440 Exam 3 ATI Class Review
A nurse is working with a group of clients who are all members of vulnerable populations. Which of the following clients should the nurse assist first? a. A client who received an unemployment notice today and has five children b. A 2-year-old child whose guardians do not have health insurance c. A pregnant adolescent who is living with their parents and has financial support d. An older adult client who is living below the poverty line and has no means of transportation
An older adult client who is living below the poverty line and has no means of transportation ~ CORRECT The greatest risk to this client is most vulnerable because of their age and condition; therefore, the nurse should assist the client with meeting their basic needs. An older adult client who is living below the poverty line and has no means of transportation cannot easily access food and health care services, In addition, they may be socially isolated as a result of limited resources and social interaction. Further risk assessment is needed.
A community health nurse is assigned to assist a community with disaster preparedness. Which of the following information is true about disaster preparedness? a. Disaster preparedness is a shared responsibility of the nation b. Preparing for a disaster is not always necessary because some events are out of human control c. The government is solely responsible for disaster preparedness. d. Disaster preparedness is accomplished when a few emergency drills have been completed
Disaster preparedness is a shared responsibility of the nation ~ CORRECT Everyone, including individuals and families, businesses, faith-based and community organizations, nonprofit groups, schools and academia, meld outlets, and all levels or government, Is responsible for disaster preparedness.
A nurse is teaching about the Family Medical Leave Act (FMLA) with the client and their caregiver who is their adult child. Which of the following statements by the caregiver indicates understanding? a."During FMLA, I will not receive a paycheck" b. "FMLA is only provided companies that have at least 20 employees" c. "There are strict conditions to qualify for FMLA" d. "I'm not eligible for FMLA because I've been employed less than a year"
"During FMLA, I will not receive a paycheck" ~ CORRECT FMLA is a benefit that is provided by all employers for all employees to take time off to care for family as needed. It is unpaid leave and allows for job security while out of workfor medical leave such as the care of familv member.
A nurse is examining their own personal attitudes about vulnerable populations. Which of the following statements reflects an attempt by the nurse to minimize judgment and bias when caring for clients? a. "I will review my actions at the end of the day in the team huddle." b. "I will make all comments in a private setting away from clients." c. "I will reflect on mv responses and thoughts when meeting new clients" d. "I will watch for evidence of bias bv members of the health care team."
"I will reflect on mv responses and thoughts when meeting new clients" ~ CORRECT Nurses must conduct a self-assessment prior to working with clients and groups, since many individuals face discrimination and social disadvantage
A nurse understands that how a family fares over a lifetime is dependent on the success or failure of each phase they go through. This is an example of which of the following theories? a. Biological ecosystems theory b. Family systems theory c. Family life cycle theory d. Modeling and role modeling theory
Family life cycle theory ~ CORRECT Family life cycle theory proposes that families progress through different phases throughout a lifetime. Each of the phases has different tasks and focus areas. How a family fares over a lifetime is dependent on the success or failure of each phase they go through.
A nurse notices that a family is in denial about a family member's diagnosis. The nurse knows that this is an example of family dysfunction. The nurse should identify which of the following as a characteristic of family dysfunction? a. Willingness to change b. Appreciation and affection c. Stable structure and function of the family d. Ineffective problem solving
Ineffective problem solving ~ CORRECT This is a characteristic of dysfunction in a family. Family dysfunction may lead to conflict among members, difficulty in identifying or solving problems, and moves the family toward a continual crises.
A nurse is working with a family and utilizing the biological ecosystems theory. Which of the following systems in the theory should the nurse plan to use to identify the individual response to an event? a. microsystem b. macrosystem c. exosystem d. mesosystem
Microsystem ~CORRECT The microsystem that looks at the individual response.
A nurse is creating a community wellness program for a group of community members who have been identified as having an increased risk of developing hypertension. Which of the following actions should the nurse include as secondary prevention? a. Provider prescribing antihypertensive medication b. Eating a low fat diet c. Blood pressure follow-up visits every 6 months d. Obtain blood cholesterol levels
Obtain blood cholesterol levels ~ CORRECT My Answer Obtaining blood cholesterol levels would be a secondary prevention intervention aimed at screening at risk community members. secondary prevention will focus on further Illness or injury.
A nurse is reviewing demographics in the community to determine vulnerable populations. Which of the following groups represent(s) a vulnerable population? -Pregnant adolescents -Elderly and young individuals -Active adults -Veterans -Families receiving assistance -Adults diagnosed with mental illness
Pregnant adolescents is correct. Vulnerable populations include those with limited economic or social resources, the very young and the ven old. those with chronic disease, adolescents who are pregnant, and those who have experienced abuse or trauma Elderly and young individuals is correct. Infants and the elderly are considered vulnerable due to safety threats and a lack of independence Veterans is correct. Vulnerable populations include those with limited economic or social resources, the very young and the very old, those with chronic disease. adolescents who are pregnant. those who have experlenced abuse or trauma, and veterans Families receiving assistance Is correct. Inese families have limited economic and social resources Adults diagnosed with mental illness is correct. These adults often have limited resources and are at-risk for loss of job and home if they do not stay on their prescribed medications. Many are already homeless and unemploved
A nurse is preparing a presentation about strategies to decrease health care disparities among vulnerable groups. Which of the following strategies should the nurse include? a. Reinforce the importance of recognizing discrimination in vulnerable populations with staff b. Compile a list of resources available in the community c. Provide low-cost medications d. Update client charts to reflect socioeconomic status
Reinforce the importance of recognizing discrimination in vulnerable populations with staff ~ CORRECT Populations faced with health disparities are broader than racial and ethnic minorities and include underserved rural residents, populations with lower socio-economic status, and sexual and gender minorities that confront discrimination and social disadvantage
A nurse working at a local pediatric clinic wants to help identify children who are at an increased risk of not receiving their well-child preventive care visits. Which of the following factors should the nurse consider when identifying a child who has decreased access to health care? a. The child has private health insurance b. The child lives in a suburb of a major metropolitan area c. The child has state-funded health insurance d. The child lives in a low-income, densely populated neighborhood
The child lives in a low-income, densely populated neighborhood ~ CORRECT Children living in low-income, dense housing, or isolated rural areas might have decreased access to health care
A nurse is educating nursing students about social factors that influence the health of children. The nurse should recognize that the teaching has been effective when the students correctly identify which of the following as a social determinant of health? a. The child has a hereditary heart defect b. The child plays soccer with a community league c. The child has been diagnosed with an allergy to peanuts. d. The child lives in a rural, isolated community.
The child lives in a rural, isolated community. ~ CORRECT Geographic location is considered a social determinant of health
A public health nurse is responding to a disaster and is following the eight domains of Core Competencies in Disaster Nursing by the International Council of Nurses. Which of the following actions should the nurse take within the domain of safety and security? a. Participate in debriefing for those who responded to the disaster b. Provide first aid to those affected by the disaster c. Wear personal protective equipment (PPE) when necessary d. Respectfully manage a large number of deceased clients
Wear personal protective equipment (PPE) when necessary ~ CORRECT Infection control is part of the domain of safety and security. The nurse should follow basic infection control practices, such as wearing PPE to mitigate the spread of infection, so as not to hinder disaster response efforts.
A community health nurse is discussing types of natural disasters with members of the community. Which of the following should the nurse include as an example of a natural disaster? a. Multi-vehicle accident b. wildfire c. cyberattack d. bioterrorism
Wildfire ~ CORRECT A wildfire is a common natural disaster and is considered a geological hazard.
A community health nurse is assigned to identify activities that are a part of the prevention/mitigation phase of the disaster management cycle. Which of the following activities should the nurse identify as being in the prevention/mitigation phase? a. Encourage community members to practice fire drills b. Provide first aid to community members affected by a tornado c. Assist community members in developing a disaster plan d. Identify community members who have disabilities
Identify community members who have disabilities ~ CORRECT Identifying vulnerable populations within the community prior to a disaster is categorized as prevention/mitigation. This action will eliminate or, at the very least, minimize the effects of a disaster on this population.
A nurse is collecting data from a client and their full-time caregiver who is their adult child. The caregiver appears to be disheveled and irritable. Which of the following should the nurse identify as a caregiver concern to address? a. injury b. self-care c. deficient knowledge d. roles
Self-care ~ CORRECT The caregiver's self-care needs could be potentially neglected because taking care of a client full-time can cause strain and fatigue. Therefore, the nurse should address with the caregiver Importance of maintaining self-care
A nurse is assessing a family to identify potential risk factors. The nurse should recognize that which of the following areas is an example of an environmental risk factor? a. Work stress b. age c. ethnicity d. sexual practices
Work stress ~ CORRECT Work stress is an example of an environmental risk factor. Environmental factors mav include noise pollution, air pollution, lead exposure, social isolation. and work stress
A nurse is assessing a 2-month-old infant at a well-child visit. The guardian tells the nurse that they would like to postpone vaccinations until the child is older and can tolerate them better. Which of the following responses by the nurse would be appropriate? a. "It is important to follow the vaccination schedule as designed to protect children when they are most vulnerable, and their immune system is still developing" b. "The vaccine schedule is only a recommendation; it is fine to postpone the vaccinations as long as the child is fully vaccinated prior to starting school" c. "The vaccine schedule is only a recommendation; if you do not feel comfortable giving vaccinations now, then it is fine to wait" d. "Adhering to the vaccination schedule is extremely important. If you do not agree to get the vaccinations as recommended, you will be putting your child at risk for illness and death"
"It is important to follow the vaccination schedule as designed to protect children when they are most vulnerable, and their immune system is still developing" ~ Correct Children should be vaccinated following the CDC recommended schedule, which is designed to offer children protection at the times when they are most vulnerable to serious illness and complications, most notably at younger ages when their immune system is still developing
A nurse preparing a presentation about ways promote social justice policies and practices in the local community. Which of the following should the nurse include? -Advocate for policies to promote equitable environmental conditions in the community -Volunteer at homeless shelters once a week Serve on a local coalition to prevent homelessness -Contact lawmakers about health concerns for people without housing. -Work with the school district health fair and back-to-school vaccine clinic
Advocate for policies to promote equitable environmental conditions in the community is correct. Social justice refers to providing equitable care and social supports for the most disadvantaged members of society. Nurses can function as advocates for policy changes to improve social, economic, and environmental factors that predispose vulnerable populations to poor health outcomes. Contact lawmakers about health concerns for people without housing is correct. Social justice refers to providing equitable care and socia supports for the most disadvantaged members of society. Nurses can function as advocates for policy changes to improve social, economic, and environmental factors that predispose vulnerable populations to poor health. Work with the school district health fair and back-to-school vaccine clinic is incorrect. Social justice refers to providing equitable care and social supports for the most disadvantaged members of society. Assisting with a health fair and vaccine clinic does not promote social justice policies and practices in the community,
A nurse is planning care for clients who are members of vulnerable populations. Which of the following core function assurance actions should the nurse take first? a. Set up multiple clinics in a wide geographic area b. support laws to protect client's without housing. c. Reinforce teaching with vulnerable clients about strategies to prevent illness and promote health. d. Advise elected officials on the issues that vulnerable populations face
Reinforce teaching with vulnerable clients about strategies to prevent illness and promote health. ~ CORRECT Reinforcing strategies to prevent illness and promote health is the priority action for the nurse to take. This action is part of the assurance function and gives the client the most control over their own health outcomes and could decrease the vulnerability of the clients.
