ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 of 5
During a home health visit, a school-age child who has muscular dystrophy confides in 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. The first step is to ensure the safety of the child. Reporting to authorities is crucial to protect the child from further harm and initiate an investigation. Checking for injuries (
B) is important but secondary to ensuring immediate safety. Referring the parent to a social service agency (
C) or enrolling them in anger management classes (
D) may be appropriate after the immediate safety concern is addressed.
Question 2 of 5
A nurse is caring for a client who is having difficulty performing activities of daily living. The nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client?
Correct Answer: C
Rationale: The correct answer is C: Case manager. The nurse is functioning as a case manager by coordinating and arranging for the occupational therapist to visit the client. As a case manager, the nurse is responsible for coordinating care services to meet the client's needs. The role involves assessing, planning, implementing, and evaluating the client's care.
Choice A (Administrator) typically refers to managing a healthcare facility, not coordinating individual client care.
Choice B (Nurse consultant) involves providing expert advice but not specifically coordinating therapy services.
Choice D (Clinician) involves direct patient care rather than coordination of services.
Question 3 of 5
A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity?
Correct Answer: A
Rationale: Screening for lipid disorders is a form of secondary prevention aimed at early detection to reduce the risk of complications.
Question 4 of 5
A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide?
Correct Answer: B
Rationale: The correct answer is B. The client stating "I know that everything will be better soon" indicates a risk for suicide as it may suggest a sense of hopelessness and a desire for their suffering to end. This response could reflect a lack of coping mechanisms and a belief that death is the only solution to their current situation.
Choices A, C, and D do not directly indicate a risk for suicide.
Choice A expresses fear of pain, which is a common concern for clients with terminal illnesses.
Choice C indicates seeking support, which is a positive coping mechanism.
Choice D reflects a desire for autonomy and control, which is not necessarily indicative of suicide risk.
Question 5 of 5
A nurse manager in a local community health agency is creating a job description for a new nurse who will practice community-oriented nursing. Which of the following should the nurse include in the job description? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: The correct answers are A, B, D, and E. A nurse practicing community-oriented nursing needs to investigate potential health and environmental issues to address community health concerns. Initiating support groups for parents of autistic children promotes community well-being. Participating in local health surveillance activities helps monitor public health trends. Providing health-related education to community groups promotes preventive care and health literacy.
Choices C and F are incorrect because providing wound care for clients in their homes is not specific to community-oriented nursing, and option F is missing.
Choice G is not applicable.