ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D because understanding the impact of the disease on family relationships is crucial for providing holistic care. By asking family members about this, the nurse can identify potential stressors and offer appropriate support. This step is essential for creating an effective care plan tailored to the family's needs.
Choice A is incorrect because discussing diet benefits may not address the immediate emotional and relational concerns of the family.
Choice B is incorrect as focusing on an exercise program overlooks the emotional and social aspects of coping with the diagnosis.
Choice C is incorrect as offering to accompany the client to visits doesn't directly address the family dynamics.
Question 2 of 5
An occupational health nurse is discussing health promotion with a client who has a history of obesity. Which of the following comments indicates the client is using rationalization as a coping mechanism?
Correct Answer: B
Rationale: The correct answer is B because the client is attributing their obesity to genetics, which is a form of rationalization by shifting responsibility away from themselves.
Choice A acknowledges the health problems related to obesity, C refers to a lack of self-control, and D involves projecting insecurities onto others.
Question 3 of 5
A home health nurse manager is caring for a client who has methicillin-resistant Staphylococcus aureus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Double bag soiled dressing in polyethylene bags. This is important to prevent the spread of methicillin-resistant Staphylococcus aureus (MRS
A) to others. Double bagging contaminated items in polyethylene bags helps contain the bacteria and reduce the risk of transmission. Removing fresh flowers (choice
A) is unrelated to MRSA transmission. Wearing a mask (choice
B) is not necessary unless performing aerosol-generating procedures. Encouraging the client to use a HEPA filter (choice
C) is not specific to preventing MRSA spread.
Question 4 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
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: Primary prevention focuses on education and skill-building to prevent violence before it occurs, such as teaching parenting techniques to new parents.