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

ATI RN

ATI Leadership Practice A

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

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

3. Which of the following is a common characteristic of a high reliability organization (HRO)?

Correct answer: C

Rationale: A common characteristic of a high reliability organization (HRO) is a preoccupation with failure. HROs focus on identifying and addressing potential failure points to prevent errors and maintain high levels of safety and reliability. This mindset helps them anticipate and mitigate risks proactively, leading to better outcomes and performance. Choices A, B, and D are incorrect. While flexibility, reluctance to simplify, and deference to expertise may be important in various contexts, they are not the primary defining characteristics of a high reliability organization. The core focus of HROs is on continuously monitoring for potential failures and working to prevent them.

4. Which of the following are NOT outcomes of a job analysis? (EXCEPT)

Correct answer: C

Rationale: The correct answer is C. Job description is actually one of the key outcomes of a job analysis. A job description details the duties, responsibilities, and requirements of a specific job role. Job specification, job evaluation, and job performance are not outcomes of a job analysis. Job specification refers to the specific qualifications and skills required for a job, job evaluation involves determining the relative worth of different jobs within an organization, and job performance relates to how well an employee is executing their job duties.

5. Which of the following strategies is most effective for reducing medication errors on a nursing unit?

Correct answer: C

Rationale: The most effective strategy for reducing medication errors on a nursing unit is using barcoding technology for medication administration. Barcoding technology helps to ensure the right medication is given to the right patient in the right dose at the right time. Increasing the nurse-to-patient ratio (choice A) may help in preventing errors due to workload, but it may not address the root cause of medication errors. Providing ongoing education (choice B) is important but may not be as effective as implementing technology to directly prevent errors during administration. Increasing the use of PRN medications (choice D) can actually increase the risk of errors if not carefully monitored and controlled.

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