ATI RN
Nursing Care of Vulnerable Populations Questions
Question 1 of 5
Which finding in a young single pregnant woman would cause you the most concern?
Correct Answer: A
Rationale: The correct answer is A: Elevated blood pressure. This finding is concerning as it could indicate a potential complication like preeclampsia, which can be dangerous for both the mother and the baby. Elevated blood pressure needs immediate attention and monitoring to prevent serious health risks. Choice B (First prenatal visit at 5 months' gestation) is a concern but not as urgent as elevated blood pressure. Choice C (Persistent homelessness) is a social issue that should be addressed but doesn't pose an immediate health threat. Choice D (Positive STD test) is important for treatment but may not be as urgent as elevated blood pressure in a pregnant woman.
Question 2 of 5
A mother and her son are in the emergency department. The mother is extremely upset. Earlier, the son had become so angry that he put his hand through a glass window and had to have stitches. The physician suggested a psychiatric consult. Now the mom asks, "Do you think my son is crazy?" Which is the most appropriate response?
Correct Answer: D
Rationale: The correct answer is D because it addresses the concerns of both the mother and the son appropriately. It acknowledges the son's behavioral issues and the distress it causes, highlighting the need for help in coping with life effectively. It emphasizes the role of a psychiatrist in providing support and guidance for the son to improve his behavior. Choice A focuses more on behavior modification rather than addressing the mother's concerns about her son being "crazy." Choice B dismisses the mother's worries and focuses on hormonal changes in adolescence. Choice C shifts the responsibility of determining if the son is crazy solely to the psychiatrist, not providing reassurance or guidance to the mother. In summary, choice D is the most appropriate response as it addresses the behavioral problems, acknowledges the distress felt by both the mother and son, and emphasizes the psychiatrist's role in helping the son cope with life effectively.
Question 3 of 5
What can the nurse do to decrease the risk for depression in older adults?
Correct Answer: B
Rationale: The correct answer is B because monitoring for signs and symptoms of depression allows for early detection and intervention. This proactive approach helps in addressing the issue promptly, preventing it from worsening. Encouraging moving to a nursing home (A) may not necessarily decrease the risk for depression as it can lead to feelings of isolation. Organizing an exercise program (C) is beneficial but may not directly address the root cause of depression. Teaching clients to focus on strengths (D) is positive but may not be sufficient in preventing depression. Monitoring for signs and symptoms is crucial for timely intervention.
Question 4 of 5
A nurse is concerned about stress related to the heavy caregiving burden assumed by adult children of older clients. What action by the nurse would use secondary prevention to limit caregiver stress?
Correct Answer: C
Rationale: The correct answer is C: Establishing support groups for caregivers of older parents. This is the best choice for secondary prevention as it involves providing a structured support system for caregivers to share their experiences, receive emotional support, and learn coping strategies. Support groups can help caregivers feel less isolated, provide a sense of community, and offer practical advice in managing caregiving stress. Choice A may help in addressing caregiver stress but lacks the comprehensive support provided by a support group. Choice B is a good suggestion for self-care, but it does not offer ongoing support or address the underlying stressors. Choice D involves delegating tasks but may not address the emotional and psychological needs of the caregiver like a support group would.
Question 5 of 5
A teenager who has just come in for her prenatal visit appears to be about 6 months pregnant. What are the most typical reasons that a teenage girl might wait so long to come in for prenatal care? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Her friends were suggesting ways to make the problem go away. This is the most typical reason for a teenager to delay prenatal care because peer influence can lead to denial or avoidance of the pregnancy. The other choices are incorrect: B: She knew she could not be pregnant because her boyfriend said he used a condom - This is not a common reason as relying solely on a partner's claim is risky. C: She was afraid her parents would pressure her to terminate the pregnancy - While this could be a reason, it is not as common as peer influence. D: She kept hoping the pregnancy would just go away - This is an unrealistic expectation and not a common reason for delaying prenatal care.