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: The correct answer is B. In a health maintenance organization (HMO), the provider is paid a fixed sum for the client on a monthly or yearly basis. This payment structure incentivizes providers to focus on preventive care and cost-effective treatments. This model aims to keep clients healthy and reduce unnecessary services.
A: Fee-for-service is not characteristic of an HMO.
C: This describes a cost-sharing model, not typical of an HMO.
D: Providers do not bill clients directly in an HMO.
Question 2 of 5
A client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Which of the following is the first action the nurse should take when assisting this client?
Correct Answer: B
Rationale: The correct answer is B. Observing the client during the preparation of traditional foods allows the nurse to understand the client's current cooking practices, ingredients used, and portion sizes. This information is crucial in determining how to modify the traditional foods to fit the client's meal plan. Providing a printed recipe (
A) may not consider the client's cultural preferences or cooking methods. Using cookbooks (
C) may not align with the client's traditional foods or cooking techniques. Explaining the diabetes exchange list (
D) is important but should come after understanding the client's current food habits.
Question 3 of 5
A home health nurse manager is caring for a client who has methicillin-resistant Staphylococcus aureus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Double bag soiled dressing in polyethylene bags. This is important to prevent the spread of methicillin-resistant Staphylococcus aureus (MRS
A) to others. Double bagging the soiled dressing in polyethylene bags helps contain the bacteria and reduces the risk of transmission.
Choice A: Removing fresh flowers is not directly related to preventing the spread of MRSA.
Choice B: Wearing a mask within 3 feet of the client may not be effective in preventing MRSA transmission.
Choice C: Using a HEPA filter is not specifically targeted at preventing MRSA transmission.
In summary, choice D is correct because it directly addresses the prevention of MRSA transmission, while the other choices are not as directly related to this specific concern.
Question 4 of 5
An occupational health nurse is discussing health promotion with a client who has a history of obesity. Which of the following comments indicates the client is using rationalization as a coping mechanism?
Correct Answer: B
Rationale: The correct answer is B because the client is using rationalization by attributing their obesity to genetics rather than taking personal responsibility. This deflects accountability and provides a justification for their weight issue.
Choice A acknowledges the health problems related to obesity.
Choice C acknowledges a specific struggle with resisting temptations.
Choice D reflects projection, attributing dislike to the nurse. Other choices are incomplete.
Question 5 of 5
A nurse is conducting a community assessment. Which of the following information should the nurse include as part of the windshield survey?
Correct Answer: D
Rationale: The correct answer is D: Housing quality. In a windshield survey, the nurse observes the community from a car to assess physical environment, including housing conditions. This information is crucial for identifying health risks and community needs. Demographic data (
A) and mortality rates (
B) are important but are typically gathered through other means. Informant interviews (
C) involve talking to community members, not part of a windshield survey. Other choices (E, F, G) are not relevant to a windshield survey.