ATI RN
Nursing Care of Vulnerable Populations Questions
Question 1 of 5
What is the chief group pressuring clinicians to use evidence-based practice (EBP)?
Correct Answer: B
Rationale: The correct answer is B: Insurance companies and other third-party payers. They play a significant role in pressuring clinicians to use EBP due to their focus on cost-effectiveness and quality care. These entities often require clinicians to adhere to evidence-based guidelines to receive reimbursement, incentivizing the adoption of EBP. Incorrect choices: A: Administrators may see cost savings with EBP, but they do not have the same direct influence on clinicians as insurance companies. C: Nurses recognizing EBP's effectiveness is important but may not be the chief group pressuring clinicians. D: While physicians recognizing EBP's effectiveness is crucial, insurance companies hold more financial influence over clinical practice.
Question 2 of 5
What are some of the best ways in which nurse managers can facilitate incorporation of evidence-based practice (EBP) in the clinical setting?
Correct Answer: D
Rationale: The correct answer is D because supporting nurses in using practice-oriented research findings in decision making is crucial for incorporating evidence-based practice (EBP). Nurse managers can help by providing resources, training, and mentorship to ensure that nurses are equipped to integrate research into their clinical practice. This approach promotes a culture of continuous learning and improvement. Eliminating all protocols not evidence-based (A) is drastic and may hinder workflow. Encouraging group reflection (B) is beneficial but doesn't directly support EBP implementation. Referring agency nurses to Internet sources (C) may not ensure the quality or relevance of information accessed. In summary, choice D is the best way as it empowers nurses to utilize research findings effectively, leading to improved patient outcomes.
Question 3 of 5
Based on research, what is the best way to increase the number of persons who come to their screening test appointments?
Correct Answer: A
Rationale: The correct answer is A: Client reminders via telephone, e-mail, or mail. This method is effective because it directly addresses the issue of increasing attendance by providing proactive communication to remind individuals of their appointments. This approach helps reduce no-show rates and ensures higher attendance rates. Reminders via telephone, e-mail, or mail are personalized and can be tailored to individual preferences, increasing the likelihood of recipients taking action. Emphasizing long life and happy family (B) may not directly address the issue of attendance, while pointing out the affordability and convenience of screening tests (C) may not be persuasive enough to motivate attendance. Stressing the dangerousness of the condition if not caught early (D) may induce fear but may not be as effective in increasing attendance as personalized reminders.
Question 4 of 5
A member of a community weight-loss group has maintained a healthy weight for 2 years through healthy eating and daily exercise. At which step of the affective domain is this participant?
Correct Answer: C
Rationale: The correct answer is C: Evaluation. At this step of the affective domain, the participant is able to assess their progress and outcomes related to weight loss. They can critically analyze the effectiveness of their healthy eating and exercise habits in maintaining a healthy weight for 2 years. This involves making judgments, reflecting on their journey, and determining the success of their efforts. Summary of why the other choices are incorrect: A: Analysis - This step involves breaking down information into parts to understand their relationships. The participant is not analyzing the weight-loss process but rather evaluating the outcomes. B: Application - In this step, the participant would be applying their knowledge and skills to new situations. The scenario describes maintenance of a healthy weight, not necessarily applying knowledge to new contexts. D: Knowledge - This step focuses on recalling facts and information. The participant in the scenario has gone beyond acquiring knowledge and is now evaluating their experiences and results.
Question 5 of 5
A nurse explained to a family exactly how to care for their family member, who had just been discharged home from the hospital. When the nurse visited the family 3 days later, it was apparent that neither the patient nor the family had completed certain activities since the previous visit. What is the most probable explanation?
Correct Answer: C
Rationale: The correct answer is C: The family hadn't seen any reason to engage in the activities. This is likely the most probable explanation because the family's lack of completion of activities suggests they did not perceive a need or benefit from following the nurse's instructions. This lack of motivation can be due to various factors such as misunderstanding the importance of the activities, feeling overwhelmed, or lacking the necessary resources. Rationale: 1. Lack of perceived relevance: If the family did not see the activities as necessary or beneficial for the patient's recovery, they may not have prioritized them. 2. Miscommunication: The nurse may not have effectively communicated the importance of the activities or the consequences of not completing them. 3. Cultural issues or emotional stress, as mentioned in other choices, could certainly play a role in hindering understanding or compliance, but in this scenario, the lack of perceived need appears to be the most probable reason for non-completion. Summary: Choice A is incorrect because cultural issues alone are