ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
What factor predisposes many migrant farmworkers to disenfranchisement?
Correct Answer: A
Rationale: The correct answer is A: Being a minority group member. Migrant farmworkers often belong to marginalized minority groups, facing discrimination, language barriers, and limited access to resources and information, leading to disenfranchisement. Choice B is incorrect as religious practices are not directly related to disenfranchisement. Choice C is incorrect as previous physical abuse may not necessarily lead to disenfranchisement. Choice D is incorrect as the length of time in the community does not determine disenfranchisement, but rather the social status and treatment of minority group members.
Question 2 of 5
What is the most helpful intervention a nurse in community health can initiate to increase lasting resilience among new immigrants?
Correct Answer: A
Rationale: The correct answer is A because directing clients to English-as-second-language courses can empower new immigrants by improving their language skills, facilitating communication, enhancing social integration, and increasing access to resources. Learning English is crucial for obtaining employment, accessing healthcare, and navigating daily life in a new country. Providing money (choice B) may offer temporary relief but does not address the root cause of resilience. Identifying affordable housing (choice C) is important but does not directly build resilience. Soliciting donations (choice D) may help with immediate needs but does not promote self-sufficiency and long-term resilience like language skills.
Question 3 of 5
Nurses at a homeless clinic are concerned that homeless clients rarely return to have the nurses assess the findings of their tuberculosis (TB) skin tests. What should the clinic's policy be regarding the screening test findings?
Correct Answer: A
Rationale: The correct answer is A: Call all homeless clients 48 hours after TB skin testing to remind them to return to the clinic for test interpretation. This approach ensures proactive follow-up and increases the likelihood of clients returning for test interpretation. Calling clients directly allows for immediate communication and personalized reminders, addressing the issue of non-compliance among the homeless population. Option B is not ideal as relying on homeless individuals to read and mail in their TB skin test results may lead to inaccuracies, lack of follow-up, and potential privacy breaches. Option C is not recommended as re-administering the TB skin test may not be necessary and can lead to unnecessary testing and costs. Option D of routinely referring all homeless clients for chest x-rays is excessive and not warranted without first interpreting the TB skin test results.
Question 4 of 5
Which is an example of tertiary prevention by a nurse?
Correct Answer: C
Rationale: Step-by-step rationale: 1. Tertiary prevention focuses on reducing the impact of an existing disease. 2. Directly observing clients with active tuberculosis taking their medications ensures treatment adherence. 3. By ensuring medication adherence, the nurse helps prevent complications and spread of the disease. 4. This intervention falls under the realm of tertiary prevention for tuberculosis. Summary: - Option A is related to screening for tuberculosis, not tertiary prevention. - Option B involves detecting active tuberculosis, which is more about secondary prevention. - Option D involves interpreting test results, which is part of diagnostic processes, not tertiary prevention.
Question 5 of 5
What is the most accurate description of a migrant farmworker?
Correct Answer: C
Rationale: The correct answer is C because a migrant farmworker is defined as someone who moves from place to place to earn money by performing seasonal agricultural work. This definition accurately captures the essence of a migrant farmworker's lifestyle, which involves traveling to different locations to work in farming during specific seasons. Choice A is incorrect because it focuses on the primary means of employment, whereas migrant farmworkers typically engage in seasonal agricultural work for income regardless of other employment opportunities. Choice B is incorrect as it specifically mentions immigration to the United States, which is not a universal characteristic of migrant farmworkers. Choice D is incorrect because it describes a person specializing in rural land development for farming purposes, which is not synonymous with the transient nature of a migrant farmworker's job. In summary, choice C best encapsulates the defining feature of a migrant farmworker as someone who moves around to perform seasonal agricultural work for income.