ATI RN
RN Evidence-Based Practice in Community and Public Health Assessment Questions
Question 1 of 5
The nurse knows which instruction method is most effective for adolescents?
Correct Answer: D
Rationale: The correct answer is D: Incorporating peer activities into the learning process. Adolescents often learn best through social interactions with their peers. This method encourages engagement, collaboration, and active participation, which can enhance learning retention and motivation. By interacting with peers, adolescents can share experiences, perspectives, and knowledge, leading to a deeper understanding of the material. In contrast, providing information in small segments (A) may not be as engaging, involving family members (B) may not resonate with adolescents' preference for peer interactions, and connecting material to past experiences (C) may not always be relevant or engaging for all adolescents.
Question 2 of 5
The nurse, caring for a client who will be transferred from the hospital to a rehabilitation facility following a stroke, is using a care transition model to facilitate the transfer. Which explanation for the use of a care transition model will the nurse provide to the nursing student working the client?
Correct Answer: C
Rationale: The correct answer is C: "Care transition models support the coordination of care between health care settings." Care transition models are designed to ensure a smooth transfer of care for patients moving between different healthcare settings, such as from a hospital to a rehabilitation facility. This includes coordinating communication between healthcare providers, ensuring continuity of care, and preventing gaps in treatment. Option A is incorrect as care transition models do not predict client outcomes but rather facilitate the process of transition. Option B is incorrect as care transition models focus on the process of care transition, not on guiding decision-making in general. Option D is incorrect as while client education may be a component of care transition models, the primary focus is on coordination of care.
Question 3 of 5
Using the Transitional Care Model (TCM), which action would the nurse take when preparing an 81- year-old client with diabetes, hypertension, and heart failure for discharge home from the hospital following an exacerbation of heart failure?
Correct Answer: B
Rationale: The correct answer is B: Identify risk factors for readmission and develop an individualized discharge plan. In the Transitional Care Model (TCM), individualized care plans are crucial for optimizing patient outcomes. By identifying the specific risk factors for readmission for this complex patient with multiple comorbidities, the nurse can tailor interventions to address these factors, such as medication management, follow-up appointments, and lifestyle modifications. Providing a standardized plan (choice A) may not address the unique needs of this patient. Referring to a discharge coach (choice C) may be helpful but does not address the specific risk factors identified. Contacting the advanced practice nurse (choice D) may be appropriate for consultation but does not directly address the discharge planning process.
Question 4 of 5
A nurse is concerned about the increasing rate of hospital readmissions in clients due to not filling or picking up prescriptions at the pharmacy after discharge from the hospital. Which intervention should the nurse recommend to the hospital leadership to improve adherence to the medication regimen after discharge?
Correct Answer: B
Rationale: The correct answer is B: Handing client prescriptions for home medications during discharge instruction. This intervention ensures that clients have their prescriptions in hand before leaving the hospital, increasing the likelihood of medication adherence. Calling in prescriptions (A) may not guarantee that the client picks them up. Providing home medications (C) may not be feasible or safe due to potential drug interactions. Simply telling the client about the importance of medication adherence (D) without providing tangible support may not be effective. Therefore, option B is the most practical and effective intervention to improve medication adherence post-discharge.
Question 5 of 5
Which health information system would the nurse utilize to promote self-management in a client with diabetes who has been having difficulty controlling blood glucose levels?
Correct Answer: B
Rationale: The correct answer is B: Mobile health applications. These applications provide tools for clients to monitor and manage their health, such as tracking blood glucose levels and receiving reminders for medication. This promotes self-management in clients with diabetes. A: Decision support systems offer clinical guidelines and recommendations but do not directly promote self-management. C: Care coordination platforms facilitate communication among healthcare providers but do not focus on self-management by the client. D: Electronic health records store health information but do not actively engage clients in self-management tasks.