ATI RN
Care of Vulnerable Populations Questions
Question 1 of 5
Which screening tests should the school nurse perform for the adolescent? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Vision. Vision screening is important for adolescents to detect any visual impairments early. Regular vision checks can help identify issues like nearsightedness or astigmatism. Glucose, hearing, and cholesterol tests are not typically performed by school nurses as routine screenings for adolescents. Glucose testing is more relevant for diabetes screening, hearing tests are usually done by audiologists, and cholesterol screening is typically recommended later in life. Vision screening is the most appropriate choice for school nurses to perform for adolescents to ensure their visual health.
Question 2 of 5
Which best explains why home health care agencies that are part of national chains are doing better in the competitive marketplace than individually owned agencies?
Correct Answer: D
Rationale: Agencies within chains have a financial advantage over single agencies. The chains have lower administrative costs because a larger single corporate structure provides many services. For example, a multiagency corporation has greater purchasing power for supplies and equipment because they purchase a larger volume. A single corporate office can provide administrative services such as payroll and employee benefits for all chain employees, thereby reducing duplication of these services. It is unlikely that they are doing better because they receive better media coverage, offer less quality care, or have a more experienced chief executive officer.
Question 3 of 5
Which best explains the purpose of the Outcome and Assessment Information Set (OASIS)?
Correct Answer: B
Rationale: OASIS is a data set that measures outcomes of adult home care patients to monitor outcome-based quality improvement. These items are used to monitor outcomes, plan patient care, provide reports on patient characteristics for each agency, and evaluate and improve clinical performance. The use of OASIS is mandatory for all Medicare and Medicaid patients receiving skilled care. The primary purpose of OASIS is not to analyze the cost-effectiveness of health agencies. This data set does not publicize hospital data or survey patient satisfaction of care from the health agencies.
Question 4 of 5
Which is the primary task to be accomplished during the initial telephone contact between the home health nurse and the client?
Correct Answer: C
Rationale: The nurse contacts the client and informs him or her about the service referral. The first telephone contact with the client or family consists of an exchange of essential information, including an introduction by the nurse, identification of the agency that received the referral, and the purpose of the visit. After the initial exchange of information, the nurse informs the client of his or her desire to make the home visit, the client gives permission, and the group sets a mutually acceptable time for the visit. The nurse is a guest in the client's home but not in the usual social sense. Public health nurses who are reimbursed by tax dollars may not require evidence of insurance coverage.
Question 5 of 5
Which is the most important task to be accomplished during the initial home visit?
Correct Answer: D
Rationale: Many clients in need of nursing visits do not trust the health care system and are uncomfortable with the representative from an agency visiting their home. The nurse must build a trust relationship early in the visit or the client will not allow additional visits. Beginning with social topics is often a helpful tool to help establish trust and rapport. After rapport and trust have been established, the nurse can assess the client and family and provide education. Discussion of social topics would not be the primary task to accomplish during any nurse-client interaction.