ATI RN
ATI NURS 340 Leadership and Public Health Exam Questions
Extract:
Question 1 of 5
A nurse administers an incorrect medication to a client. Following an assessment of the client, the nurse determines that the client has experienced no untoward effects as a result of the medication. The nurse does not complete an incident report because no harm came to the client. Which of the following ethical principles did the nurse violate?
Correct Answer: A
Rationale: The correct answer is A: Veracity. Veracity refers to truthfulness and honesty. By not completing an incident report, the nurse failed to be truthful about the error that occurred. Even though the client did not experience harm, it is important to report any errors for transparency and accountability. This helps to identify system weaknesses and prevent future errors. Autonomy (
B) relates to respecting the client's right to make decisions. Beneficence (
C) involves acting in the client's best interest. Confidentiality (
D) pertains to protecting the client's privacy. In this scenario, the key issue is the nurse's truthfulness about the error, making veracity the principle violated.
Question 2 of 5
Which of the following infectious disease interventions best represents the use of secondary prevention?
Correct Answer: B
Rationale: The correct answer is B because requiring health care workers to have a tuberculosis skin test or chest X-ray is an example of secondary prevention. This is because it aims to detect tuberculosis in its early stages before symptoms appear, helping to prevent the spread of the disease to others. A: Encouraging clients with HIV to use condoms is a form of primary prevention to reduce the risk of contracting HIV. C: Health care workers receiving annual vaccinations for influenza is a form of primary prevention to reduce the risk of getting the flu. D: Giving medications to clients with HIV to improve immunological response is a form of tertiary prevention aimed at managing the disease and its complications.
Question 3 of 5
An instructor is reviewing Salmonella infections with her class. Which of the following comments indicates that the student needs further review on Salmonella?
Correct Answer: C
Rationale: The correct answer is C because Salmonella is not spread by spores forming in contaminated blood when exposed to the air. Salmonella is a bacterial infection, not a fungal infection that produces spores. The bacteria are typically spread through contaminated food or water. Options A and B correctly highlight that Salmonella is a bacterial infection with specific symptoms. Option D is incorrect as the incubation period for Salmonella is typically 6 to 72 hours, not specifically 48 hours. Options E, F, and G are not provided, so they are not relevant to the question.
Question 4 of 5
A city has announced its plans to build a city dump near a community of poor and predominantly African-American citizens. Which of the following principles would the nurse be using when vocalizing opposition for this plan?
Correct Answer: D
Rationale: The correct answer is D: Environmental justice. This principle advocates for fair treatment and meaningful involvement of all people, regardless of race or income, in environmental issues. Building a city dump near a poor and predominantly African-American community would be considered an environmental injustice due to the disproportionate burden of negative environmental impacts being placed on this specific group. This violates the principles of equity and fairness in environmental decision-making.
Choice A, risk communication, focuses on effectively communicating risks associated with environmental hazards, but it does not address the underlying issue of environmental justice.
Choice B, tertiary prevention, pertains to reducing the impact of an existing environmental problem, not preventing a new one.
Choice C, environmental epidemiology, involves studying the patterns and causes of diseases related to environmental factors, which is not directly applicable to the scenario described.
Question 5 of 5
A public health nurse found that out of the 70 people who ate the potato salad at a school picnic, 63 developed symptoms of food poisoning. Which of the following best describes this disease spectrum?
Correct Answer: B
Rationale: The correct answer is B: Epidemic. This is because an epidemic refers to a sudden increase in the number of cases of a disease above what is normally expected in a specific population or region. In this case, the high number of people developing food poisoning symptoms after consuming the potato salad at the school picnic indicates an outbreak within that specific group. It is not considered endemic as endemic diseases are constantly present in a particular population or region at a steady rate. Pandemic refers to a disease that spreads across multiple countries or continents, which is not the case here. Polidemic is not a recognized term in epidemiology. In summary, the situation described in the question best fits the definition of an epidemic due to the sudden increase in cases within a specific group.