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 priority in this situation is to ensure the safety and well-being of the child. By reporting the incident to local authorities, the nurse can initiate a formal investigation to protect the child from further harm. 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 appropriate but not the first step in cases of suspected abuse. Enrolling the parent in anger management classes (
D) is not the immediate priority when a child is at risk of harm.
Question 2 of 5
A nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first?
Correct Answer: D
Rationale: The correct answer is D: Determine students' motivation to learn about healthy food choices. This is the first step because understanding the students' motivation will help tailor the program effectively. By assessing their motivation, the nurse can identify potential barriers to making healthy choices and address them in the program. Positive feedback (
A) and resources (
C) are important but should come after understanding motivation. Helping students recognize the value of healthy choices (
B) is crucial, but motivation assessment precedes this step.
Question 3 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 answer includes choices A, B, D, and E.
Choice A is essential as investigating potential health and environmental issues is crucial in community-oriented nursing to identify and address health concerns.
Choice B is important as initiating support groups for parents of autistic children promotes community well-being.
Choice D is necessary as participating in local health surveillance activities helps in monitoring community health trends.
Choice E is crucial as providing health-related education to community groups promotes health awareness and prevention.
Choices C, F, and G are incorrect as they do not directly align with the scope of community-oriented nursing, which focuses on population-based care and health promotion rather than individual wound care or unspecified activities.
Question 4 of 5
A community health nurse is planning an educational program for a group of women who are postmenopausal. Which of the following outcomes is appropriate for this program?
Correct Answer: A
Rationale: The correct answer is A: Clients will schedule bone density screening. This outcome is appropriate because postmenopausal women are at increased risk for osteoporosis, making bone density screening crucial for early detection and prevention. It is a proactive measure to assess bone health and reduce the risk of fractures.
Explanation for why other choices are incorrect:
B: Clients will arrange for mammograms every 3 years - While mammograms are important for breast cancer screening, the focus of this program is on postmenopausal women's specific health needs related to bone health.
C: Clients will start hormone replacement therapy - Hormone replacement therapy has risks and benefits and should be individualized based on a woman's specific health history and needs. It is not a universal recommendation for all postmenopausal women.
D: Clients will significantly decrease caloric intake - Caloric intake is important for overall health, but the specific focus of this program is on bone health and screening, not weight management.
Question 5 of 5
A nurse is working with a care manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures?
Correct Answer: B
Rationale: The correct answer is B. In a health maintenance organization (HMO), the provider is paid a fixed sum for the client on a monthly or yearly basis. This payment structure incentivizes providers to focus on preventive care and cost-effective treatments. This model aims to keep clients healthy and reduce unnecessary services.
A: Fee-for-service is not characteristic of an HMO.
C: This describes a cost-sharing model, not typical of an HMO.
D: Providers do not bill clients directly in an HMO.