ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease?
Correct Answer: B
Rationale: The correct answer is B: hepatitis B spreads easily among children through casual contact. The rationale is that hepatitis B is primarily transmitted through blood or other body fluids, making children susceptible to infection through activities like sharing personal items or accidental exposure to infected blood. This explanation emphasizes the importance of vaccination to prevent transmission. The other choices are incorrect because: A is false as multiple doses are needed for lifelong protection; C is not the main focus of the education; D is misleading as those with past infection still benefit from vaccination.
Question 3 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 4 of 5
a home health nurse is planning theinitial home visit for a client who has dementia and
Correct Answer: A
Rationale: The correct answer is A. The nurse should first assess the living environment and the dynamics within the household to understand the client's support system and potential stressors. This will help in tailoring the care plan effectively. Encouraging the family to join a support group (
B) or providing information about respite care (
C) can be beneficial but should come after understanding the client's immediate environment. Educating the family about the progression of dementia (
D) is important but should not be the first step. Engaging in informal conversation (E) is also essential but should follow the initial assessment.
Question 5 of 5
a community health nurse observes the accumulation of garbage at a neighborhood playground. which of the following actions should the nurse take first to promote a clean and safe environment?
Correct Answer: D
Rationale: The correct answer is D because engaging neighborhood families to monitor the playground for further trash buildup addresses the immediate issue and involves community members in maintaining the cleanliness of the playground. This action empowers residents to take ownership of their environment and fosters a sense of responsibility towards keeping the area clean and safe. Meeting with community members (
A) may be helpful in the long term but does not address the urgent need for immediate action. Partnering with city officials (
B) and working with local businesses (
C) to improve conditions are important but might involve bureaucratic delays.
Therefore, engaging neighborhood families (
D) is the most effective and timely approach to address the current garbage accumulation issue.