ATI Community Health Final Exam Questions & Answers with Rationales Graded A 2023

A nurse in a community health clinic is preparing to administer an immunization to a 5 year old child. which of the following actions should the nurse take? a. Ask the child to pretend to blow up a balloon during the injection b. Reassure the child that the injection is not going to hurt c. Ask the child's parent to leave the room during the injection. d. Request that the child count backwards from the number 10 during the injection - answer: A The nurse should ask the child to pretend to blow up a balloon during the injection. This serves as a distraction for the child, which decreases pain perception. A nurse is conducting a home visit with a client who reports a history of partner violence. The nurse should identify that which of the following finings places the client at greatest risk for partner violence? a. client is 13 weeks gestation b. client states they are leaving their partner c. client recently started a job d. client visits friends without the partner's knowledge - answer: B A client's decision to leave their partner places them at greatest risk for partner violence because the perpetrator can view the client as a possession and fear loss of control. Whether the client actually leaves the relationship or just threatens to leave, the client is at greatest risk for violence during this time. A case manager is developing a plan for a client who has a spinal cord injury and in a rehab facility. Which of the actions should the nurse take first? a. Hold a care conference with the client to discuss treatment options b. Contact service providers to determine the availability of services offered. c. Determine the client's ability to perform self-care d. Evaluate the client's satisfaction with the case manager's services. - answer: C The first action the nurse should take when using the nursing process is to assess the client's needs. Determining a client's needs is the first step of the case management process which allows the case manager to plan client-centered care. A community health nurse is planning to develop a community health program. Which of the following actions should the nurse take first?a. review literature b. develop a budget c. obtain resources d. determine the need - answer: D A case manager is planning an educational program fora. client who has diabetes mellitus. Which of the following activities should the nurse include while using the psychomotor domain of learning? a. review a color diagram of the food pyramid with the client b. show the client a video about how to monitor blood glucose levels c. observe the client's technique for drawing up insulin d. encourage the client to discuss their feelings of self worth - answer: C The nurse should include this activity in order to use the psychomotor domain of learning because it requires coordination and the use of motor skills. A is cognitive domain, B is cognitive domain, and D is affective domain A nurse is caring for a client who has stage IV pancreatic cancer and has received information regarding available treatment options. Which of the following is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care? a. Make the hospice referral in accordance with the client's decision b. Verify that the client's health insurance pays for hospice services. c. Recommend a second opinion from another provider. d. Assess whether or not the family agrees with the client's decision - answer: A The nurse should follow the ethical principle of respect for client autonomy and make the hospice referral for the client. A school nurse is conducting health screening procedures in an elementary school. Which of the following instructions should she prcvide when performing the Rinne test? a. "After I place the tuning fork on your scalp, tell me if you hear the sound better in one ear or the same in both ears." b. "Use your finger to close one ear while I whisper some numbers into your other ear." c. "After I place this tuning fork behind your ear, tell me when you no longer hear the sound." d. "You'll wear headphones and press the button when you hear a sound."- answer: C A is a weber test, B is a whisper test, D is a audiometry test.