ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A nurse case manager is providing discharge planning for a client. The nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client's home?
Correct Answer: C
Rationale: The correct answer is C: Coordinator. In this scenario, the nurse is functioning as a coordinator by arranging for the delivery of medical equipment to the client's home. As a coordinator, the nurse is organizing and facilitating the necessary resources and services to meet the client's needs. This role involves collaborating with various healthcare providers and agencies to ensure a smooth transition for the client post-discharge.
The other choices are incorrect because:
A: Consultant - This role involves providing expert advice or recommendations based on specialized knowledge. The nurse in the scenario is not simply providing advice but actively coordinating services.
B: Systems allocator - This role involves allocating resources within a healthcare system. While the nurse is arranging for resources, the focus is on the specific client's needs rather than broader system allocation.
D: Advocate - This role involves speaking up for the client's rights and needs. While advocacy may be a part of the nurse's role, in this scenario, the primary focus is on coordination of services.
Question 2 of 5
A faith-based organization asks a community health nurse to develop a mobile meal program for older adults. Which of the following actions should the nurse plan to take first?
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.
Question 3 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: 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.
Question 4 of 5
A community health nurse is caring for a client in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group?
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.
Question 5 of 5
A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity?
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.