ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
The nurse who works at a homeless clinic wants to improve healing of chronic wounds in clients living on the streets. What would be the best action to take to improve client outcomes?
Correct Answer: D
Rationale: The correct answer is D because performing regular monitoring of the client's wound condition allows for early detection of any signs of infection or other complications, enabling prompt intervention. This proactive approach can prevent worsening of wounds and promote faster healing. Choice A is incorrect because providing antibiotics to all homeless persons with chronic wounds may lead to antibiotic resistance and is not addressing the root cause of the issue. Choice B is incorrect as access to basic hygiene supplies is important but may not directly impact wound healing without proper monitoring and intervention. Choice C is also incorrect as handing out bandaging supplies alone does not address the need for ongoing assessment and management of the wound healing process.
Question 2 of 5
Nursing students are offering health screenings at the local homeless shelter. Which persons or groups will the students most likely see? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because individuals experiencing homelessness often have limited access to hygiene facilities and may struggle with alcohol addiction. Body odor and alcohol smell are common among this population. Option B may be valid, but familiarity with a person from a mental health clinic does not guarantee their presence at the shelter. Option C suggests possible domestic violence, but not all homeless individuals may have visible bruises. Option D is incorrect because not all individuals seeking shelter are homeless; some may just want to escape cold weather temporarily.
Question 3 of 5
Which action would be most helpful for the nurse executive to implement evidence-based practice at a community nursing center that serves a large Cuban immigrant population?
Correct Answer: C
Rationale: The correct answer is C: Include Cuban immigrants from the community on the center's advisory board. This choice is the most helpful because involving the Cuban immigrant population directly in the decision-making process ensures that their unique needs and perspectives are considered when implementing evidence-based practice. By having Cuban immigrants on the advisory board, the nurse executive can gain valuable insights into the community's cultural preferences, beliefs, and barriers to healthcare access. This approach promotes cultural humility and fosters trust and collaboration between the center and the community. Choices A, B, and D are incorrect because they lack direct involvement of the Cuban immigrant population in the decision-making process. Having university experts review policies (A) may provide valuable insights but does not prioritize the community's input. Weekly staff meetings (B) may be helpful for internal discussions but do not involve the community directly. Sending personnel to conferences and seminars (D) can enhance knowledge but does not ensure community engagement in decision-making.
Question 4 of 5
After finding several studies related to the clinical problem, a nurse knows the studies must be evaluated. For the studies to be considered convincing, they should ideally be:
Correct Answer: B
Rationale: The correct answer is B because multiple high-quality studies with large sample sizes and consistent findings provide strong evidence to support clinical decisions. Such studies reduce bias and increase generalizability. Choice A is incorrect as federal support does not guarantee study quality. Choice C lacks emphasis on study quality and consistency. Choice D is not always necessary for convincing evidence as observational studies can also provide valuable insights.
Question 5 of 5
A nurse in community health has implemented an education program that incorporates computer games to reinforce learning in a community of older adults. Although the research demonstrates evidence of improved retention of information, the nurse experiences exactly the opposite for this group of clients. What is the most likely cause of such poor outcomes?
Correct Answer: A
Rationale: The correct answer is A: Failure to consider client and setting differences. In this scenario, the nurse implemented a program based on research that showed improved retention using computer games. However, the poor outcomes suggest that the nurse may not have considered the unique characteristics, preferences, and needs of older adults in the community. Older adults may have different learning styles, cognitive abilities, or comfort levels with technology. By not tailoring the program to fit the specific client population and setting, the nurse failed to account for these differences, leading to the poor outcomes. Choices B, C, and D are incorrect because they do not directly address the issue of client and setting differences, which is the root cause of the problem in this case.