ATI RN
ATI RN Community Health 2023 with NGN 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 because tuberculosis is highly contagious and spreads through close contact. By obtaining information on household members, the nurse can assess the risk of transmission within the household and take appropriate measures to prevent further spread of the disease. Demographics (
A) may provide general information but do not directly impact the spread of tuberculosis. Occupation (
C) may be relevant for identifying potential exposure sources but household contacts are more immediate. Health history (
D) is important but does not 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. Primary prevention aims to prevent violence before it occurs by promoting healthy behaviors and addressing risk factors. Teaching parenting techniques to new parents helps build strong family relationships, enhances parenting skills, and reduces the likelihood of violence.
Choices A, B, and D are not primary prevention strategies. Counseling for at-risk parents (
A) is a secondary prevention strategy aimed at early detection and intervention. Assessing a family for marital discord (
B) is a tertiary prevention strategy focused on addressing existing issues. Providing treatment for substance use disorder (
D) is also a tertiary prevention strategy aimed at treating an existing condition.
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 helps the nurse detect potential physical hazards because high noise levels can lead to hearing loss, stress, and other health issues. By measuring noise levels, the nurse can assess if the workplace is within safe limits set by regulations.
A, B, and C are incorrect because tracking rates of illness caused by infection, surveying workers about emotional stress, and identifying industrial toxins relate to different types of hazards (biological, psychological, and chemical) rather than physical hazards.
By focusing on noise levels, the nurse can effectively address physical hazards, ensuring a safer work environment for employees.
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: A
Rationale: The correct answer is A: Motor vehicle safety. Adolescents are at the highest risk of death due to motor vehicle accidents, making it a crucial topic for safety education. This age group is more likely to engage in risky driving behaviors such as speeding, distracted driving, and not wearing seat belts. By focusing on motor vehicle safety, the nurse can address the leading cause of death and help adolescents make safer choices.
Incorrect
Choices:
B: Sports injury prevention - While sports injuries are common, they are not the leading cause of death for adolescents.
C: Substance abuse prevention - Substance abuse is a significant concern, but it is not the primary cause of death for this age group.
D: Gun safety - While gun safety is important, it is not the leading cause of death for adolescents.
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 maintaining harmony within the family and avoiding bringing shame or dishonor.
Therefore, individuals may endure pain silently to avoid burdening their family or appearing weak. This cultural value often leads to underreporting of pain in healthcare settings.
A: Middle Eastern cultural practices typically value stoicism and may involve hiding pain to avoid appearing vulnerable to others.
B: Native American cultural practices may vary, but being outspoken about pain is not a common generalization.
C: Puerto Rican cultural practices may value stoicism as well, but it is not specifically tied to shame in expressing pain.
In summary, the nurse should include information about Chinese cultural practices of enduring pain to prevent family dishonor, as it highlights an important aspect of cultural variances in pain expression.