ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 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 2 of 5
a nurse is caring for a client who is having difficulty performing activities of daily living. the nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client.
Correct Answer: C
Rationale: The correct answer is C: case manager. In this scenario, the nurse is acting as a case manager by coordinating care for the client, including arranging for an occupational therapist. As a case manager, the nurse is responsible for assessing the client's needs, developing a care plan, and coordinating services to meet those needs. The other choices are incorrect because:
A) Administrator focuses on managing resources and operations,
B) Nurse consultant provides expert advice but not necessarily coordinating services, and
D) Clinician involves direct patient care rather than coordinating services.
Question 3 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 4 of 5
A nurse of a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Chinese cultural practices include enduring pain to prevent family dishonor. In Chinese culture, there is a strong emphasis on maintaining family honor and not causing shame to the family. Enduring pain silently is seen as a way to show strength and resilience, as openly expressing pain may be viewed as a sign of weakness. This information is important for the nurse to include in the educational guide as it highlights the cultural perspective on pain expression in the Chinese community.
Incorrect choices:
A: Middle Eastern cultural practices include hiding pain from close family members - This choice is incorrect as it does not align with common cultural practices in the Middle Eastern community, where sharing pain with close family members is common.
B: Native American cultural practices include being outspoken about pain - This choice is incorrect as Native American cultures may vary in their approaches to pain expression, and being outspoken about pain is not a universal practice.
C: Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful - This choice
Question 5 of 5
a nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: The correct answer is B: help students recognize the value of making healthy food choices. This should be the first action because it addresses the root issue of lack of awareness about healthy eating. By helping students understand the importance of nutritious food, they are more likely to make better choices. Providing positive feedback (
A) comes after students are aware of the value of healthy eating. Providing resources (
C) and determining motivation (
D) are important but secondary steps once the foundation of understanding is in place. Investigating health and environmental issues (
D) and initiating support groups (E) are not relevant to the given scenario.