ATI RN
RN Evidence-Based Practice in Community and Public Health Assessment Questions
Question 1 of 5
Which condition does the nurse recognize as increasing the risk of a poor outcome during a transition of care?
Correct Answer: C
Rationale: The correct answer is C: A client with limited health literacy. Limited health literacy can lead to misunderstandings about medications, treatment plans, and follow-up care, increasing the risk of poor outcomes during transitions of care. Patients may struggle to comprehend complex medical information, leading to non-adherence or errors. Incorrect answers: A: A client being discharged from hospital to home - This alone does not necessarily increase the risk of poor outcomes; it depends on various factors. B: A client with an identified social support system - While social support can be beneficial, it may not directly impact the risk of poor outcomes during transitions of care. D: A client with one provider - Having one provider may not necessarily increase the risk of poor outcomes; continuity of care can be positive.
Question 2 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 3 of 5
A nurse is concerned about the increasing rate of hospital readmissions in clients due to not filling or picking up prescriptions at the pharmacy after discharge from the hospital. Which intervention should the nurse recommend to the hospital leadership to improve adherence to the medication regimen after discharge?
Correct Answer: B
Rationale: The correct answer is B: Handing client prescriptions for home medications during discharge instruction. This intervention ensures that clients have their prescriptions in hand before leaving the hospital, increasing the likelihood of medication adherence. Calling in prescriptions (A) may not guarantee that the client picks them up. Providing home medications (C) may not be feasible or safe due to potential drug interactions. Simply telling the client about the importance of medication adherence (D) without providing tangible support may not be effective. Therefore, option B is the most practical and effective intervention to improve medication adherence post-discharge.
Question 4 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 5 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.