ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
a community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. in a given year, 3144 new cases were reported and the population was estimated at 325,986. which of the following is the incidence rate in the state for the year?
Correct Answer: C
Rationale: The correct answer is C: about 10 reported cases per 1000 population.
To calculate the incidence rate, you divide the number of new cases (3144) by the total population (325,986) and then multiply by 1000 to express the rate per 1000 population. This gives an incidence rate of approximately 9.64 cases per 1000 population for the state. This choice is correct because it accurately reflects the calculation of the incidence rate for chlamydia in the given population.
Incorrect
Choices:
A: about 300 reported cases per 100,000 population - This is incorrect as it does not accurately represent the calculated incidence rate.
B: about 1 reported case per 10,000 population - This is incorrect as it underestimates the actual incidence rate.
D: about 3 reported cases per 10,000 population - This is incorrect as it also underestimates the actual incidence rate.
Question 2 of 5
A nurse of a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Chinese cultural practices include enduring pain to prevent family dishonor. In Chinese culture, there is a strong emphasis on maintaining family honor and not causing shame to the family. Enduring pain silently is seen as a way to show strength and resilience, as openly expressing pain may be viewed as a sign of weakness. This information is important for the nurse to include in the educational guide as it highlights the cultural perspective on pain expression in the Chinese community.
Incorrect choices:
A: Middle Eastern cultural practices include hiding pain from close family members - This choice is incorrect as it does not align with common cultural practices in the Middle Eastern community, where sharing pain with close family members is common.
B: Native American cultural practices include being outspoken about pain - This choice is incorrect as Native American cultures may vary in their approaches to pain expression, and being outspoken about pain is not a universal practice.
C: Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful - This choice
Question 3 of 5
a community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C: change the meeting sites frequently. This intervention is important for individuals with PTSD as it helps to prevent triggers associated with specific locations that may exacerbate their symptoms. By changing the meeting sites, the nurse can create a more supportive and less anxiety-provoking environment for the veterans. Providing coffee and snacks (choice
A) may be a nice gesture but is not directly addressing the veterans' PTSD symptoms. Avoiding discussing traumatic events (choice
B) may hinder the veterans from processing their experiences and seeking support. Teaching deep breathing exercises (choice
D) is beneficial for managing anxiety but may not be sufficient as the sole intervention for PTSD.
Question 4 of 5
a nurse working in an infectious disease clinic is caring for a client has a new diagnosis of Lyme disease. which of the following agencies is responsible for voluntarily reporting cases of this disease to the centers for disease control and prevention
Correct Answer: A
Rationale: The correct answer is A: office of the surgeon general. The surgeon general is responsible for overseeing public health initiatives and coordinating efforts to monitor and control the spread of infectious diseases. Voluntary reporting of diseases like Lyme disease to the CDC falls under the jurisdiction of the surgeon general's office. The state health department (choice
B) focuses on state-level public health issues, not national reporting. The hospital infection control department (choice
C) primarily deals with infection control within the hospital setting. The local red cross chapter (choice
D) is focused on disaster relief and humanitarian aid, not disease reporting.
Question 5 of 5
A nurse is discussing short and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include?
Correct Answer: D
Rationale: The correct answer is D because it focuses on addressing the underlying issues contributing to alcohol use disorder, such as defense mechanisms and unhealthy behaviors. By learning functional skills to replace these maladaptive coping strategies, the client can develop healthier ways to deal with stress and triggers, ultimately aiding in long-term recovery.
Choice A is incorrect because disulfiram is not used for controlling withdrawal symptoms but rather as a deterrent to drinking.
Choice B is incorrect as physical activity alone cannot address the complex psychological aspects of alcohol use disorder.
Choice C is incorrect as Al-Anon meetings are intended for family members of individuals with alcohol use disorder, not the clients themselves.