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: Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful. This is important for the nurse to include in the educational guide because cultural beliefs about pain expression vary widely. In Puerto Rican culture, there is a stigma attached to openly expressing pain as it may be seen as a sign of weakness or shame. This information is crucial for healthcare providers to understand when caring for individuals from this cultural background.
Choice A is incorrect because it refers to Middle Eastern cultural practices, which may vary among different groups within the region.
Choice B is incorrect as it generalizes Native American cultural practices without specifying any particular tribe or group.
Choice D is incorrect as it stereotypes Chinese cultural practices and oversimplifies the complex beliefs around pain within Chinese culture.
Question 2 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?
Correct Answer: D
Rationale: The correct answer is D because it focuses on addressing the underlying issues contributing to alcohol use disorder, such as defense mechanisms and unhealthy behaviors. By learning functional skills to replace these maladaptive coping strategies, the client can develop healthier ways to deal with stress and triggers, ultimately aiding in long-term recovery.
Choice A is incorrect because disulfiram is not used for controlling withdrawal symptoms but rather as a deterrent to drinking.
Choice B is incorrect as physical activity alone cannot address the complex psychological aspects of alcohol use disorder.
Choice C is incorrect as Al-Anon meetings are intended for family members of individuals with alcohol use disorder, not the clients themselves.
Question 3 of 5
nurse expect
Correct Answer: B
Rationale: The correct answer is B: diplopia. Nurses expect diplopia in patients with certain neurological conditions or head injuries. Oliguria (
A) is related to kidney function, not typically expected by nurses. Hypoglycemia (
C) is monitored but not necessarily expected in all patients. Dizziness (
D) can be common but is not a typical expectation unless specified.
Choices E, F, and G are irrelevant. In summary, diplopia is the correct answer as it aligns with the neurological assessment expectations of a nurse, while the other options are either unrelated or less commonly expected in a general nursing context.
Question 4 of 5
a home health nurse is visiting a client who had a stroke 2 months ago. which of the following findings should the nurse report to the interprofessional care team?
Correct Answer: D
Rationale: The correct answer is D because the caregiver filling the pill organizer weekly indicates the client may have difficulty managing medications independently post-stroke. This finding is crucial to report as it highlights potential medication errors or non-adherence, posing risks to the client's health. Reporting this to the interprofessional care team allows for appropriate interventions to ensure medication safety and adherence.
In contrast, choices A, B, and C are not as critical to report. A client dressing the affected side first is a common compensatory technique post-stroke. Bearing weight on arms with crutches and coughing when swallowing medications may be concerning but do not directly impact medication management like choice D does.
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 to prevent triggers associated with specific locations that may exacerbate their symptoms. By changing the meeting sites, the nurse can create a more supportive and less anxiety-provoking environment for the veterans. Providing coffee and snacks (choice
A) may be a nice gesture but is not directly addressing the veterans' PTSD symptoms. Avoiding discussing traumatic events (choice
B) may hinder the veterans from processing their experiences and seeking support. Teaching deep breathing exercises (choice
D) is beneficial for managing anxiety but may not be sufficient as the sole intervention for PTSD.