ATI RN
Community Needs Assessment Questions Questions
Question 1 of 5
The nurse is screening children at a local community health clinic for infectious diseases. Which child is at highest risk for hepatitis B virus (HBV)?
Correct Answer: A
Rationale: The correct answer is A, a newborn, as they are at higher risk due to potential exposure during birth from an infected mother. Newborns can acquire HBV through vertical transmission. Choice B, a 3-year-old, and choice D, a 7-year-old, are less at risk compared to newborns. Choice C, which seems to be incomplete, does not provide any relevant information.
Question 2 of 5
The nurse is preparing an orientation class for new employees at an inner city clinic that serves a low-income population. Which information should the nurse include in the presentation to these new employees?
Correct Answer: B
Rationale: The correct answer is B: Basic physiologic needs are likely to be unmet in this clinic's client population. Rationale: 1. Low-income populations often face challenges meeting basic needs like food, shelter, and healthcare. 2. The nurse should address these unmet needs to provide holistic care. 3. Understanding the underlying issues can help tailor interventions and support for the clients. Summary: A: Lack of transportation is important but not the major impediment. C: Printed material may be less effective, but it's not the most critical issue. D: Attendance issues may be due to various reasons, not just non-compliance.
Question 3 of 5
The public health RN is called to investigate a report of several cases of varicella at a day care center. The day care workers state that 5 children have been sent home over the past 2 weeks w/ fever & itchy blisters. Which intervention should the RN implement first?
Correct Answer: A
Rationale: The correct answer is A: Validate that the children who were sent home had chickenpox. The first step in investigating a potential outbreak of a communicable disease like varicella (chickenpox) is to confirm the diagnosis. By validating that the children indeed had chickenpox, the RN can accurately assess the situation and take appropriate actions to prevent further spread. Choice B is incorrect because sending the child to their pediatrician should come after confirming the diagnosis to ensure proper medical care. Choice C is incorrect as it recommends a prolonged exclusion period without confirmation of the disease, which may not be necessary. Choice D is incorrect as it dismisses the seriousness of the situation and could lead to further spread of the illness if the children do have chickenpox.
Question 4 of 5
The RN at a migrant health center notes an increased incidence of dermatitis in seasonal farm workers at a local fruit farm. In response to this finding, it is most important for the RN to obtain which info as part of the community assessment?
Correct Answer: A
Rationale: The correct answer is A because hand hygiene is crucial in preventing dermatitis. Clean water to wash hands after work helps remove irritants and allergens that can cause dermatitis. This directly addresses the increased incidence of dermatitis among farm workers. Choice B (Proper housing) is not directly related to dermatitis prevention. Choice C (Access to health care services) is important but does not address the immediate cause of dermatitis. Choice D (Access to transportation) is not as critical as ensuring proper hand hygiene to prevent dermatitis.
Question 5 of 5
The nurse is conducting a process evaluation of a prevention education program for older adults.Which data source provides the information the nurse needs to conduct this process evaluation?
Correct Answer: A
Rationale: The correct answer is A because documentation of client education in the nursing record provides direct information on the implementation of the prevention education program. It helps evaluate whether the program was delivered as intended and if clients received the necessary education. Choice B, client's score on an alcohol screening instrument, is related to outcome evaluation rather than process evaluation. Choice C, results of a urine drug and alcohol screen, is also focused on outcomes rather than the process of education delivery. Choice D, most recent community census data, is not directly relevant to evaluating the process of the prevention education program for older adults.