ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A community health nurse is working with a group of clients. The nurse practices the ethical principle of distributive justice by performing which of the following tasks?
Correct Answer: B
Rationale: The correct answer is B. Distributive justice refers to fair distribution of resources and services to all individuals, with priority given to those in need. By ensuring that a homeless client receives preventive medical care, the nurse is upholding this principle. This action promotes equity and fairness by addressing the health needs of a vulnerable population.
A: Keeping a promise to visit a housebound client is important for maintaining trust and continuity of care, but it does not directly relate to distributive justice.
C: Being honest about reporting suspected abuse is related to ethical duty and integrity, not distributive justice.
D: Accepting an older adult's decision to live alone respects autonomy and independence, but it is not directly tied to distributive justice.
Question 2 of 5
A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
Correct Answer: B
Rationale: The correct choice is B: A client who is 1 day postoperative following a vertebroplasty. This client is the most stable among the options provided. Early discharge is appropriate because the client is 1 day postoperative, likely past the critical immediate postoperative period. Discharging this client will create space for incoming emergency admissions.
Choice A should not be discharged early as managing deep-vein thrombosis with heparin requires close monitoring to prevent complications.
Choice C should not be discharged early due to the need for ongoing cancer treatment.
Choice D should not be discharged early as the client with COPD and a high respiratory rate of 44/min requires close monitoring and intervention to prevent respiratory distress.
Question 3 of 5
During a home health visit, a school-age child who has muscular dystrophy confides in the nurse that he was struck by his parents. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Report the incident to local authorities. The first priority in this situation is to ensure the safety and well-being of the child. By reporting the incident to local authorities, the nurse can initiate a formal investigation to protect the child from further harm. Checking for injuries (
B) is important but secondary to ensuring the child's safety. Referring the parent to a social service agency (
C) may be appropriate but not the first step in cases of suspected abuse. Enrolling the parent in anger management classes (
D) is not the immediate priority when a child is at risk of harm.
Question 4 of 5
A nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first?
Correct Answer: D
Rationale: The correct answer is D: Determine students' motivation to learn about healthy food choices. This is the first step because understanding the students' motivation will help tailor the program effectively. By assessing their motivation, the nurse can identify potential barriers to making healthy choices and address them in the program. Positive feedback (
A) and resources (
C) are important but should come after understanding motivation. Helping students recognize the value of healthy choices (
B) is crucial, but motivation assessment precedes this step.
Question 5 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 answer includes choices A, B, D, and E.
Choice A is essential as investigating potential health and environmental issues is crucial in community-oriented nursing to identify and address health concerns.
Choice B is important as initiating support groups for parents of autistic children promotes community well-being.
Choice D is necessary as participating in local health surveillance activities helps in monitoring community health trends.
Choice E is crucial as providing health-related education to community groups promotes health awareness and prevention.
Choices C, F, and G are incorrect as they do not directly align with the scope of community-oriented nursing, which focuses on population-based care and health promotion rather than individual wound care or unspecified activities.