ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
a first response team isworking at the location of a bombing incident. a nurse triaging a group of clients should give treatment priority to which of the following clients.
Correct Answer: C
Rationale: The correct answer is C because the client exhibiting manic behavior poses a safety risk to themselves and others. The nurse should prioritize stabilizing this client to prevent harm.
Choice A has minor injuries, B has a stable pulse, and D has severe physical symptoms but not an immediate safety concern. Prioritizing the manic client ensures overall safety and prevents escalation of the situation.
Question 2 of 5
several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. which of the following services should the nurses plan to provide to the congregation?
Correct Answer: D
Rationale: The correct answer is D: facilitate discharge from the facility to the home. This service aligns with the role of parish nurses in promoting holistic health by ensuring a smooth transition for members returning home from a healthcare facility. It helps in continuity of care and supports the overall well-being of the congregation. Other choices are incorrect because A focuses solely on immunization, B on wound care, and C on end-of-life care, which are important but not the primary focus of a parish nurse group.
Question 3 of 5
the partner of an older adult client who has Alzheimer’s disease reports that he is not eating. the nurse........client partner refuses to assist the client with feeding. the partner insists the client feed himself without help. which of the priority action the nurse should take?
Correct Answer: D
Rationale: The correct answer is D. Referring the client's partner to an Alzheimer's support group is the priority action because it addresses the underlying issue of caregiver stress and lack of knowledge about managing Alzheimer's disease. By connecting the partner with a support group, they can learn strategies to cope with the challenges of caring for someone with Alzheimer's, including addressing feeding difficulties. This intervention promotes the well-being of both the client and the partner.
Option A: Arranging for Meals on Wheels assistance does not address the underlying issue of the partner's refusal to assist with feeding.
Option B: Determining the client's ability to self-feed is important but does not directly address the partner's refusal to assist.
Option C: Directing the home health aide to assist with meals does not address the partner's concerns and may not be feasible if the partner insists on the client feeding themselves.
In summary, the correct answer focuses on providing support and education to the partner, which can lead to better care for the client with
Question 4 of 5
During a home health visit a school age child who has muscular dystrophy confidesin 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. This is the first action the nurse should take because the safety and well-being of the child is the top priority. Reporting to local authorities will ensure that the appropriate intervention and protection measures are provided for the child. 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 necessary, but the immediate concern is addressing the abuse. Enrolling the parent in anger management classes (
D) is not the first step as it does not address the immediate safety of the child.
Question 5 of 5
a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Having the client's daughter communicate information about the procedure is the best option as she is likely to understand her father's needs and preferences.
2. It ensures accurate information is conveyed to the client and allows for better understanding and trust between the nurse and the client.
3. It maintains client autonomy and respects their cultural and familial dynamics.
4. Using an interpreter from the community may not guarantee accurate communication and may breach client confidentiality.
5. Identifying the client's spoken dialect is important but may not be necessary if the daughter can effectively communicate with the client.
6. Using professional terminology may lead to confusion and misunderstanding, as the client may not be familiar with medical jargon.
Summary:
Option A is the best choice as it ensures effective communication, respects client autonomy, and maintains a trusting relationship. Options B, C, and D may pose communication challenges, breach confidentiality, or lead to misunderstanding.