ATI RN
Nursing Care of Children Final ATI Questions
Question 1 of 5
The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death?
Correct Answer: D
Rationale: In this question, the correct answer is D) Late school age and adolescents. Suicide is indeed the third leading cause of death in this age group. Preschoolers (Option A) are typically not developmentally capable of understanding the concept of suicide ideation. Young school-age children (Option B) may experience stress but are less likely to have the cognitive ability to plan and carry out suicide. Middle school-age children (Option C) may start to experience stress and emotional issues, but suicide ideation is more common in late school age and adolescents due to increased psychological and social pressures during this developmental stage. Educationally, understanding the prevalence of suicide ideation in different age groups is crucial for nurses working with children and adolescents. By recognizing the age group most at risk, nurses can implement appropriate assessment tools, interventions, and support systems to address and prevent suicide in this vulnerable population.
Question 2 of 5
The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of clinical reasoning?
Correct Answer: A
Rationale: In the context of nursing care, clinical reasoning is a critical skill that nurses must possess to provide safe and effective patient care. Option A, "Purposeful and goal-directed," is the most descriptive of clinical reasoning because it highlights the systematic and logical process through which healthcare providers collect cues, process information, come to an understanding of a patient's needs, plan and implement interventions, and evaluate outcomes. Option B, "A simple developmental process," is incorrect as clinical reasoning is a complex and multifaceted skill that develops over time with experience and ongoing learning. Option C, "Based on deliberate and irrational thought," is incorrect as clinical reasoning is based on deliberate and rational thinking, not irrational thought. Option D, "Assists individuals in guessing what is most appropriate," is incorrect as clinical reasoning involves making informed decisions based on evidence, knowledge, and critical thinking skills rather than guessing. In an educational context, understanding clinical reasoning is essential for nursing students as it forms the foundation of their clinical practice. By developing this skill, students can enhance their ability to assess, analyze, and make decisions in various patient care situations. Emphasizing the purposeful and goal-directed nature of clinical reasoning helps students appreciate the importance of systematic and logical thinking in providing high-quality nursing care.
Question 3 of 5
Evidence-based practice (EBP), a decision-making model, is best described as which?
Correct Answer: D
Rationale: The correct answer is D) Gathering all evidence that applies to the child's health and family situation. Evidence-based practice (EBP) involves integrating the best available research evidence with clinical expertise and patient values to make informed healthcare decisions. This option emphasizes the importance of considering all relevant evidence specific to the child's health and family circumstances to provide optimal care. Option A is incorrect because EBP goes beyond relying solely on information from textbooks; it involves using current research evidence. Option B is incorrect because while clinical experience is valuable, EBP requires more than just intuition—it requires a systematic approach to decision-making. Option C is incorrect as using a professional code of ethics is important but is not the primary focus of EBP, which centers on integrating evidence, expertise, and patient values. In an educational context, understanding EBP is crucial for nursing students as it ensures that they provide high-quality, effective, and patient-centered care. By teaching students to gather and critically evaluate evidence, educators are preparing them to make informed decisions that align with best practices and improve patient outcomes. This rationale underscores the significance of EBP in nursing practice and highlights the importance of evidence-based decision-making in delivering quality care to children.
Question 4 of 5
Which best describes signs and symptoms as part of a nursing diagnosis?
Correct Answer: D
Rationale: In the context of nursing diagnoses, signs and symptoms are crucial elements in identifying and defining a patient's health problems. Option D, "Cues and clusters derived from patient assessment," is the correct choice because signs and symptoms are the cues and clusters that nurses gather from their assessment of the patient. These cues and clusters help in formulating an accurate nursing diagnosis and developing an effective care plan. Option A, "Description of potential risk factors," does not directly relate to signs and symptoms. Risk factors are different from the actual manifestations of a health problem. Option B, "Identification of actual health problems," is closely related to the correct answer but does not specifically address the assessment data (signs and symptoms) that lead to the identification of health problems. Option C, "Human response to state of illness or health," focuses more on the patient's reaction to their health condition rather than the objective data that nurses use to identify health problems. Educationally, understanding the importance of signs and symptoms in nursing diagnoses is essential for nurses to provide safe and effective care. By accurately interpreting assessment data, nurses can develop targeted interventions to address the specific health needs of their pediatric patients. This knowledge enhances critical thinking skills and clinical reasoning, leading to improved patient outcomes.
Question 5 of 5
The nurse is talking to a group of parents of school-age children at an after-school program about childhood health problems. Which statement should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct statement for the nurse to include in the teaching session with parents of school-age children is option A) "Childhood obesity is the most common nutritional problem among children." This statement is crucial to address as childhood obesity is a significant public health concern with serious short and long-term health implications, including diabetes, cardiovascular disease, and psychological effects. Option B) is incorrect because immunization rates can vary among children of different races and ethnicities due to disparities in healthcare access and beliefs. It is essential for the nurse to address these disparities and promote immunization equity. Option C) is incorrect because dental caries remain a prevalent issue in children despite the introduction of fluoridated water. The nurse should emphasize the importance of good oral hygiene practices and regular dental check-ups. Option D) is incorrect as mental health problems can indeed manifest in school-age children and early detection and intervention are crucial. The nurse should educate parents on recognizing signs of mental health issues and seeking appropriate support and care. In an educational context, it is vital for nurses to provide accurate and relevant information to parents to promote the health and well-being of school-age children. Addressing common health problems like childhood obesity empowers parents to make informed decisions to support their children's health.