ATI RN
ATI RN Community Health 2023 with NGN Updated 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: D
Rationale: The correct answer is D. First, determining students' motivation to learn about healthy food choices is essential to tailor the program effectively. By understanding their motivation, the nurse can create engaging and relevant content. Giving positive feedback (
A) is important but should come after assessing motivation. Helping students recognize the value of healthy choices (
B) is crucial but secondary to motivation assessment. Providing resources (
C) is beneficial, but understanding motivation takes precedence in shaping the program.
Question 2 of 5
A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Determine the client's understanding of her living situation. This is the first step because it allows the nurse to assess the client's perception of her homeless situation and identify any immediate needs or concerns. It establishes a foundation for building trust and understanding the client's perspective.
Choice B is incorrect as setting goals comes after assessing the client's current understanding.
Choice C is incorrect as discussing risks should come after the client's immediate needs are addressed.
Choice D is incorrect as client teaching should be based on the client's individual needs and understanding, which is determined in the initial assessment.
Question 3 of 5
A nurse is working with a care manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. In a Health Maintenance Organization (HMO), providers are paid a fixed sum for each client on a monthly or yearly basis.
2. This payment structure incentivizes providers to focus on preventive care and managing chronic conditions.
3. It helps control costs and ensures comprehensive care for clients within the network.
4. Fee-for-service (
A) involves clients paying per service, not fixed sums.
5. Clients paying a percentage (
C) or a predetermined percentage (
D) is not how HMOs operate.
6. The correct answer aligns with the capitation payment model typically used by HMOs.
Question 4 of 5
A community health nurse is working with a group of clients. The nurse practices the ethical principle of distributive justice by performing which of the following tasks?
Correct Answer: B
Rationale: The correct answer is B. Distributive justice involves fair allocation of resources and services to ensure equality. Ensuring a homeless client receives preventive medical care aligns with this principle by addressing healthcare disparities. Keeping a promise to visit a client (
A) is based on beneficence. Being honest about abuse (
C) is related to veracity. Accepting a client's decision to live alone (
D) respects autonomy. Other choices do not directly address distributive justice.
Question 5 of 5
A 35-year-old client who has a diagnosis of tuberculosis informs the provider's office that she is unable to pay for the treatment. Which of the following actions by the nurse will facilitate obtaining appropriate treatment?
Correct Answer: C
Rationale: The correct answer is C: Arrange for medication through local agencies. This option addresses the immediate need for the client to receive appropriate treatment for tuberculosis without financial burden. By arranging for medication through local agencies, the nurse ensures that the client can access the necessary treatment without worrying about the cost. This action promotes continuity of care and adherence to the treatment plan.
Other choices are incorrect:
A: Helping the client apply for Medicare may take time and does not provide immediate access to treatment.
B: Exploring options for alternative therapies may not be appropriate for a serious condition like tuberculosis.
D: Sending the client to the nearest facility for further evaluation delays the initiation of treatment for a known diagnosis.