ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
What actions would a nurse take to reduce the high incidence of coronary artery disease (CAD) in a community?
Correct Answer: A
Rationale: The correct answer is A because it addresses the primary prevention of CAD through a multi-faceted approach. Starting a heart-healthy curriculum in first grade promotes early education on healthy habits. Presentations on diet and exercise for the community and special education sessions for high-risk populations help increase awareness and knowledge. This comprehensive strategy targets prevention at different levels of the community, making it more effective in reducing the incidence of CAD. Choice B focuses more on individual interventions like online activities and screenings, which may not reach the entire community effectively. Choice C emphasizes education and screenings but lacks a comprehensive approach to prevention compared to Choice A. Choice D focuses on clients already diagnosed with CAD rather than preventing it in the community.
Question 2 of 5
According to general systems theory, which of the following events represents a change in a family's subsystem?
Correct Answer: D
Rationale: In general systems theory, a subsystem is a smaller component within a larger system that performs specific functions. When a family moves to another home, it represents a change in the family's physical environment and living arrangements, impacting the family subsystem. This change can lead to adjustments in family dynamics, roles, and interactions within the family unit. On the other hand, choices A, B, and C relate to individual events or changes that may affect family members but do not directly impact the family subsystem as a whole. Divorce, job loss, and other personal events do not necessarily alter the structure or functioning of the family as a system.
Question 3 of 5
Which of the following actions by a home health nurse can decrease the risk of experiencing unsafe conditions while in a family's home?
Correct Answer: A
Rationale: The correct answer is A: Research and learn more about the surrounding neighborhood before the visit. This action allows the nurse to understand potential safety risks in the area, such as crime rates or hazards, enabling them to take necessary precautions. By being informed, the nurse can better assess the environment and plan accordingly to ensure their safety. Choice B is not as effective as A because maintaining situational awareness alone may not provide enough information about the specific risks in the neighborhood. Choice D is incorrect because making the visit as brief as possible does not address potential safety concerns in the neighborhood. It may even rush the nurse, leading to oversight of safety measures. Overall, choice A is the best option as it directly addresses the need to proactively reduce the risk of encountering unsafe conditions in the family's home.
Question 4 of 5
A community nurse is making a home visit to a client who has recently had a baby and has a history of experiencing IPV. During the visit, the nurse observes an interaction between the client and the baby's father. The father seems very loving and attentive to the client. Which of the following is the most appropriate conclusion by the nurse?
Correct Answer: D
Rationale: The correct answer is D because the nurse must consider the possibility that the couple is in the honeymoon phase of the IPV cycle. This phase often involves increased affection and attentiveness from the abuser, potentially leading the victim to believe the abuse has stopped. It is crucial for the nurse to recognize this pattern and not dismiss the client's history based solely on a single observation. Choice A is incorrect as it assumes the client's history is inaccurate without further assessment. Choice C is incorrect because IPV is a complex issue that often requires ongoing support. Choice B is incomplete and does not provide any relevant information.
Question 5 of 5
The community health nurse is working with a group of sexual assault survivors. During a group discussion, the nurse offers each client 10 minutes to share their feelings with the group. This action by the nurse is consistent with which of the CDC's principles of trauma-informed care?
Correct Answer: B
Rationale: The correct answer is B: Empowerment and choice. By offering each client 10 minutes to share their feelings, the nurse is providing them with a sense of empowerment and choice in deciding how they want to express themselves. This aligns with the principle of empowering survivors to have control over their own experiences and decisions. A: Cultural, historical, and gender issues - While important in trauma-informed care, this choice does not directly relate to the nurse's action of offering time for sharing feelings. C: Collaboration and mutuality - This involves working together with clients, which is valuable, but does not directly address the individual choice given to each client in this scenario. D: Trustworthiness and transparency - Important principles for building trust, but not directly related to the nurse's action of empowering survivors through choice.