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: C
Rationale: The correct answer is C, as Puerto Rican cultural practices often view outspoken expressions of pain as shameful. This information is important for the nurse to include in the educational guide because understanding cultural variances in expressing pain is crucial for providing culturally sensitive care.
Choice A is incorrect because Middle Eastern cultures may not necessarily hide pain from close family members.
Choice B is incorrect as it generalizes Native American cultural practices about being outspoken about pain.
Choice D is incorrect as it oversimplifies Chinese cultural practices regarding pain.
Question 2 of 5
the partner of an older adult client who has Alzheimer’s disease reports that he is not eating. the nurse........client partner refuses to assist the client with feeding. the partner insists the client feed himself without help. which of the priority action the nurse should take?
Correct Answer: D
Rationale: The correct answer is D: refer the client's partner to an Alzheimer's support group. This is the priority action because the partner needs education and support to understand the challenges of caring for someone with Alzheimer's. By connecting them with a support group, they can learn coping strategies and receive emotional support.
A: arranging for meals on wheels' assistance does not address the underlying issue of the partner's refusal to assist with feeding.
B: determining the client's ability to self-feed is important but does not address the partner's refusal to assist.
C: directing the home health aide to assist with meals may be helpful, but addressing the partner's attitude is more crucial.
D: referring the client's partner to an Alzheimer's support group is the most appropriate to provide education and support.
E, F, G: Not applicable.
Question 3 of 5
a nurse working in an infectious disease clinic is caring for a client has a new diagnosis of Lyme disease. which of the following agencies is responsible for voluntarily reporting cases of this disease to the centers for disease control and prevention
Correct Answer: A
Rationale: The correct answer is A: office of the surgeon general. The office of the surgeon general is responsible for overseeing public health initiatives, including the surveillance and reporting of infectious diseases like Lyme disease to the Centers for Disease Control and Prevention (CD
C). The surgeon general plays a crucial role in coordinating efforts to monitor and control disease outbreaks at the national level. The state health department (choice
B) focuses on local and state-level reporting, while the hospital infection control department (choice
C) is responsible for internal infection control measures within healthcare facilities. The local Red Cross chapter (choice
D) primarily deals with disaster relief and community support, not disease reporting.
Question 4 of 5
a nurse is discussing short and long term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. which of the following statements is appropriate for the nurse to include in the discussion?
Correct Answer: B
Rationale: The correct answer is B. Remaining physically active can help minimize drowsiness and chills associated with initial alcohol withdrawal. Physical activity can help regulate mood, reduce anxiety, and improve overall well-being during withdrawal. It can also distract from cravings and provide a healthy coping mechanism.
Choice A is incorrect because disulfiram is not used to control withdrawal symptoms but rather as a deterrent to drinking by causing unpleasant reactions if alcohol is consumed.
Choice C is incorrect because Al-Anon meetings are for family and friends of individuals struggling with alcohol use disorder, not for the individual themselves.
Choice D is incorrect because learning functional skills is important for long-term recovery but may not specifically address initial withdrawal symptoms.
Question 5 of 5
a community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C: change the meeting sites frequently. This intervention is important for individuals with PTSD as it helps prevent triggers associated with specific locations, reducing anxiety and potential retraumatization. Providing coffee and snacks (
A) may be helpful, but changing meeting sites is a more crucial step. Avoiding discussing traumatic events (
B) may hinder the veterans' healing process by avoiding necessary therapeutic conversations. Teaching deep breathing exercises (
D) can be beneficial but may not address the core issues related to PTSD.