ATI RN Community Health 2023 with NGN Updated -Nurselytic

Correct Answer: D

Rationale: The correct answer is D: Perform a needs assessment. This is because conducting a needs assessment is the first crucial step in program planning. It helps the nurse to gather data on the specific needs and preferences of older adults in the community. This data will guide the nurse in developing a mobile meal program that is tailored to meet the actual needs of the target population.

Option A: Determining potential funding sources should come after identifying the specific needs of the population, as funding sources will be based on the program's requirements.

Option B: Inquiring about the availability of volunteers is important but should be considered after understanding the needs of the older adults.

Option C: Identifying alternative solutions is premature without first understanding the actual needs of the population through a needs assessment.

In summary, performing a needs assessment is the first step as it provides essential information to guide the development of an effective and targeted mobile meal program for older adults.

Correct Answer: A

Rationale: The correct answer is A: Organize an influenza immunization clinic with the American Red Cross. This service is important for promoting preventive health measures within the congregation. Influenza immunization helps reduce the spread of flu and protect vulnerable populations such as the elderly and young children. It aligns with the primary and secondary health care needs by focusing on prevention and early intervention. Providing wound care in members' homes (
B) is more of a tertiary care service and may require specialized training and resources. End-of-life care (
C) and discharge facilitation (
D) are also important but may not directly address primary and secondary health care needs in this context.

Correct Answer: D

Rationale: The correct answer is D because it shows respect for the Hispanic client's cultural dietary preferences. In Hispanic culture, hot and cold foods are believed to have different properties that can affect health. By including both options on the menu, the nurse demonstrates understanding and acceptance of this cultural belief.
Touching the hair of an African American client (
A) can be considered intrusive and disrespectful. Offering to shake hands with an Asian client of the opposite gender (
B) may not be culturally appropriate in some Asian cultures due to gender norms. Maintaining eye contact with a Native American client (
C) may be perceived as disrespectful as some Native American cultures view direct eye contact as confrontational.

Correct Answer: A

Rationale: The correct answer is A: Early detection of disease. The primary goal of screening for lipid disorders is to identify individuals at risk for developing lipid disorders such as high cholesterol levels. Early detection allows for timely intervention and treatment to prevent complications like heart disease.
Choice B is incorrect because enrollment in prevention programs is a secondary outcome of screening, not the primary goal.
Choice C is also incorrect as promoting lifestyle changes is a part of the intervention phase, not the primary goal of screening.
Choice D is incorrect as identifying family history is important but not the primary goal of screening for lipid disorders.

Correct Answer: B

Rationale: The correct answer is B: An adolescent who has scoliosis. Scoliosis is a spinal deformity that can progress and cause serious health issues if left untreated. The school nurse should prioritize this assessment finding to ensure early detection and appropriate interventions to prevent further complications. A: A child with a BMI of 18 may indicate underweight but is not as urgent as scoliosis. C: Psoriasis is a skin condition that may require management but is not immediately life-threatening. D: Nits (lice eggs) are a common issue but do not pose a significant health risk compared to scoliosis.