ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 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 2 of 5
A nurse manager in a local community health agency is creating a job description for a new nurse who will practice community-oriented nursing. Which of the following should the nurse include in the job description? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: The correct answers are A, B, D, and E. A nurse practicing community-oriented nursing needs to investigate potential health and environmental issues to address community health concerns. Initiating support groups for parents of autistic children promotes community well-being. Participating in local health surveillance activities helps monitor public health trends. Providing health-related education to community groups promotes preventive care and health literacy.
Choices C and F are incorrect because providing wound care for clients in their homes is not specific to community-oriented nursing, and option F is missing.
Choice G is not applicable.
Question 3 of 5
A community health nurse is educating a parent about the importance of hepatitis B immunization. Which of the following explanations should the nurse give the parent about the disease?
Correct Answer: C
Rationale: The correct answer is C: Many people who acquire acute hepatitis B develop chronic hepatitis. This is because hepatitis B can lead to chronic infection in around 15-25% of cases, increasing the risk of liver cirrhosis and liver cancer. Option A is incorrect because multiple doses are needed for long-term protection. Option B is incorrect as hepatitis B is primarily transmitted through blood or bodily fluids, not casual contact. Option D is incorrect because prior infection does not guarantee immunity.
Question 4 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.
Question 5 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.