ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 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 2 of 5
A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D because understanding the impact of the disease on family relationships is crucial for providing holistic care. By asking family members about this, the nurse can identify potential stressors and offer appropriate support. This step is essential for creating an effective care plan tailored to the family's needs.
Choice A is incorrect because discussing diet benefits may not address the immediate emotional and relational concerns of the family.
Choice B is incorrect as focusing on an exercise program overlooks the emotional and social aspects of coping with the diagnosis.
Choice C is incorrect as offering to accompany the client to visits doesn't directly address the family dynamics.
Question 3 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.
Question 4 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 5 of 5
A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide?
Correct Answer: B
Rationale: The correct answer is B. The client stating "I know that everything will be better soon" indicates a risk for suicide as it may suggest a sense of hopelessness and a desire for their suffering to end. This response could reflect a lack of coping mechanisms and a belief that death is the only solution to their current situation.
Choices A, C, and D do not directly indicate a risk for suicide.
Choice A expresses fear of pain, which is a common concern for clients with terminal illnesses.
Choice C indicates seeking support, which is a positive coping mechanism.
Choice D reflects a desire for autonomy and control, which is not necessarily indicative of suicide risk.