ATI RN
ATI RN Community Health 2023 with NGN Updated Questions
Extract:
Question 1 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 nurse to obtain as tuberculosis is highly contagious and can spread within households. By knowing the household members, the nurse can assess the risk of transmission and provide appropriate guidance for testing and treatment. Demographics (
A) may provide background information but are not as crucial as identifying close contacts. Occupation (
C) and health history (
D) are important but do not directly address the immediate risk of transmission within the household.
Question 2 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: The correct answer is C: Teaching parenting techniques to new parents. This is a primary prevention strategy because it focuses on educating parents before any violence occurs. By providing new parents with effective parenting techniques, the nurse is helping to prevent the occurrence of violence in the first place. This intervention addresses the root cause and promotes a positive family environment.
Choices A, B, and D are not primary prevention strategies. Conducting counseling for at-risk parents (
A) is a secondary prevention strategy as it aims to intervene with individuals already at risk. Assessing a family for marital discord (
B) is also a secondary prevention strategy as it involves identifying existing issues. Providing treatment for a young adult with a substance use disorder (
D) is a tertiary prevention strategy, focusing on treating the individual after the issue has already developed.
Question 3 of 5
A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?
Correct Answer: D
Rationale: The correct answer is D: Measure noise levels at various locations in the facility. This action will help the nurse detect potential physical hazards because excessive noise can lead to hearing loss and other health issues. By measuring noise levels, the nurse can identify areas where noise levels exceed safe limits and implement control measures.
Choice A is incorrect as it focuses on illness caused by infections, not physical hazards.
Choice B is incorrect as it pertains to emotional stress, not physical hazards.
Choice C is incorrect as it focuses on industrial toxins, which are chemical hazards, not physical hazards.
Question 4 of 5
A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as the leading cause of death for this age group?
Correct Answer: B
Rationale: The correct answer is B: Motor vehicle safety. Adolescents are at a higher risk of motor vehicle accidents, making it the leading cause of death in this age group. This is due to factors like inexperience, risk-taking behaviors, and distractions while driving. Sports injury prevention (
A) is important but not the leading cause of death. Substance abuse prevention (
C) is significant but not the primary cause of death. Gun safety (
D) is also crucial but not as prevalent as motor vehicle accidents.
Question 5 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: D
Rationale: The correct answer is D: Chinese cultural practices include enduring pain to prevent family dishonor. In Chinese culture, there is a strong emphasis on family honor and saving face. Expressing pain openly may be viewed as a sign of weakness and may bring shame to the family.
Therefore, individuals may choose to endure pain silently to avoid dishonoring their family.
Explanation for other choices:
A: Middle Eastern cultural practices include hiding pain from close family members - This is not necessarily a common practice in Middle Eastern cultures and may not accurately represent the diverse ways pain is expressed.
B: Native American cultural practices include being outspoken about pain - While some Native American cultures may value openness about pain, it is not a universal practice among all tribes and communities.
C: Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful - While there may be individuals within Puerto Rican culture who hold this belief, it is not a widely recognized cultural practice.