ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
a nurse is caring for a client who is homeless. which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: discuss the risks of being homeless with the client. This should be the first action as it addresses the immediate concerns for the client's safety and well-being. By discussing the risks, the nurse can assess potential health and safety issues the client may face living on the streets. Determining the client's understanding of her living situation (
A) can come after addressing the immediate risks. Assisting the client to develop goals for obtaining shelter (
B) and developing client teaching (
D) can be important steps but should follow the initial assessment of risks.
Question 2 of 5
The partner of an older adult client who has Alzheimer’s disease reports that he is not eating. The partner refuses to assist with feeding. Which of the following is the priority action the nurse should take?
Correct Answer: B
Rationale: The correct answer is B: Determine the client’s ability to self-feed. This is the priority action because it addresses the immediate concern of the client not eating. By assessing the client's ability to self-feed, the nurse can identify any physical or cognitive barriers that may be hindering the client from eating independently. This assessment will guide the nurse in developing appropriate interventions to support the client's nutritional needs.
Choice A (Arrange for Meals on Wheels assistance) may be helpful but does not address the underlying issue of why the client is not eating.
Choice C (Direct the home health aide to assist with meals) assumes the client needs assistance without assessing their ability to self-feed first.
Choice D (Refer the client’s partner to an Alzheimer’s support group) addresses support for the partner but does not directly address the client's immediate nutritional needs.
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 community health nurse is planning a program for adolescents about preventing
Correct Answer: C
Rationale: The correct answer is C: establish methods to evaluate program outcomes. This is the first step because it allows the nurse to plan effectively by setting specific goals and objectives for the program. Evaluation methods help in determining the program's effectiveness in preventing STIs among adolescents. Collecting data (
B) and obtaining visual aids (
D) are important but come after setting program goals. Providing computer-based education (E) is a method of delivery, not a first step in program planning.
Question 5 of 5
a community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. in a given year, 3144 new cases were reported and the population was estimated at 325,986. which of the following is the incidence rate in the state for the year?
Correct Answer: C
Rationale: The correct answer is C: about 10 reported cases per 1000 population.
To calculate the incidence rate, you divide the number of new cases (3144) by the total population (325,986) and then multiply by 1000 to express the rate per 1000 population. This gives an incidence rate of approximately 9.64 cases per 1000 population for the state. This choice is correct because it accurately reflects the calculation of the incidence rate for chlamydia in the given population.
Incorrect
Choices:
A: about 300 reported cases per 100,000 population - This is incorrect as it does not accurately represent the calculated incidence rate.
B: about 1 reported case per 10,000 population - This is incorrect as it underestimates the actual incidence rate.
D: about 3 reported cases per 10,000 population - This is incorrect as it also underestimates the actual incidence rate.