ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit?
Correct Answer: D
Rationale: The correct answer is D: Engage the family in informal conversation. The first step for the nurse should be to establish a rapport with the family members and the client to build trust and gather valuable information about their daily routines, challenges, and needs. Engaging in informal conversation allows the nurse to assess the family's understanding of the client's condition, their coping mechanisms, and their support system. It also helps in identifying potential stressors and developing a personalized care plan.
The other choices are incorrect because:
A: Encouraging the family to join a support group may be beneficial but should come after establishing a relationship and understanding their specific needs.
B: Providing information about respite care is important but should be addressed once the nurse has assessed the family's immediate concerns.
C: Educating the family about the progression of dementia is crucial, but it is not the first step during the initial visit.
In summary, engaging in informal conversation is the most appropriate initial action to gather information and build a
Question 2 of 5
A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I can visit my nephew who has chickenpox 5 days after the sores have crusted." This statement indicates an understanding of infection prevention because chickenpox is contagious until the sores have crusted over, which usually takes around 5-7 days. Visiting after this period reduces the risk of transmission.
Incorrect answers:
A: Taking antibiotics for a virus is inappropriate as antibiotics are only effective against bacterial infections.
C: Pregnant women should avoid cleaning cat litter boxes due to the risk of toxoplasmosis.
D: Effective handwashing involves using soap and water for at least 20 seconds, not hot water for 10 seconds.
Question 3 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 4 of 5
A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide?
Correct Answer: B
Rationale: The correct answer is B. The client stating "I know that everything will be better soon" indicates a risk for suicide as it may suggest a sense of hopelessness and a desire for their suffering to end. This response could reflect a lack of coping mechanisms and a belief that death is the only solution to their current situation.
Choices A, C, and D do not directly indicate a risk for suicide.
Choice A expresses fear of pain, which is a common concern for clients with terminal illnesses.
Choice C indicates seeking support, which is a positive coping mechanism.
Choice D reflects a desire for autonomy and control, which is not necessarily indicative of suicide risk.
Question 5 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.