ATI RN
Nursing Care of Vulnerable Populations Questions
Question 1 of 5
The nurse is working with a group of older adult couples to help them learn more about fall prevention and how to make modifications in their home to decrease their risk of falls. This is an example of which level of health promotion?
Correct Answer: A
Rationale: The correct answer is A: Primary. Primary level of health promotion focuses on preventing the occurrence of a disease or injury before it happens. In this scenario, the nurse is educating older adult couples on fall prevention to reduce their risk, which aligns with primary prevention strategies. Secondary prevention (choice B) involves early detection and treatment of a disease to prevent complications. Tertiary prevention (choice C) aims to minimize the impact of an existing disease or injury. Primordial prevention (choice D) focuses on preventing the development of risk factors that could lead to diseases. In this case, the emphasis is on preventing falls before they occur, making it a primary level of health promotion.
Question 2 of 5
The community health nurse is performing an admission assessment on a client with a substance use disorder. Which of the following questions is most appropriate for the nurse to use when interviewing the client about their substance use history?
Correct Answer: B
Rationale: The correct answer is B because it focuses on gathering specific and relevant information about the client's substance use history. By asking about the type of substances used and frequency, the nurse can assess the severity of the addiction and plan appropriate interventions. A: This question assumes a judgmental tone and may make the client defensive. C: This question is more about the client's commitment to treatment rather than exploring their substance use history. D: This question may imply blame on the client and does not facilitate an open and honest discussion about their substance use.
Question 3 of 5
The community health nurse is working with a group of teenagers as part of an after-school health promotion program. When working with this age group, which of the following risk factors should the nurse be aware of?
Correct Answer: D
Rationale: The correct answer is D because teenagers are indeed at higher risk for developing mental illnesses due to various factors such as hormonal changes, academic pressures, social media influence, and peer relationships. This age group commonly experiences stress and emotional challenges, making them vulnerable to mental health issues. Option A is incorrect as teenagers are typically covered under their parents' insurance. Option B is incomplete. Option C is incorrect as teenagers are not immune to depression.
Question 4 of 5
When nurses interact with clients with SUDs, which of the following terms/language would be best to avoid because it may promote stigmatization of SUDs?
Correct Answer: B
Rationale: The correct answer is B because using terms like "clean sample" or "dirty drug test" implies moral judgment and can perpetuate stigma towards individuals with Substance Use Disorders (SUDs). Step 1: "Clean" and "dirty" are value-laden terms that suggest purity and impurity, reinforcing negative stereotypes. Step 2: Stigmatizing language can discourage individuals from seeking help. Step 3: Avoiding such language promotes a non-judgmental and supportive environment for clients with SUDs. Choices A, C, and D are incorrect because they use person-first language and neutral terms that focus on the individual rather than the behavior or test result.
Question 5 of 5
What is the initial indication of puberty in girls?
Correct Answer: D
Rationale: The correct answer is D: Breast development. Breast development is typically the initial indication of puberty in girls, known as thelarche. It is usually the first visible sign of puberty and is triggered by hormonal changes. Menarche (A) refers to the onset of menstruation, which typically occurs later in puberty. Growth spurt (B) typically occurs after breast development. Growth of pubic hair (C) is also a sign of puberty, but it usually follows breast development.