ATI RN
Care of Vulnerable Populations Questions
Question 1 of 5
Staff members have agreed to implement evidence-based practice; they have chosen a specific problem and searched the literature. The group has selected the interventions that seem the easiest to implement. What should be the staff's next step?
Correct Answer: A
Rationale: The correct answer is A: Assessing the quality of the evidence in the literature. After selecting interventions, it is crucial to evaluate the quality of evidence to ensure effectiveness and reliability. By assessing the evidence, staff can determine the validity and applicability of the interventions to their specific problem. This step helps in making informed decisions and avoiding potential harm from implementing interventions based on weak or biased evidence. Summary of other choices: B: Deciding how best to orient the staff and community to the proposed changes - Important, but not the immediate next step. C: Eliminating all nursing interventions that are not evidence based - Premature without assessing the quality of evidence first. D: Choosing another specific problem for the next literature search - Not necessary at this point; evaluating current interventions is more crucial.
Question 2 of 5
A nurse planned a superb presentation on the latest trends in disaster planning for the senior nursing students at the local college. However, when the nurse began to share knowledge, the students were talking to one another and essentially ignoring the nurse. What should the nurse do?
Correct Answer: B
Rationale: The correct answer is B, explain why the information is crucial to their current clinical practice. This option addresses the issue by highlighting the relevance of the information to the students' academic and professional development. By emphasizing the practical importance of the content, the nurse can engage the students and demonstrate the value of paying attention. A: Asking the students why they are being rude may come off as confrontational and can escalate the situation. C: Doing nothing and letting the course instructor handle the problem does not address the immediate issue of student disengagement. D: Telling a risqué joke may momentarily grab attention but does not address the root cause of the students' behavior or promote a professional learning environment.
Question 3 of 5
A nurse invited all the teenagers who were newly diagnosed with diabetes to a group meeting to discuss issues they all had in common. One teenager replied, "I don't know if I want to share all the problems I'm having with strangers." What is the best nurse response?
Correct Answer: D
Rationale: The correct answer is D because it addresses the teenager's concerns while emphasizing the purpose of the group. The nurse acknowledges the teenager's hesitation and clarifies that the group is a safe space for sharing common issues. This response validates the teenager's feelings, emphasizes the benefits of group support, and encourages participation without pressure. Option A is incorrect as it may discourage the teenager from seeking support altogether. Option B acknowledges the teenager's statement but does not provide reassurance or guidance. Option C is incorrect because it does not address the teenager's concerns about sharing personal information with strangers and may not alleviate their apprehension.
Question 4 of 5
A group of teenagers with diabetes become upset and angry because they cannot agree on whether or not to have meetings during summer vacation. Which of the following should the nurse do to be effective in helping the teenagers resolve the conflict?
Correct Answer: A
Rationale: The correct answer is A because it promotes open communication and collaboration among the teenagers. By acknowledging the difficulty in reaching a consensus and encouraging the group to work together to find a solution, the nurse fosters a sense of ownership and empowerment among the teenagers. This approach respects the autonomy and opinions of each group member, facilitating a constructive dialogue to address the conflict. Choice B is incorrect as it disregards the teenagers' autonomy and imposes an authoritative decision that may not align with the group's needs. Choice C is incorrect as it labels some members as "stubborn" and suggests exclusion, which can exacerbate conflict and create a hostile environment.
Question 5 of 5
A man says, "I just can't get myself to leave the house and go for a 30-minute walk each day. I wish I could think of some way to motivate myself." An effective measure by the nurse would be to suggest that the man:
Correct Answer: B
Rationale: The correct answer is B because it focuses on helping the man understand the importance of daily walking for his health. By recognizing the benefits of walking, he is more likely to be motivated intrinsically. This approach helps him develop a personal connection to the activity, making it more sustainable in the long term. Choice A is incorrect because making walking a work requirement may lead to resentment and does not address the individual's personal motivation. Choice C is incorrect as joining a group may not address the man's internal motivation issues. Choice D is incorrect because while setting up rewards can be motivating, it may not address the underlying reasons for his lack of motivation.