ATI RN
Community Needs Assessment Questions Questions
Question 1 of 5
Which topic should the nurse include in planning a secondary prevention project for the local retirement community?
Correct Answer: A
Rationale: The correct answer is A: Safety measures in the home. This is essential for secondary prevention to reduce the risk of injuries among the elderly. It addresses common hazards like falls, burns, and poisoning, promoting a safe living environment. Choice B is incomplete. Choice C, adult immunization, is important for primary prevention. Choice D, rehabilitation after surgery, focuses on tertiary prevention. Therefore, A is the most relevant choice for a secondary prevention project in a retirement community.
Question 2 of 5
During an initial clinic visit, the nurse is taking the history for a client who wants to confirm her pregnancy. The client's last child has a history of low-birth-weight (LBW). Which additional finding is most important for the nurse to consider?
Correct Answer: A
Rationale: The correct answer is A: Cigarette smoking. Smoking is a well-known risk factor for low birth weight. Nicotine and other harmful substances in cigarettes can restrict blood flow to the placenta, leading to inadequate oxygen and nutrients reaching the fetus, resulting in low birth weight. African American ethnicity (B) is a risk factor for LBW, but smoking has a more direct impact. Poor nutritional status (C) can contribute to LBW, but smoking has a stronger association. Limited maternal education (D) may impact prenatal care but is not as directly linked to LBW as smoking.
Question 3 of 5
After accepting the position of school nurse in an public elementary school, what strategy is best for the nurse to use to obtain an overview understanding of the student body?
Correct Answer: D
Rationale: The correct answer is D because conducting a windshield survey of the geographic areas served by the school allows the nurse to visually observe the community, identify resources, potential health risks, and demographics. This method provides a holistic understanding of the student body beyond health records or parent interactions. Reviewing health records (A) would only provide medical information, not a comprehensive overview. Talking with PTA officers (B) may give insight into school activities but not a complete student body profile. Sending a survey form to parents (C) only captures information from a limited group and may not be representative of the entire student population. Conducting a windshield survey is the most effective strategy to gain an overview understanding of the student body.
Question 4 of 5
The nurse at a health fair has taken a client's blood pressure twice, 10 minutes COMMUNITY HEALTH PRACTICE EXAM - VERSION A
Correct Answer: A
Rationale: The correct answer is A because the nurse should record both blood pressure readings and report them to the healthcare provider for further evaluation. Blood pressure readings of 172/104 mm Hg and 164/98 mm Hg are elevated and require medical attention. Referring the client to a nutritionist (B) or assessing for stress (D) are not immediate actions needed for these high blood pressure readings. Placing the client in a recumbent position and calling paramedics (C) is only necessary in cases of hypertensive emergencies, which are not indicated in this scenario.
Question 5 of 5
A male client is brought to the emergency department as the result of a motorcycle accident. He was not wearing a helmet at the time of the accident, and states that he
Correct Answer: C
Rationale: Rationale for Choice C: 1. Choice C empowers the client by encouraging him to consider wearing a helmet, promoting his safety. 2. It acknowledges the client's autonomy while emphasizing the importance of helmet use. 3. The nurse's response aligns with the principles of health promotion and injury prevention. Summary of Other Choices: - Choice A: TTM focuses on stages of behavior change, not the immediate safety concern of helmet use. - Choice B: This response fails to address the critical safety issue at hand, prioritizing individual choice over safety. - Choice D: While true, this choice does not address the client's current behavior or provide guidance for future actions.