ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse of a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Chinese cultural practices include enduring pain to prevent family dishonor. In Chinese culture, there is a strong emphasis on maintaining family honor and not causing shame to the family. Enduring pain silently is seen as a way to show strength and resilience, as openly expressing pain may be viewed as a sign of weakness. This information is important for the nurse to include in the educational guide as it highlights the cultural perspective on pain expression in the Chinese community.
Incorrect choices:
A: Middle Eastern cultural practices include hiding pain from close family members - This choice is incorrect as it does not align with common cultural practices in the Middle Eastern community, where sharing pain with close family members is common.
B: Native American cultural practices include being outspoken about pain - This choice is incorrect as Native American cultures may vary in their approaches to pain expression, and being outspoken about pain is not a universal practice.
C: Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful - This choice
Question 2 of 5
a community health nurse is planning an educational program for a group of women who are postmenopausal. which of the following outcomes is appropriate for this program?
Correct Answer: C
Rationale: The correct answer is C: clients will start hormone replacement therapy. Postmenopausal women often experience hormonal changes that can lead to various health issues. Hormone replacement therapy can help alleviate symptoms such as hot flashes and osteoporosis. It is important for the nurse to educate the women about this option, its benefits, risks, and alternatives.
Choice A is incorrect because while bone density screening is important for postmenopausal women, it is not the primary outcome of the educational program.
Choice B is incorrect as mammograms are for breast cancer screening, not directly related to postmenopausal health issues.
Choice D is incorrect as decreasing caloric intake is not a specific outcome for postmenopausal women.
Choice E is irrelevant to the question.
Question 3 of 5
a parrish nurse is counseling a family following a client’s recent diagnosis of heart disease. which of the following actions should the nurse takefirst?
Correct Answer: B
Rationale: The correct answer is B: assist the client and the client's partner with finding an affordable exercise program. This is the first action the nurse should take because exercise is a crucial component in managing heart disease. Regular physical activity can help improve heart health, lower blood pressure, and reduce the risk of complications. By helping the client and their partner find an affordable exercise program, the nurse is addressing a key lifestyle modification that can positively impact the client's health.
Rationale for why other choices are incorrect:
A: While discussing the benefits of a well-balanced diet is important, addressing exercise should take precedence as it directly impacts heart health.
C: Accompanying the client to healthcare provider visits may be helpful, but finding an exercise program should come first for immediate intervention.
D: Inquiring about the impact of the disease on family relationships is important but not as urgent as addressing the need for exercise.
Question 4 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 tertiaryprevention?
Correct Answer: D
Rationale: The correct answer is D because assessing for risk factors of intimate partner abuse during health examinations is an example of tertiary prevention. Tertiary prevention focuses on identifying and addressing existing health problems to prevent further complications. By assessing for risk factors of intimate partner abuse, the nurse can intervene early to prevent further harm to the victim.
A, B, and C are not examples of tertiary prevention. A is an example of primary prevention as it aims to educate the community before violence occurs. B is an example of secondary prevention as it focuses on providing resources to those already affected by abuse. C is also an example of primary prevention as it aims to prevent violence before it happens by promoting nonviolence in the community.
Therefore, choice D is the correct answer as it aligns with the goal of tertiary prevention by addressing existing risk factors to prevent further harm.
Question 5 of 5
A nurse is working to reduce individual and family violence in the local community. Which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal?
Correct Answer: C
Rationale: The correct answer is C: Teaching parenting techniques to new parents. This choice aligns with primary prevention strategies, as it aims to educate and equip parents with skills to prevent violence before it occurs. By teaching positive parenting techniques, the nurse is addressing the root cause and promoting healthy family dynamics, ultimately reducing the risk of violence.
A: Conducting counseling for at-risk parents - This choice falls under secondary prevention, as it targets individuals already at risk and aims to intervene and prevent further escalation of violence.
B: Assessing a family for marital discord - While important, this choice focuses on identifying existing issues rather than preventing violence proactively.
D: Providing treatment for a young adult with a substance use disorder - This choice involves tertiary prevention, as it focuses on treating individuals who already have substance use issues rather than preventing violence at an earlier stage.