ATI RN
ATI RN Community Health 2023 with NGN Questions
Extract:
Question 1 of 5
the partner of an older adult client who has Alzheimer’s disease reports that he is not eating. the nurse........client partner refuses to assist the client with feeding. the partner insists the client feed himself without help. which of the priority action the nurse should take?
Correct Answer: D
Rationale: The correct answer is D. Referring the client's partner to an Alzheimer's support group is the priority action because it addresses the underlying issue of caregiver stress and lack of knowledge about managing Alzheimer's disease. By connecting the partner with a support group, they can learn strategies to cope with the challenges of caring for someone with Alzheimer's, including addressing feeding difficulties. This intervention promotes the well-being of both the client and the partner.
Option A: Arranging for Meals on Wheels assistance does not address the underlying issue of the partner's refusal to assist with feeding.
Option B: Determining the client's ability to self-feed is important but does not directly address the partner's refusal to assist.
Option C: Directing the home health aide to assist with meals does not address the partner's concerns and may not be feasible if the partner insists on the client feeding themselves.
In summary, the correct answer focuses on providing support and education to the partner, which can lead to better care for the client with
Question 2 of 5
a nurse is caring for a client who is homeless. which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: discuss the risks of being homeless with the client. This should be the first action as it addresses the immediate concerns for the client's safety and well-being. By discussing the risks, the nurse can assess potential health and safety issues the client may face living on the streets. Determining the client's understanding of her living situation (
A) can come after addressing the immediate risks. Assisting the client to develop goals for obtaining shelter (
B) and developing client teaching (
D) can be important steps but should follow the initial assessment of risks.
Question 3 of 5
a home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief form pharmacological measures. which of the following interventions should the nurse initiate (select all that apply)?
Correct Answer: D
Rationale: The correct answer is D: offer 120 ml (4 oz.) of cold 2% milk as a meal replacement. Cold milk is a soothing and easy-to-digest option that may help alleviate nausea. Milk can provide essential nutrients and calories when the client may not be able to eat a full meal. Other choices such as A (using seasonings) and B (ginger ale) may not be effective for resistant nausea caused by chemotherapy.
Choice C (elevating the head of the bed) is more helpful for gastroesophageal reflux disease rather than chemotherapy-induced nausea.
Choice E (guided imagery) is a non-pharmacological intervention for managing anxiety or pain, not specifically nausea.
Question 4 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 family honor and not causing shame to the family. Enduring pain silently is seen as a way to show strength and resilience, as openly expressing pain may be viewed as a sign of weakness. This information is important for the nurse to include in the educational guide as it highlights the cultural perspective on pain expression in the Chinese community.
Incorrect choices:
A: Middle Eastern cultural practices include hiding pain from close family members - This choice is incorrect as it does not align with common cultural practices in the Middle Eastern community, where sharing pain with close family members is common.
B: Native American cultural practices include being outspoken about pain - This choice is incorrect as Native American cultures may vary in their approaches to pain expression, and being outspoken about pain is not a universal practice.
C: Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful - This choice
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.