ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
In which type of research project would the nurse primarily use analytic epidemiology as a tool?
Correct Answer: B
Rationale: Analytic epidemiology is used to investigate the causes and contributing factors of a health issue. In the context of the question, childhood obesity is a complex health problem influenced by various factors such as diet, physical activity, genetics, and environment. By using analytic epidemiology, the nurse can analyze these contributing factors to understand the root causes of childhood obesity and develop effective interventions. Other choices are incorrect because they primarily involve descriptive epidemiology (e.g., communicable disease statistics, documenting population characteristics) or surveillance (e.g., determining locations of family violence).
Question 2 of 5
Between 2000 and 2005, 1000 of 10,000 young women ages 17 to 20 years at a university tested positive for a sexually transmitted infection (STI). Of the 1000 diagnosed STIs, 300 were gonorrhea and 500 were chlamydia. How could this STI problem be summarized?
Correct Answer: B
Rationale: The correct answer is B because it provides a clear summary of the STI problem by stating the specific number of cases of gonorrhea and chlamydia out of the total STI cases. The statement "300 were gonorrhea and 500 were chlamydia" effectively summarizes the distribution of specific STIs within the total cases. A: Incorrect. This choice only mentions the number of gonorrhea cases and does not provide information about chlamydia cases or the total number of STI cases, so it does not give a comprehensive summary of the problem. C, D: These choices are incorrect because they are incomplete and do not provide any relevant information to summarize the STI problem.
Question 3 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 4 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 5 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.