ATI RN Community Health 206

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Sample questions from ATI RN Community Health 206

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.During a home visit, an older adult with limited mobility reports having difficulty obtaining prescribed medications. Which action should the community health nurse take first?

   • A.Arrange for a family member to manage the client's medications
   • B.Assess the client's medication access, financial resources, and available support
   • C.Contact the prescriber and request that all medications be discontinued
   • D.Refer the client to a long-term care facility

   Rationale: Assessing the barriers to medication access identifies the client's specific needs before planning services. Discontinuing medications is outside the nurse's authority, and assuming a family member can help may disregard the client's preferences or circumstances. A long-term care referral is not justified without assessing the client's overall needs. Community care planning should be individualized and use the least restrictive resources that meet the client's needs.

2. 2.At a community health clinic, a nurse is developing a plan to improve follow-up for clients with hypertension. Which actions should the nurse include to support continuity of care? Select all that apply.

   • A.Use a tracking system to identify clients who miss follow-up appointments
   • B.Document the client's goals and progress in the care plan
   • C.Close the client's case after sending a single referral
   • D.Ask clients about barriers to attending appointments and help identify solutions
   • E.Coordinate referrals and share relevant information with the receiving provider with appropriate authorization

   Rationale: A tracking system helps the clinic identify missed visits and arrange timely outreach. Coordinating referrals with appropriate authorization and documenting goals and progress support communication across providers and continuity over time. Exploring barriers can reveal practical solutions, such as transportation assistance or appointment reminders. Closing a case after one referral can interrupt follow-up before the client's needs are met.

3. 3.At a school-based clinic, a 16-year-old requests confidential counseling about a sensitive health concern. Which action should the nurse take first?

   • A.Notify the student's parent before asking any further questions
   • B.Ask the school principal to decide whether the student can receive counseling
   • C.Explain the limits of confidentiality, including circumstances that require disclosure
   • D.Promise the student that nothing discussed will be shared

   Rationale: The nurse should explain confidentiality and its legal and safety-related limits before inviting the student to share information. Promising absolute confidentiality is inappropriate because suspected abuse, imminent danger, or other legally reportable circumstances may require disclosure. Automatically notifying a parent can violate applicable minor-consent protections and deter care. The school principal does not determine the student's clinical confidentiality rights.

4. 4.At change of shift in a public health emergency shelter, the nurse receives report on four clients. Which client should the nurse assess first?

   • A.A client who reports anxiety about locating family members
   • B.A client with a clean, superficial abrasion who needs a dressing change
   • C.A client with diabetes who requests a snack before the next scheduled meal
   • D.A client with asthma who is speaking in short phrases and has an SpO2 of 88% on room air

   Answer and rationale are in the full material.

5. 5.A community health nurse is planning a home visit for a client who has missed several appointments. The client lives in an area with recent reports of violence. Which action is most appropriate?

   • A.Follow agency safety procedures, including sharing the visit plan and arranging a check-in
   • B.Enter the home immediately if the door is open
   • C.Make the visit alone so the client will be more comfortable
   • D.Cancel all future services because the area is unsafe

   Answer and rationale are in the full material.