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 partner refuses to assist with feeding. Which of the following is the priority action the nurse should take?
Correct Answer: B
Rationale: The correct answer is B: Determine the client’s ability to self-feed. This is the priority action because it addresses the immediate concern of the client not eating. By assessing the client's ability to self-feed, the nurse can identify any physical or cognitive barriers that may be hindering the client from eating independently. This assessment will guide the nurse in developing appropriate interventions to support the client's nutritional needs.
Choice A (Arrange for Meals on Wheels assistance) may be helpful but does not address the underlying issue of why the client is not eating.
Choice C (Direct the home health aide to assist with meals) assumes the client needs assistance without assessing their ability to self-feed first.
Choice D (Refer the client’s partner to an Alzheimer’s support group) addresses support for the partner but does not directly address the client's immediate nutritional needs.
Question 2 of 5
a nurse is serving on a state task force for disaster planning. the nurse is engaging in disaster preparedness efforts when performing which of the following actions
Correct Answer: A
Rationale: The correct answer is A: implementing a disaster triage plan with a local medical facility. This is because disaster preparedness involves establishing protocols for effective triage and resource allocation during emergencies. Triage plans help in prioritizing care based on the severity of injuries.
Choice B involves managing a shelter, which is important but not directly related to disaster preparedness efforts.
Choice C focuses on identifying a biological agent, which is more relevant to response during an outbreak rather than preparedness.
Choice D involves organizing a drill, which is beneficial for training but not directly related to planning.
Choice E is unrelated to disaster preparedness and pertains to facilitating treatment access for a client with tuberculosis.
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 exposure to excessive noise levels can lead to hearing loss and other adverse health effects. By measuring noise levels, the nurse can identify areas where noise levels exceed safe limits and implement control measures to protect employees.
A: Tracking rates of illness caused by infection is related to biological hazards, not physical hazards.
B: Surveying workers about job-related emotional stress is related to psychosocial hazards, not physical hazards.
C: Identifying industrial toxins is related to chemical hazards, not physical hazards.
E, F, G: These options are not provided, but they would likely be unrelated to physical hazards.
Question 4 of 5
nurse expect
Correct Answer: B
Rationale: The correct answer is B: diplopia. Nurses expect diplopia in patients with certain neurological conditions or head injuries. Oliguria (
A) is related to kidney function, not typically expected by nurses. Hypoglycemia (
C) is monitored but not necessarily expected in all patients. Dizziness (
D) can be common but is not a typical expectation unless specified.
Choices E, F, and G are irrelevant. In summary, diplopia is the correct answer as it aligns with the neurological assessment expectations of a nurse, while the other options are either unrelated or less commonly expected in a general nursing context.
Question 5 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