ATI RN Community Health 2023 with NGN Updated -Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Ensuring that a client who is homeless receives preventive medical care. Distributive justice is the ethical principle concerned with fair distribution of resources and benefits within a society. By providing preventive medical care to a homeless client, the nurse is addressing the issue of inequality and working towards equitable access to healthcare services for all individuals, regardless of their living situation. This action aligns with the principle of distributive justice by promoting fairness and equal opportunity for healthcare.

Other choices are incorrect because:
A: Keeping a promise to visit a housebound client demonstrates fidelity, not distributive justice.
C: Being honest about reporting suspected abuse relates to truth-telling and advocacy, not distributive justice.
D: Accepting an older adult's decision to live alone pertains to autonomy and respect for individual choices, not distributive justice.

Correct Answer: D

Rationale: The correct answer is D: Double bag soiled dressing in polyethylene bags. This is important to prevent the spread of methicillin-resistant Staphylococcus aureus (MRS
A) to others. Double bagging contaminated items in polyethylene bags helps contain the bacteria and reduce the risk of transmission. Removing fresh flowers (choice
A) is unrelated to MRSA transmission. Wearing a mask (choice
B) is not necessary unless performing aerosol-generating procedures. Encouraging the client to use a HEPA filter (choice
C) is not specific to preventing MRSA spread.

Correct Answer: D

Rationale: The correct answer is D: A client who has a rigid abdomen with manifestations of shock. This client should be given treatment priority as they are likely experiencing internal bleeding from the bombing incident, leading to the rigid abdomen and manifestations of shock. Internal bleeding is life-threatening and requires immediate medical attention to prevent further complications. The other choices (A, B,
C) do not present immediate life-threatening conditions requiring urgent intervention like a client with a rigid abdomen and shock. Treating the client with internal bleeding first ensures the best chance for survival and prevents further deterioration.

Correct Answer: B

Rationale: The correct answer is B: Observe the client during preparation of traditional foods. This is the first action the nurse should take because it allows the nurse to understand the client's current cooking practices, ingredient choices, portion sizes, and cooking methods. By observing the client, the nurse can identify areas where modifications can be made to align with the client's diabetes meal plan. Providing a printed recipe (
A) may not be effective if it doesn't consider the client's cultural preferences and cooking habits. Using cookbooks (
C) may not address the client's specific needs. Explaining the diabetes exchange list (
D) is important but should come after understanding the client's current food practices.

Correct Answer: D

Rationale: Many Hispanic cultures follow a hot/cold theory of balance in diet, and recognizing this demonstrates cultural competence.