ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
a community health nurse observes the accumulation of garbage at a neighborhood playground. which of the following actions should the nurse take first to promote a clean and safe environment?
Correct Answer: D
Rationale: The correct answer is D because engaging neighborhood families to monitor the playground for further trash buildup addresses the immediate issue and involves community members in maintaining the cleanliness of the playground. This action empowers residents to take ownership of their environment and fosters a sense of responsibility towards keeping the area clean and safe. Meeting with community members (
A) may be helpful in the long term but does not address the urgent need for immediate action. Partnering with city officials (
B) and working with local businesses (
C) to improve conditions are important but might involve bureaucratic delays.
Therefore, engaging neighborhood families (
D) is the most effective and timely approach to address the current garbage accumulation issue.
Question 2 of 5
The partner of an older adult client who has Alzheimer’s disease reports that he is not eating. The partner refuses to assist with feeding. Which of the following is the priority action the nurse should take?
Correct Answer: B
Rationale: The correct answer is B: Determine the client’s ability to self-feed. This is the priority action because it addresses the immediate concern of the client not eating. By assessing the client's ability to self-feed, the nurse can identify any physical or cognitive barriers that may be hindering the client from eating independently. This assessment will guide the nurse in developing appropriate interventions to support the client's nutritional needs.
Choice A (Arrange for Meals on Wheels assistance) may be helpful but does not address the underlying issue of why the client is not eating.
Choice C (Direct the home health aide to assist with meals) assumes the client needs assistance without assessing their ability to self-feed first.
Choice D (Refer the client’s partner to an Alzheimer’s support group) addresses support for the partner but does not directly address the client's immediate nutritional needs.
Question 3 of 5
a home health nurse is visiting a client who had a stroke 2 months ago. which of the following findings should the nurse report to the interprofessional care team?
Correct Answer: D
Rationale: The correct answer is D because the caregiver filling the pill organizer weekly indicates the client may have difficulty managing medications independently post-stroke. This finding is crucial to report as it highlights potential medication errors or non-adherence, posing risks to the client's health. Reporting this to the interprofessional care team allows for appropriate interventions to ensure medication safety and adherence.
In contrast, choices A, B, and C are not as critical to report. A client dressing the affected side first is a common compensatory technique post-stroke. Bearing weight on arms with crutches and coughing when swallowing medications may be concerning but do not directly impact medication management like choice D does.
Question 4 of 5
a nurse is working with a community health care team to devise strategies for preventing violence in the community. which of the following interventions is an example of tertiaryprevention?
Correct Answer: D
Rationale: The correct answer is D because assessing for risk factors of intimate partner abuse during health examinations is an example of tertiary prevention. Tertiary prevention focuses on identifying and addressing existing health problems to prevent further complications. By assessing for risk factors of intimate partner abuse, the nurse can intervene early to prevent further harm to the victim.
A, B, and C are not examples of tertiary prevention. A is an example of primary prevention as it aims to educate the community before violence occurs. B is an example of secondary prevention as it focuses on providing resources to those already affected by abuse. C is also an example of primary prevention as it aims to prevent violence before it happens by promoting nonviolence in the community.
Therefore, choice D is the correct answer as it aligns with the goal of tertiary prevention by addressing existing risk factors to prevent further harm.
Question 5 of 5
a nurse is conducting a community assessment. which of the following information should the nurse include as part of the windshield survey?
Correct Answer: A
Rationale: The correct answer is A: demographic data. In a windshield survey, a nurse observes the community from a car to gather general information. Demographic data, such as population size, age distribution, ethnicity, and socioeconomic status, are crucial for understanding the community's characteristics and needs. Mortality rate (
B) and housing quality (
D) are important but require more in-depth data collection methods. Informant interviews (
C) involve speaking directly with community members and are not part of a windshield survey.
Choices E, F, and G are not provided, so they are not relevant to the question.