ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A 35-year-old client who has a diagnosis of tuberculosis informs the provider's office that she is unable to pay for the treatment. Which of the following actions by the nurse will facilitate obtaining appropriate treatment?
Correct Answer: C
Rationale: The correct answer is C: Arrange for medication through local agencies. This option addresses the immediate need for treatment by connecting the client with resources that can provide medication for tuberculosis at little to no cost. This ensures that the client can access appropriate treatment despite financial constraints.
Option A (Help the client apply for Medicare) may not be feasible or timely, as the client may not qualify or the application process may take too long. Option B (Explore options for alternative therapies) is not appropriate for a serious infectious disease like tuberculosis that requires specific medical treatment. Option D (Send the client to the nearest facility for further evaluation) does not address the client's inability to pay for treatment and may delay necessary intervention.
Question 2 of 5
A public health nurse is addressing community leaders at a forum about community improvement. The nurse should identify which of the following groups as being the fastest growing segment of the homeless population?
Correct Answer: B
Rationale: The correct answer is B: Families who have children. This group is the fastest growing segment of the homeless population due to various factors such as lack of affordable housing, economic instability, and family breakdown. Families with children are particularly vulnerable to homelessness as they face challenges in accessing stable housing. In contrast, choices A, C, and D represent specific subgroups within the homeless population, but they are not identified as the fastest growing segment. People with substance use disorders, adolescent runaways, and unemployed men may indeed be at risk of homelessness, but they do not currently constitute the fastest growing segment.
Question 3 of 5
A nurse is counseling a client who is to undergo enzyme-linked immunosorbent assay (ELISA) testing for HIV. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because ELISA testing for HIV measures antibodies to the virus, indicating exposure to the virus. This is crucial for diagnosing HIV infection.
Choice A is incorrect because ELISA does not monitor disease progression.
Choice C is incorrect as it takes weeks, not hours, for accurate results post-exposure.
Choice D is incorrect as immunoglobulin administration is not the treatment for a positive HIV result.
Question 4 of 5
A nurse case manager is providing discharge planning for a client. The nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client's home?
Correct Answer: C
Rationale: The correct answer is C: Coordinator. In this scenario, the nurse is functioning as a coordinator by arranging for the delivery of medical equipment to the client's home. As a coordinator, the nurse is organizing and facilitating the necessary resources and services to meet the client's needs. This role involves collaborating with various healthcare providers and agencies to ensure a smooth transition for the client post-discharge.
The other choices are incorrect because:
A: Consultant - This role involves providing expert advice or recommendations based on specialized knowledge. The nurse in the scenario is not simply providing advice but actively coordinating services.
B: Systems allocator - This role involves allocating resources within a healthcare system. While the nurse is arranging for resources, the focus is on the specific client's needs rather than broader system allocation.
D: Advocate - This role involves speaking up for the client's rights and needs. While advocacy may be a part of the nurse's role, in this scenario, the primary focus is on coordination of services.
Question 5 of 5
A faith-based organization asks a community health nurse to develop a mobile meal program for older adults. Which of the following actions should the nurse plan to take first?
Correct Answer: D
Rationale: The correct answer is D: Perform a needs assessment. This is because conducting a needs assessment is the first crucial step in program planning. It helps the nurse to gather data on the specific needs and preferences of older adults in the community. This data will guide the nurse in developing a mobile meal program that is tailored to meet the actual needs of the target population.
Option A: Determining potential funding sources should come after identifying the specific needs of the population, as funding sources will be based on the program's requirements.
Option B: Inquiring about the availability of volunteers is important but should be considered after understanding the needs of the older adults.
Option C: Identifying alternative solutions is premature without first understanding the actual needs of the population through a needs assessment.
In summary, performing a needs assessment is the first step as it provides essential information to guide the development of an effective and targeted mobile meal program for older adults.