ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse working in an infectious disease clinic is caring for a client with a new diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily reporting cases of this disease to the CDC?
Correct Answer: B
Rationale: The correct answer is B: State health department. State health departments are responsible for reporting cases of certain infectious diseases, including Lyme disease, to the CDC as part of public health surveillance. The state health department collects data on notifiable diseases and sends it to the CDC for monitoring and tracking outbreaks. The other choices are incorrect because:
A) The Office of the Surgeon General does not handle disease reporting;
C) The hospital infection control department focuses on preventing and controlling infections within the hospital, not reporting to the CDC;
D) The Local Red Cross chapter is not typically involved in disease reporting.
Question 4 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. Referring the client's partner to an Alzheimer's support group is the priority action because it addresses the underlying issue of caregiver stress and lack of knowledge about managing Alzheimer's disease. By connecting the partner with a support group, they can learn strategies to cope with the challenges of caring for someone with Alzheimer's, including addressing feeding difficulties. This intervention promotes the well-being of both the client and the partner.
Option A: Arranging for Meals on Wheels assistance does not address the underlying issue of the partner's refusal to assist with feeding.
Option B: Determining the client's ability to self-feed is important but does not directly address the partner's refusal to assist.
Option C: Directing the home health aide to assist with meals does not address the partner's concerns and may not be feasible if the partner insists on the client feeding themselves.
In summary, the correct answer focuses on providing support and education to the partner, which can lead to better care for the client with
Question 5 of 5
During a home health visit a school age child who has muscular dystrophy confidesin the nurse that he was struck by his parents. which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: report the incident to local authorities. This is the first action the nurse should take because the safety and well-being of the child is the top priority. Reporting to local authorities will ensure that the appropriate intervention and protection measures are provided for the child. Checking for injuries (
B) is important but secondary to ensuring the child's safety. Referring the parent to a social service agency (
C) may be necessary, but the immediate concern is addressing the abuse. Enrolling the parent in anger management classes (
D) is not the first step as it does not address the immediate safety of the child.