ATI RN
Nursing Care of Vulnerable Populations Questions
Question 1 of 5
Some faculty at the College of Nursing decide to establish an innovative new program to help families with technology-dependent children. The program will include home care and respite care, among other services. When the group is applying for funding, what would such a service be called?
Correct Answer: C
Rationale: The correct answer is C: Pediatric intensive care for homebound families. This choice accurately describes the program as providing intensive care for children with complex medical needs in their homes. It includes home care and respite services for families with technology-dependent children. The term "pediatric intensive care" emphasizes the specialized nature of the services offered. Explanation for why the other choices are incorrect: A: Family professional respite care - This choice focuses solely on respite care and does not encompass the full range of services being offered in the program. B: High tech-high care family comprehensive treatment - This choice is vague and does not specifically address the unique needs of technology-dependent children and their families. D: Specialty "carve out" - This choice does not accurately describe the program's focus on providing intensive care and home care services for families with technology-dependent children.
Question 2 of 5
A nurse who is providing diabetes screening at a community clinic discovers that a new client has type 2 diabetes mellitus. The nurse provides counseling, refers the client to an endocrinologist for initial assessment and treatment, arranges for the client to see someone regarding financial assistance, contacts the mobile van to arrange transportation, and sets up a follow-up appointment. Which type of service do these actions represent?
Correct Answer: A
Rationale: The correct answer is A: Case management. Case management involves coordinating and organizing services for a client to ensure they receive comprehensive care. In this scenario, the nurse is facilitating various aspects of care for the client with type 2 diabetes mellitus, such as referral to an endocrinologist, financial assistance, transportation, and follow-up appointments. This demonstrates the systematic approach of case management to address the client's needs. Summary: B: Client advocacy focuses on representing the client's interests and ensuring they receive appropriate care, but it does not involve the level of coordination seen in case management. C: Holistic care encompasses addressing the client's physical, mental, and social needs, but it does not specifically involve the coordination of services as in case management. D: Wrap-around services involve providing a range of supportive services to address various needs, but it does not capture the structured approach of case management in coordinating care for the client.
Question 3 of 5
Which level of prevention is represented by a nurse who offers homeless clients yearly tuberculosis (TB) screening and free treatment for those who test positive for TB?
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. This level of prevention involves early detection and treatment of a disease to prevent its progression and complications. In this scenario, the nurse is conducting regular TB screenings to detect the disease at an early stage in homeless clients, offering free treatment to prevent the spread of TB and reduce the severity of the disease. A: Primary prevention focuses on preventing the disease from occurring, such as through vaccination or health education. This is not the case in the given scenario. C: Tertiary prevention involves managing the long-term effects of a disease to improve quality of life and prevent disability. This is not applicable as the nurse is focusing on early detection and treatment rather than managing long-term effects. D: This choice is incorrect as it combines secondary and tertiary prevention, which are distinct levels of prevention with different objectives. The nurse's actions align more closely with secondary prevention.
Question 4 of 5
What are health professional shortage areas (HPSAs)?
Correct Answer: C
Rationale: The correct answer is C because health professional shortage areas (HPSAs) are regions with insufficient numbers of health care providers. This designation is based on factors like population-to-provider ratio and the availability of primary care services. Choice A is incorrect because HPSAs are not solely defined by the presence of health care facilities but rather the shortage of providers. Choice B is incorrect because HPSAs can exist in both rural and urban areas, not just isolated areas within urban regions. Choice D is incorrect because HPSAs can have varying population densities, not just limited to regions with densities below 10,000.
Question 5 of 5
From whom is a rural resident with asthma most likely to receive health care services?
Correct Answer: A
Rationale: The correct answer is A: Advanced nurse practitioner. Rural residents with asthma are more likely to receive health care services from advanced nurse practitioners due to their accessibility, cost-effectiveness, and ability to provide comprehensive care including diagnosis, treatment, and education. Nurse practitioners often work in primary care settings in rural areas where specialist services may be limited. Allergists (B) and Pulmonologists (D) are specialists who may not be readily available in rural areas. Pediatricians (C) primarily focus on children's health and may not provide specialized care for adult asthma patients in rural settings.