ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A community health nurse is providing teaching to a group of clients who have alcohol use disorder. Which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal?
Correct Answer: D
Rationale: The correct answer is D: Insomnia. Alcohol withdrawal commonly presents with symptoms such as insomnia due to disruptions in sleep patterns caused by the absence of alcohol. Bradycardia (
A) is not typically associated with alcohol withdrawal; hypothermia (
B) is not a common finding and is more indicative of severe alcohol poisoning. Increased appetite (
C) is not a typical manifestation as alcohol withdrawal often leads to decreased appetite.
Therefore, the key manifestation to focus on in alcohol withdrawal teaching is insomnia.
Question 2 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 in the discussion?
Correct Answer: D
Rationale: Behavioral therapy during treatment helps clients replace maladaptive defense mechanisms and develop healthier coping strategies.
Question 3 of 5
A community health nurse is working with a family that is struggling to adapt following the loss of a family member. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Determine the roles of individual family members. This should be the first action because understanding the roles within the family can provide insight into how they are coping and functioning post-loss. By determining roles, the nurse can assess the dynamics and identify potential areas of support needed. Referring to a grief support group (
A) may be beneficial later but not until the nurse understands the family dynamics. Encouraging specific tasks (
C) and establishing a daily routine (
D) are important steps but should come after understanding individual roles.
Question 4 of 5
A school nurse is teaching bicycle safety to a group of school-age children. Which of the following statements by a child indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. "I should walk my bicycle through crosswalks."
Rationale: Walking the bicycle through crosswalks ensures pedestrian safety and follows traffic rules. It indicates an understanding of the importance of being cautious and respectful towards others. This choice aligns with bicycle safety guidelines.
Summary of Incorrect
Choices:
B: Keeping the bicycle far away from the curb may increase the risk of accidents or collisions as the cyclist may not be visible to others.
C: Riding side-by-side can obstruct traffic flow and increase the chances of accidents.
D: Riding in the opposite direction of traffic flow is dangerous and violates traffic laws, increasing the risk of accidents.
Question 5 of 5
A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D because understanding the impact of the disease on family relationships is crucial for providing holistic care. By asking family members about this, the nurse can identify potential stressors and offer appropriate support. This step is essential for creating an effective care plan tailored to the family's needs.
Choice A is incorrect because discussing diet benefits may not address the immediate emotional and relational concerns of the family.
Choice B is incorrect as focusing on an exercise program overlooks the emotional and social aspects of coping with the diagnosis.
Choice C is incorrect as offering to accompany the client to visits doesn't directly address the family dynamics.