ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention?
Correct Answer: B
Rationale: The correct answer is B: Developing resources for victims of abuse. Tertiary prevention focuses on reducing the impact of established disease or injury. This intervention helps individuals who have already experienced violence by providing support and resources to mitigate the consequences.
Choices A, C, and D are examples of primary and secondary prevention, which aim to prevent violence before it occurs or identify and intervene early in the development of violence.
Choice A focuses on promoting coping mechanisms, choice C emphasizes prevention at a community level, and choice D involves early detection and intervention.
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: Observe the client during preparation of traditional foods. This is the first action the nurse should take because it allows the nurse to understand the client's current cooking practices, ingredient choices, portion sizes, and cooking methods. By observing the client, the nurse can identify areas where modifications can be made to align with the client's diabetes meal plan. Providing a printed recipe (
A) may not be effective if it doesn't consider the client's cultural preferences and cooking habits. Using cookbooks (
C) may not address the client's specific needs. Explaining the diabetes exchange list (
D) is important but should come after understanding the client's current food practices.
Question 3 of 5
A client states, 'My life has no meaning right now.' What is the nurse's best response?
Correct Answer: A
Rationale: Assessing suicidal ideation is a priority to determine if immediate intervention is needed.
Question 4 of 5
A nurse is counseling a client who is to undergo enzyme-linked immunosorbent assay (ELISA) testing for HIV. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The ELISA test detects HIV antibodies, which typically develop within 2-8 weeks after exposure.
Question 5 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.