ATI Engage Module 3

A nurse is caring for a client who asks how their food choices might affect their blood pressure. To which of the following members of the interprofessional team should the nurse refer this client?

Dietician

A nurse is speaking with the nursing supervisor about a staffing shortage and its implications for staff on their unit. Which of the following forms of advocacy is the nurse demonstrating?

Professional advocacy

A public health nurse working in the community center asks the nurse manager where nurses can obtain information on the competencies that public health nurses should possess. Which document should the nurse manager recommend?

Public Health Nursing Competencies

A public health nurse is providing an explanation to newly hired public health nurses on the concept of community health nursing as a population-based service. Which of the following interventions should the nurse include in the explanation?

Screening and surveillance of communicable diseases

A nurse working at a community health clinic is reviewing the staff schedule and notices the clinic has been working short staffed for the past 3 months. Which of the following actions should the nurse take to address this issue?

Speak to the manager and advocate for a strategy that ensures adequate staffing. MY ANSWER

A nurse is reviewing a client's medical record with a dietitian who is part of the client's interdisciplinary team. Which of the following elements of Nursing's Social Contract is the nurse demonstrating?

Collaboration

A nurse working at a community health center is caring for a client that reports disappointment and feeling ashamed of their weight. Which of the following responses should the nurse give?

"What has been bothering you the most about your weight?"

A nurse working in a community health clinic is caring for a client who reports they have not slept for several days. Which of the following responses should the nurse give?

"What has made it difficult for you to sleep lately?"

A nurse is reinforcing teaching to community nurses about the scope of nursing practice in the community. Which of the following statements by a nurse indicates understanding of the "what" part of the American Nursing Associations's (ANA) description of the scope of practice?

"I will focus on being committed as I provide care to protect the health and well-being of my clients."

A nurse is reinforcing teaching to a newly licensed nurse about client advocacy. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"I will make sure clients understand treatment options before they sign a consent form."

A nurse is caring for a client who does not have proper understanding of a surgical procedure that is scheduled for the next day. The nurse notifies the client's provider. Which of the following concepts is the nurse demonstrating?

Client advocacy

A nurse is requesting a referral for a case manager for a client who requires financial assistance for their medications. Which of the following forms of advocacy is the nurse demonstrating?

Client advocacy

A nurse is caring for a client who is dying and wishes to discontinue taking their medications. Which of the following ethical principles is the nurse demonstrating by respecting the client's decision?

Autonomy

A community health nurse is reinforcing education on insulin administration to a client who has diabetes mellitus. Which of the following elements of Nursing's Social Contract is the nurse demonstrating?

Autonomy of practice

A community health nurse reports that some families are in desperate need of basic preventative health care services. Which of the following principles supports providing resources to families in the community that are in need?

Beneficence

A nurse working in the family planning clinic is working with an adolescent client who has expressed interest in birth control options. Which of the following is an example of how the nurse can practice with compassion and value the inherent dignity, worth, and unique attributes of the client?

Establish a rapport by respecting the client's interests and providing education on all birth control options.

A nurse is teaching a client who has asthma on the use of an inhaler. Which of the following resources should the nurse include in the teaching?

Give a demonstration of how to use the inhaler followed by the teach-back approach.

A nurse is preparing to discharge a client with a newborn who has a tracheostomy and will require apnea monitoring at home. Which of the following resources should the nurse recommend to the client to assist with tracheostomy care and apnea monitoring?

Home health care

A community health nurse is caring for a client who informs the nurse that they need a kidney transplant but their insurance has been discontinued. Which ethical principle should the nurse be aware of to provide resources for this client?

Justice

A public health nurse is providing an explanation to newly hired public health nurses on the standards of care along with the policies and procedures that reflect Nurse Practice Acts. Which of the following is imperative that the new nurses know about Nurse Practice Acts?

Nurse Practice Acts are the laws governing nursing practice.

Due to a rise in whooping cough cases among middle school-age students, the school board requires an additional dose of Tdap vaccine to attend the 7th grade. Which of the following community outreach actions should the school nurse use to promote this updated policy?

Organize virtual educational sessions on immunizations within the school district.

A community health nurse is reinforcing teaching to new nurses on a scenario in which a nurse has forgotten to refer a client to a social worker, causing a delay in medication coverage for the client. Which of the following actions by the nurse demonstrates the element of responsibility and accountability under nursing's social contract?

The nurse accepts fault in the delay of the client's medication coverage.

A nurse is preparing an orientation for newly licensed community health nurses on the standards of professional practice. Which of the following is a critical thinking model that describes a competent level of nursing care?

The nursing process

A public health nurse has been assigned to call a client who speaks a different language than the nurse. Which of the following actions by the nurse demonstrates cultural competency?

Use the organization's interpretation or translation service for this call.

A community health nurse is working in a clinic that treats many clients who do not have homes and have mental health needs, but follow-up care is inadequate. How can the nurse implement Provision 9 of the American Nurses Association (ANA) Code of Ethics ?

Write a letter to the head of the clinic to report the need for mental health follow-up care. Provision 9 of the Code of Ethics discusses the need for the nursing profession to address national and global health concerns, as well as be involved with shaping policies through political action, which includes writing a letter to report and address the issue. The nurse is advocating for the need for mental health follow-up care.