ATI RN
Economic Foundation of the US Healthcare Delivery System Questions
Question 1 of 5
Which would be true for a county to be defined as having persistent poverty?
Correct Answer: D
Rationale: The correct answer is D because persistent poverty refers to a prolonged period of poverty. A county would be defined as having persistent poverty if its population has been in poverty for over 30 years. This timeframe demonstrates a long-standing issue of poverty that has persisted for a significant duration. Choices A, B, and C do not meet the threshold for persistent poverty as they represent shorter durations. Choice A (10 years) and B (20 years) may indicate some level of sustained poverty but do not fully capture the concept of persistent poverty. Choice C (25 years) is closer but still falls short of the extended timeframe required to be considered persistent poverty. Thus, the correct answer is D as it aligns with the definition of persistent poverty as a prolonged period of poverty lasting over 30 years.
Question 2 of 5
A public health nurse is working in a rural clinic. On the basis of risk, which would be the priority group for care?
Correct Answer: D
Rationale: The correct answer is D: Migrant and seasonal farmworkers (MSFW). 1. They are a vulnerable population due to limited access to healthcare. 2. They face occupational hazards and environmental exposures. 3. They often lack health insurance and have language barriers. 4. By focusing on this group, the nurse can address high-risk factors, preventive care, and health education. Summary: A: Elderly women may need care, but MSFW have higher risk factors. B: Disabled adults require care, but MSFW face unique challenges. C: Hispanic children are important, but MSFW may have immediate health risks.
Question 3 of 5
Which is the most frequent cause of farm fatalities and nonfatal injuries?
Correct Answer: C
Rationale: The correct answer is C: Agricultural machinery. Agricultural machinery is the most frequent cause of farm fatalities and injuries due to the high-risk nature of operating heavy equipment on farms. Machinery accidents often result from improper use, maintenance, or lack of safety precautions. Food processing (A) and highway construction (B) are not directly related to farm fatalities. Transportation (D) can contribute to farm accidents but is not as frequent as agricultural machinery incidents on farms.
Question 4 of 5
A woman stumbled into the rural health clinic and explained that she had an incredible headache. She was sweating and began vomiting into the wastebasket by the intake nurse’s desk. Which diagnosis should be anticipated by the nurse?
Correct Answer: D
Rationale: The correct answer is D, Acute pesticide poisoning. The symptoms described - headache, sweating, vomiting - are consistent with pesticide poisoning. Headache can be a common symptom due to the toxic effects of pesticides. Sweating and vomiting are also typical signs of pesticide poisoning. The setting of a rural area further supports this possibility as pesticide exposure is more common in rural settings. Now let's analyze why the other choices are incorrect: A: Acute panic disorder - Symptoms of panic disorder do not typically include sweating and vomiting. Panic attacks are more commonly associated with symptoms such as chest pain, shortness of breath, and palpitations. B: Acute alcohol intoxication - While alcohol intoxication can lead to vomiting, it is less likely to cause a severe headache and sweating in the absence of other common symptoms like slurred speech or impaired coordination. C: Acute appendicitis - Appendicitis typically presents with abdominal pain, not just headache. Vomiting may occur but is usually preceded
Question 5 of 5
A nurse was becoming very frustrated at the ongoing stream of farmworkers with respiratory problems each spring. Which action should be taken by the nurse?
Correct Answer: A
Rationale: The correct answer is A: Provide community education on herbicides and other chemicals spread each spring with information on self-protective measures, such as respirators. This is the most appropriate action because it addresses the root cause of the issue by educating the community on how to protect themselves from respiratory problems caused by the chemicals. By providing education and promoting self-protective measures, the nurse can empower farmworkers to take control of their health and safety. Choice B is incorrect because it is not feasible or realistic to expect farmers to quit spreading chemicals on their fields each spring, as it is likely essential for their farming practices. Choice C is incorrect because spraying water may not effectively reduce the harmful effects of the chemicals on respiratory health. Choice D is incorrect because telling farm workers to obtain different employment does not address the problem at hand and disregards their livelihoods.