the social security act of 1935 impacted public health nursing because it contained provisions for care for which of the following vulnerable populati

ATI RN

ATI Leadership Practice A

1. How did the Social Security Act of 1935 impact public health nursing?

A. Disabled children
B. Mentally disabled
C. Older adults
D. Opioid addicts

Correct answer: A

Rationale: The Social Security Act of 1935 impacted public health nursing by containing provisions for care for disabled children. This helped in improving the health and well-being of this vulnerable population. The Act did not specifically address care for mentally disabled individuals, older adults, or opioid addicts. Therefore, the correct answer is disabled children.

2. What is the primary goal of the Affordable Care Act (ACA)?

A. To reduce healthcare costs
B. To expand access to healthcare
C. To improve healthcare quality
D. To increase healthcare funding

Correct answer: B

Rationale: The primary goal of the Affordable Care Act (ACA) is to expand access to healthcare. While reducing healthcare costs and improving healthcare quality are important aspects, the ACA's main focus was on increasing the number of Americans with health insurance coverage and enhancing the availability and affordability of healthcare services. Increasing healthcare funding is not the primary goal of the ACA, as its main aim was to make healthcare more accessible and affordable for a larger portion of the population.

3. Which of the following is an important aspect of note-taking?

A. Not specific and behavior-oriented
B. Forces the manager to deal with the problem
C. Records only undesirable events
D. Failure to give performance feedback

Correct answer: B

Rationale: The correct answer is B: 'Forces the manager to deal with the problem.' Note-taking is essential as it compels the manager to address issues, regardless of their size or nature. This process helps in identifying, documenting, and resolving problems effectively. Choice A is incorrect because note-taking should be specific and focused on behaviors. Choice C is incorrect as note-taking should record all events, not just undesirable ones. Choice D is incorrect as it does not directly relate to the importance of note-taking in addressing problems.

4. Under which category does a violation of the nurse practice act fall?

A. Juvenile offenses
B. Felonies
C. Misdemeanors
D. Torts

Correct answer: D

Rationale: A violation of the nurse practice act falls under the category of tort. Tort refers to civil wrongs that cause harm or loss to another person, and a violation of the nurse practice act can result in a civil lawsuit against the nurse for negligence or malpractice. Choices A, B, and C are incorrect because a violation of the nurse practice act does not fall under juvenile offenses, felonies, or misdemeanors, but rather under civil wrongs known as torts.

5. Which statement by the patient indicates a need for additional instruction in administering insulin?

A. 'I need to rotate injection sites among my arms, legs, and abdomen each day.'
B. 'I can buy the 0.5 mL syringes because the line markings will be easier to see.'
C. 'I should draw up the regular insulin first after injecting air into the NPH bottle.'
D. 'I do not need to aspirate the plunger to check for blood before injecting insulin.'

Correct answer: A

Rationale: This statement indicates a need for additional instruction because while site rotation is essential, it's important to rotate sites within the same anatomical region (such as staying within the abdomen for several injections before moving to a different region). Rotating too frequently between different regions can cause inconsistent insulin absorption, which can affect blood sugar control.