ATI RN Community Health 2023 with NGN -Nurselytic

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.

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.

Correct Answer: C

Rationale: The correct answer is C because understanding transmission dynamics is crucial in preventing disease spread. Herd immunity refers to protection of a population when a significant portion becomes immune, reducing transmission. Placing an object beside the child's bed (
A) is not relevant to disease prevention. Prophylactic antibiotics for household contacts (
B) may be necessary for certain infections but not related to transmission education. The statement about the child being most contagious after rash development (
D) is inaccurate as infectiousness varies with the disease.

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.

Correct Answer: D

Rationale:
Rationale: Option D is correct because it directly addresses the client's statement by reflecting it back in a questioning manner. This technique helps the client explore their thoughts further and may lead to a deeper understanding of their feelings. Option A jumps to conclusions about self-harm, B focuses on duration rather than the current feelings, and C is too general and does not specifically address the client's statement.