ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is planning priority actions for a community health initiative. Which of the following should be prioritized?
Correct Answer: C
Rationale: The correct answer is C: Distribute health risk appraisal questionnaires at community functions. This should be prioritized because it helps identify the health needs and risks of the community members, allowing the nurse to tailor interventions accordingly. Encouraging enrollment in weight reduction programs (
A) may not address the specific health needs of the community. Educating children at a daycare center (
B) is important but may not be the immediate priority for a community health initiative. Measuring BMI of older adults (
D) is valuable but may not capture the overall health risks of the entire community.
Question 3 of 5
A nurse working in an infectious disease clinic is caring for a client with a new diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily reporting cases of this disease to the CDC?
Correct Answer: B
Rationale: The correct answer is B: State health department. State health departments are responsible for reporting cases of certain infectious diseases, including Lyme disease, to the CDC as part of public health surveillance. The state health department collects data on notifiable diseases and sends it to the CDC for monitoring and tracking outbreaks. The other choices are incorrect because:
A) The Office of the Surgeon General does not handle disease reporting;
C) The hospital infection control department focuses on preventing and controlling infections within the hospital, not reporting to the CDC;
D) The Local Red Cross chapter is not typically involved in disease reporting.
Question 4 of 5
a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing for hiv. which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: the test measures antibodies to the virus. In enzyme-linked immunosorbent assay (ELIS
A) testing for HIV, antibodies produced by the body in response to the virus are detected, not the progression of the disease. This information is crucial for diagnosing HIV infection.
Choice A is incorrect as the test does not monitor disease progression.
Choice C is incorrect as it takes time for antibodies to develop post-exposure, so results are not accurate 24 hours after exposure.
Choice D is incorrect as a positive result would require antiretroviral therapy, not immunoglobulin administration.
Question 5 of 5
a client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. which of the following is the first action the nurse should take when assisting this client?
Correct Answer: D
Rationale: The correct answer is D: explain diabetes exchange list. The nurse's first action should be to educate the client on how to incorporate traditional foods into her meal plan using the diabetes exchange list. This list categorizes foods based on their macronutrient content, making it easier for the client to make appropriate choices. By explaining this list, the nurse can help the client make informed decisions about portion sizes and food combinations to manage her diabetes effectively. Providing a printed recipe (
A) may be helpful but does not address the fundamental issue of adapting traditional foods to fit the meal plan. Observing the client during food preparation (
B) is passive and does not provide the necessary guidance. Using cookbooks (
C) may be overwhelming and less practical than directly educating the client.