals who develop a specific disease among those exposed to the disease within a defined time period. This does not provide information on survival chances. 2. Cause-specific morbidity rate (Choice C) refers to the prevalence of a specific disease in a population but does not indicate the likelihood of survival for an individual with the disease. 3. Crude mortality rate (Choice D) is the total number of deaths in a population due to any cause, not specific to prostate cancer. It does not provide insight into the survival chances of an individual with prostate cancer.
Question 4 of 5
Which model would be helpful to the nurse in examining the various factors that can lead to disease and suggesting several areas where the nurse could possibly intervene to reduce future incidence of disease?
Correct Answer: D
Rationale: The correct answer is D, Web of causality. This model helps the nurse explore the complex interplay of multiple factors contributing to disease. By understanding the interconnectedness of various factors, the nurse can identify points of intervention to prevent or reduce disease incidence. The other choices are incorrect because: A: Epidemiologic triangle focuses on host, agent, and environment, but may not capture all contributing factors. B: Health promotion is more about promoting health behaviors rather than examining disease causation. C: Levels of prevention outline different stages of prevention (primary, secondary, tertiary) but do not provide a comprehensive view of disease causation.
Question 5 of 5
A nurse is conducting a screening at the local high school, and all community residents have been invited. A large group of people have gathered to have various screening tests done. The nurse has only a regular blood pressure (BP) cuff. Since it will be used on individuals who are extremely obese as well as some students who look anorexic, what might the BP results lack?
Correct Answer: A
Rationale: The correct answer is A: Reliability. The regular BP cuff may lack reliability in this scenario due to its size not being suitable for extremely obese individuals or very thin students. This can lead to inaccurate BP readings, affecting the reliability of the screening results. Sensitivity (B) refers to the ability of a test to correctly identify those with the condition, specificity (C) refers to the ability to correctly identify those without the condition, and validity (D) refers to the overall accuracy of the test. In this case, the main issue lies in the reliability of the BP cuff for different body types, making it the most appropriate choice.