ATI RN
RN Evidence-Based Practice in Community and Public Health Assessment Questions
Question 1 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 2 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.
Question 3 of 5
A nurse reviewed information before meeting with the community residents who were attending a program on healthful living. Which best describes the action by the nurse?
Correct Answer: B
Rationale: Health promotion includes education and support for healthy behaviors. It is not disease prevention or specific protection since no specific disease is targeted.
Question 4 of 5
Which is the best definition of health?
Correct Answer: C
Rationale: Health is defined as a complete state of physical, mental, and social well-being, not just the absence of illness or pain.
Question 5 of 5
The nurse working with a client to change behavior to maximize health asked the client to bring his family to the next visit. Why?
Correct Answer: D
Rationale: Under the Theory of Reasoned Action, behavior is influenced by approval from important individuals, such as family members.