ATI RN
Community Assessment Questions Questions
Question 1 of 5
The nurse is preparing to discharge an elderly, recently widowed
Correct Answer: C
Rationale: The correct answer is C: Grief support group. This is the most important referral for the nurse to make because the patient is recently widowed and may be struggling emotionally. A grief support group can provide the patient with emotional support, coping strategies, and a sense of community during this difficult time. Referral to a pastoral car (choice B) may not address the patient's emotional needs specifically related to grief. Meals-on-Wheels (choice D) may be important for ensuring proper nutrition but does not address the patient's emotional well-being. The ability to walk with a walker (choice A) does not directly relate to the patient's emotional needs following the loss of a spouse.
Question 2 of 5
A nurse organizes a community action group to help resolve health problems in a low income neighborhood with a large population of recent
Correct Answer: C
Rationale: The correct answer is C because addressing the low immunization rate of children is crucial for preventing the spread of diseases and promoting community health. This step ensures the well-being of the most vulnerable population. Option A lacks specificity and doesn't prioritize health issues. Option B, unemployment, is important but may not directly impact health outcomes. Option D, substandard healthcare provision, is a valid concern but addressing immunization first can prevent diseases and reduce the burden on healthcare services.
Question 3 of 5
A home health nurse knows that a 70-year-old male client who is convalescing at home following a hip replacement, is at risk for developing decubitus ulcers. Which physical characteristic of aging contributes to such a risk?
Correct Answer: C
Rationale: The correct answer is C: Thinning of the skin with loss of elasticity. As individuals age, the skin becomes thinner and loses its elasticity, making it more susceptible to damage and slower healing. This puts the 70-year-old male client at a higher risk for developing decubitus ulcers due to increased vulnerability of the skin to pressure and shearing forces. A: 16% increase in overall body fat - While increased body fat may impact overall health, it is not directly related to the development of decubitus ulcers. B: Reduced melanin production - Melanin production affects skin color and UV protection, but it is not directly linked to the risk of decubitus ulcers. D: Calcium loss in the bones - While calcium loss can lead to osteoporosis and bone fractures, it is not the primary factor contributing to decubitus ulcers in this scenario.
Question 4 of 5
Which presentation of an infectious disease is acquired through an indirect transmission?
Correct Answer: B
Rationale: The correct answer is B, Measles resulting from a daycare center outbreak, as it is acquired through indirect transmission. Measles spreads through respiratory droplets in the air, which can contaminate surfaces and objects in a shared environment like a daycare center. This indirect transmission occurs when a susceptible individual comes into contact with contaminated surfaces or objects. Choice A, syphilis contracted from a sexual partner, is an example of direct transmission through sexual contact. Choice C, malaria following exposure in a mosquito-infested area, is transmitted through the bite of an infected mosquito, which is considered vector-borne transmission. In summary, the indirect transmission of measles in a daycare center outbreak distinguishes it from the other choices, which involve direct or vector-borne modes of transmission.
Question 5 of 5
A senior high school student, whose immunization status is current, asks the school nurse which immunizations will be included in the precollege physical. Which vaccine should the nurse tell the student to expect to receive?
Correct Answer: B
Rationale: Rationale for Correct Answer (B - Measles, mumps, rubella): 1. Precollege physicals often require proof of MMR vaccination. 2. MMR vaccine protects against measles, mumps, and rubella. 3. These diseases are highly contagious and can spread easily in school settings. 4. MMR vaccination is crucial for preventing outbreaks in schools. 5. Hepatitis C (A) is not typically included in routine precollege physical immunizations. 6. Influenza type B (C) may be recommended seasonally but is not a routine precollege requirement.