ATI RN
ATI RN Community Health 2023 with NGN Updated 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: A
Rationale: The correct answer is A: Meet with community members to discuss methods of playground maintenance. This is the first step because involving the community in the decision-making process promotes ownership and sustainability of the solution. By collaborating with community members, the nurse can gather insights, identify needs, and develop a comprehensive plan tailored to the specific playground and community. Partnering with city officials (
B) may be beneficial but should come after engaging the community. Sponsoring more trash receptacles (
C) and engaging neighborhood families (
D) are important actions but should follow community involvement to ensure long-term success and community buy-in.
Question 2 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 step is to ensure the safety of the child. Reporting to authorities is crucial to protect the child from further harm and initiate an investigation. Checking for injuries (
B) is important but secondary to ensuring immediate safety. Referring the parent to a social service agency (
C) or enrolling them in anger management classes (
D) may be appropriate after the immediate safety concern is addressed.
Question 3 of 5
The partner of an older adult client who has Alzheimer's disease reports that he is not eating. The client's partner refuses to assist the client with feeding and insists the client feed himself without help. What is the priority action the nurse should take?
Correct Answer: B
Rationale: Assessing the client's ability to self-feed is the priority to determine if assistance is needed and to address potential risks of malnutrition or aspiration.
Question 4 of 5
A nurse is serving on a state task force for disaster planning. The nurse is engaging in disaster preparedness efforts when performing which of the following actions?
Correct Answer: D
Rationale: The correct answer is D: Organizing a mass casualty drill for community members. This action demonstrates disaster preparedness by proactively practicing response strategies. By conducting a drill, the nurse is helping the community prepare for potential disasters, improving coordination, communication, and efficiency during emergencies.
Choice A (Implementing a disaster triage plan with a local medical facility) involves response rather than preparedness.
Choice B (Functioning as a manager at a temporary shelter) is more of an immediate response role.
Choice C (Assisting with the identification of a biological agent) is related to detection rather than preparedness.
Question 5 of 5
A community health nurse is planning an educational program for a group of women who are postmenopausal. Which of the following outcomes is appropriate for this program?
Correct Answer: A
Rationale: The correct answer is A. Bone density screening is important for postmenopausal women to assess the risk of osteoporosis. This outcome is appropriate as it aligns with the health needs of this group. Screening can help in early detection and prevention.
Choice B focuses on mammograms, which are important but not directly related to postmenopausal health needs.
Choice C suggests hormone replacement therapy, which may not be suitable for all women and can have risks.
Choice D, decreasing caloric intake, is not specific to postmenopausal women's health needs. Overall, choice A is the most relevant and beneficial outcome for the educational program.