ATI RN
Nursing Care of Vulnerable Populations Questions
Question 1 of 5
Which level of prevention is represented by a nurse who offers homeless clients yearly tuberculosis (TB) screening and free treatment for those who test positive for TB?
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. This level of prevention involves early detection and treatment of a disease to prevent its progression and complications. In this scenario, the nurse is conducting regular TB screenings to detect the disease at an early stage in homeless clients, offering free treatment to prevent the spread of TB and reduce the severity of the disease. A: Primary prevention focuses on preventing the disease from occurring, such as through vaccination or health education. This is not the case in the given scenario. C: Tertiary prevention involves managing the long-term effects of a disease to improve quality of life and prevent disability. This is not applicable as the nurse is focusing on early detection and treatment rather than managing long-term effects. D: This choice is incorrect as it combines secondary and tertiary prevention, which are distinct levels of prevention with different objectives. The nurse's actions align more closely with secondary prevention.
Question 2 of 5
From whom is a rural resident with asthma most likely to receive health care services?
Correct Answer: A
Rationale: The correct answer is A: Advanced nurse practitioner. Rural residents with asthma are more likely to receive health care services from advanced nurse practitioners due to their accessibility, cost-effectiveness, and ability to provide comprehensive care including diagnosis, treatment, and education. Nurse practitioners often work in primary care settings in rural areas where specialist services may be limited. Allergists (B) and Pulmonologists (D) are specialists who may not be readily available in rural areas. Pediatricians (C) primarily focus on children's health and may not provide specialized care for adult asthma patients in rural settings.
Question 3 of 5
A Mexican immigrant mother tells the nurse she is concerned that people in the community will give her daughter mal de ojo. To what folk illness is her mother referring?
Correct Answer: A
Rationale: The correct answer is A: Evil eye. The term "mal de ojo" refers to the belief in many cultures, including Mexican, that a person can cause harm to someone else by looking at them with envy or malice, known as giving the evil eye. This belief is deeply rooted in folk traditions and is often associated with feelings of jealousy or ill will towards others. In this scenario, the mother's concern about her daughter being given mal de ojo reflects her fear of someone casting this harmful gaze upon her child. Summary: - B: Fallen fontanel is not related to the belief in the evil eye. It is a medical condition in which an infant's soft spot on the skull closes prematurely. - C: Soul loss is a different cultural belief, often associated with spiritual or emotional distress, but not specifically related to the evil eye. - D: Indigestion is a physical health issue and not relevant to the context of the mother's concern about mal de ojo.
Question 4 of 5
What condition of the rural environment provides increased opportunities for teaching?
Correct Answer: B
Rationale: The correct answer is B because involvement in rural community activities provides more contact with community residents than in urban areas. This is true because rural communities tend to be smaller and more tightly knit, leading to increased opportunities for teaching through interactions with a diverse range of community members. A is incorrect because the frequency of visiting neighbors is not necessarily linked to increased opportunities for teaching. C is incorrect as it refers to nursing responsibilities rather than the condition of the rural environment. D is incorrect as increased illnesses and injuries do not necessarily translate to increased opportunities for teaching, as teaching opportunities are more related to community involvement and interactions.
Question 5 of 5
A migrant farmworker's family seemed to be very stressed, although their employer had given them the day off to visit the clinic and told them to take all the time they needed. In addition to the health issue, what might be the family's fear?
Correct Answer: B
Rationale: 1. The correct answer is B because migrant farmworkers often fear immigration officials due to their undocumented status. 2. Fear of deportation is a significant concern for migrant families, leading to stress and anxiety. 3. This fear is heightened by the current political climate and increased enforcement of immigration laws. 4. Choice A is incorrect as the scenario does not suggest any indication of theft being a primary fear. 5. Choice C is incorrect as there is no evidence in the scenario to suggest bias from clinic personnel. 6. Choice D is incorrect as the scenario states the employer gave them the day off, indicating a level of job security.