ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Having the client's daughter communicate information about the procedure is the best option as she is likely to understand her father's needs and preferences.
2. It ensures accurate information is conveyed to the client and allows for better understanding and trust between the nurse and the client.
3. It maintains client autonomy and respects their cultural and familial dynamics.
4. Using an interpreter from the community may not guarantee accurate communication and may breach client confidentiality.
5. Identifying the client's spoken dialect is important but may not be necessary if the daughter can effectively communicate with the client.
6. Using professional terminology may lead to confusion and misunderstanding, as the client may not be familiar with medical jargon.
Summary:
Option A is the best choice as it ensures effective communication, respects client autonomy, and maintains a trusting relationship. Options B, C, and D may pose communication challenges, breach confidentiality, or lead to misunderstanding.
Question 3 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 because remaining physically active can help alleviate drowsiness and chills during alcohol withdrawal. Physical activity can improve mood, reduce stress, and distract from cravings.
Choice A is incorrect as disulfiram is not used for withdrawal symptoms but to deter alcohol consumption.
Choice C is incorrect as Al-Anon is for family members of those with alcohol use disorder.
Choice D is incorrect as it focuses on defense mechanisms, not physical symptoms.
Question 4 of 5
a nurse is conducting a community assessment. which of the following information should the nurse include as part of the windshield survey?
Correct Answer: A
Rationale: The correct answer is A: demographic data. In a windshield survey, a nurse observes the community from a car to gather general information. Demographic data, such as population size, age distribution, ethnicity, and socioeconomic status, are crucial for understanding the community's characteristics and needs. Mortality rate (
B) and housing quality (
D) are important but require more in-depth data collection methods. Informant interviews (
C) involve speaking directly with community members and are not part of a windshield survey.
Choices E, F, and G are not provided, so they are not relevant to the question.
Question 5 of 5
In the last month three cases of tuberculosis have been referred to the health department. Which of the following is the priority information for the community health nurse to obtain from each client?
Correct Answer: B
Rationale: The correct answer is B: Household members. This is the priority information for the community health nurse to obtain because tuberculosis is highly contagious and spreads through close contact. By knowing the household members, the nurse can assess the risk of transmission within the household and take necessary precautions to prevent further spread. Demographics (choice
A) may provide general information but do not directly impact the risk of transmission. Occupation (choice
C) and health history (choice
D) are important but not as immediate as knowing household members in this context.