ATI RN
Introduction to Community Health Nursing Questions
Question 1 of 5
The patient is dying of cancer and can no longer swallow. The son states to the nurse, <You must give dad some water, he always drank a lot of water!= The nurse9s best response is:
Correct Answer: A
Rationale: The correct answer is A because it demonstrates empathy and active listening to the son's emotional state. By acknowledging and exploring his feelings, the nurse can provide emotional support and build rapport. Choice B is incorrect as it focuses solely on medical evidence without addressing the emotional needs of the son. Choice C is incorrect as it lacks empathy and may come off as insensitive. Choice D is incorrect as it jumps to a technical solution without addressing the son's emotional concerns. Overall, choice A is the best response as it prioritizes the son's emotional well-being during a difficult time.
Question 2 of 5
The nurse is developing a plan of care for a client with disturbed body image. Which interventions would the nurse most likely include in the plan? Select all that apply.
Correct Answer: A
Rationale: 1. **Establish rapport with the client**: Building trust and a therapeutic relationship is crucial in addressing disturbed body image. 2. **Role model appropriate behavior**: While important, this may not directly address the client's body image concerns. 3. **Encourage client to make positive self-statements**: This can be helpful, but establishing rapport is more foundational. 4. **Assist the client in accepting responsibility for own actions**: This is important but not directly related to addressing body image concerns.
Question 3 of 5
Which step of the nursing process involves setting long-term goals and short-term expectations?
Correct Answer: B
Rationale: The correct answer is B: Planning. In the nursing process, planning involves setting long-term goals and short-term expectations based on the assessment data gathered. This step determines the best course of action to achieve desired outcomes. Assessment (A) involves collecting data, not goal-setting. Implementation (C) is carrying out the plan, not goal-setting. Evaluation (D) is assessing the effectiveness of the plan, not goal-setting. Therefore, B is the correct choice for setting goals and expectations in the nursing process.
Question 4 of 5
An older adult client has been moved from home to a skilled nursing facility (SNF). Which behavior, demonstrated by this client, indicates a problem with daily functioning?
Correct Answer: D
Rationale: The correct answer is D because the client's refusal to use the prescribed walker indicates a problem with daily functioning. Using a walker is crucial for mobility, safety, and independence in a SNF setting. Not using the walker can lead to increased risk of falls and potential injuries, affecting the client's ability to perform daily activities. A: Eating 80% of meals shows adequate nutrition intake. B: Watching TV with others is a social activity. C: Wanting to wear one's own clothing is a personal preference and does not directly impact daily functioning.
Question 5 of 5
Which intervention takes priority for the client receiving hospice care?
Correct Answer: D
Rationale: The correct answer is D because in hospice care, the primary goal is to keep the client comfortable and manage their symptoms, particularly pain. Administering pain medication ensures the client's quality of life and dignity are maintained. Turning and repositioning (choice A) is important but not the priority. Providing meals (choice B) and assisting with mobility (choice C) are important for overall well-being but not the priority in hospice care, where comfort is paramount.