ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A nurse working in an infectious disease clinic is caring for a client who 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: B
Rationale: The State Department of Health is responsible for reporting certain diseases, including Lyme disease, to the CDC as part of national public health surveillance efforts.
Question 2 of 5
A nurse is assessing a client with hyperemesis gravidarum. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Oliguria occurs due to dehydration caused by excessive vomiting in hyperemesis gravidarum.
Question 3 of 5
A hospice nurse is talking with the partner of a client who is near death. The partner states, 'How will I go on without them? I already feel alone.' Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Express sympathy to the client's partner. The nurse should acknowledge and validate the partner's feelings of grief and loneliness. This shows empathy and support, which are crucial in this situation.
Choice B may be seen as too generic and may not address the partner's emotional needs directly.
Choice C, hugging, may not be appropriate for all individuals and could be intrusive.
Choice D, reassuring that it will get better, may invalidate the partner's current emotions and minimize their feelings. It is important to provide emotional support and validation in times of grief and loss.
Question 4 of 5
A nurse is assessing an outbreak of mumps among school-age children. Using the epidemiological triangle, the nurse should recognize that which of the following is the host?
Correct Answer: D
Rationale: In the epidemiological triangle, the host is the living being affected by the disease, which in this case is the children.
Question 5 of 5
A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit?
Correct Answer: D
Rationale: The correct answer is D: Engage the family in informal conversation. The first step for the nurse should be to establish a rapport with the family members and the client to build trust and gather valuable information about their daily routines, challenges, and needs. Engaging in informal conversation allows the nurse to assess the family's understanding of the client's condition, their coping mechanisms, and their support system. It also helps in identifying potential stressors and developing a personalized care plan.
The other choices are incorrect because:
A: Encouraging the family to join a support group may be beneficial but should come after establishing a relationship and understanding their specific needs.
B: Providing information about respite care is important but should be addressed once the nurse has assessed the family's immediate concerns.
C: Educating the family about the progression of dementia is crucial, but it is not the first step during the initial visit.
In summary, engaging in informal conversation is the most appropriate initial action to gather information and build a