ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
Nursing students are offering health screenings at the local homeless shelter. Which persons or groups will the students most likely see? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because individuals experiencing homelessness often have limited access to hygiene facilities and may struggle with alcohol addiction. Body odor and alcohol smell are common among this population. Option B may be valid, but familiarity with a person from a mental health clinic does not guarantee their presence at the shelter. Option C suggests possible domestic violence, but not all homeless individuals may have visible bruises. Option D is incorrect because not all individuals seeking shelter are homeless; some may just want to escape cold weather temporarily.
Question 2 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 3 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 4 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.
Question 5 of 5
Which action would be most helpful for a nurse in community health to determine the best evidence-based way to address an outbreak of a new infectious disease?
Correct Answer: B
Rationale: The correct answer is B because reviewing outcomes of clinical trials provides scientific evidence on the effectiveness of treatments for the new infectious disease. Clinical trials follow a rigorous methodology that evaluates the safety and efficacy of interventions. This helps the nurse make informed decisions based on proven results. Choice A is incorrect because policies and procedures may not always be evidence-based or updated to address a new infectious disease outbreak. Choice C is incorrect as nursing textbooks may not have the most current information on a new disease. Choice D is incorrect because information obtained from the internet may not be reliable or evidence-based.