ATI ENGAGE ADULT MEDICAL SURICAL
RN Wellness to Illness Continuum Assessment 2023
Question: 1 of 21
A nurse is caring for a 34-year-old client who has been unemployed for the past 2 years due
to chronic illness and severe depression. The client expresses concern about paying for their
hospital stay. Which of the following nursing interventions would best address the client's
financial concerns?
A. Assist the client with a Medicaid application.
B. Refer the client to the local unemployment office.
C. Request a chaplain consultation.
D. Offer a payment plan to the client.
Answer: A. Assist the client with a Medicaid application.
Question: 2 of 21
A nurse is gathering information from a client and discovers that the client lives in an
apartment with lead paint and poor water quality. The nurse identifies that the client's Hying
conditions are related to which of the following social determinants of health?
A. Education access and quality
B. Health care access and quality
C. Neighborhood and built environment
D. Social and community context
Answer: C. Neighborhood and built environment
Question: 3 of 21
A nurse is performing an admission assessment for a client who lives in an area with elevated
levels of air pollutants. The nurse should identify which of the following client problems as a
potential effect of prolonged exposure to air pollution?
A. Urinalysis is positive for microscopic blood
B. Bone density testing shows reduced density
C. Lung sounds include wheezes
D. Bowel sounds are hyperactive
Answer: C. Lung sounds include wheezes
Question: 4 of 21
A nurse is talking with the guardian of a child who has been diagnosed with a genetic
complex condition. How can the nurse best explain the cause of the child's condition?
A. A single gene disorder is causing the condition.
B. A genetic predisposition along with environmental factors is causing the condition.
C. A mental health disorder triggered by an abnormal gene is causing the condition.
D. A genetic mutation of the combination of sperm and egg is causing the condition.
Answer: B. A genetic predisposition along with environmental factors is causing the
condition.
Question: 5 of 21
A nurse is using the Illness-Wellness Continuum while caring for a client. Which of the
following nursing interventions reflects an understanding of this continuum?
A. Ask the client if they are comfortable hying with their illness.
B. Adapt the plan of care to specify all the changes needed to achieve wellness.
C. Adapt the plan of care to add palliative care if any disease Is present.
D. Ask the client to define wellness and their goals.
Answer: D. Ask the client to define wellness and their goals.
Question: 6 of 21
A nurse is assisting a client with health promotion strategies. Which of the following would
be an appropriate nursing intervention according to the Health Promotion Model?
A. Facilitate changes that the client desires to make.
B. Address all dimensions of wellness in one plan.
C. Focus on physical health as a priority.
D. Create a detailed list of desired health behaviors.
Answer: A. Facilitate changes that the client desires to make.
Question: 7 of 21
A nurse is assisting a client with a plan for improving wellness. The nurse identifies that
which of the following are dimensions to wellness? Select all that apply.
A. Social health
B. Mental health
C. Global health
D. Environmental health
E. Emotional health
F. Spiritual health
Answer: A. Social health
B. Mental health
D. Environmental health
E. Emotional health
F. Spiritual health
Question: 8 of 21
An experienced nurse is developing an educational session for a group of newly licensed
nurses. Which of the following topics should the nurse include In their education to
encourage resiliency in the newly licensed nurses? Select all that apply.
A. Recognizing the value of their role
B. Practicing self-compassion
C. Finding ways to see the positive
D. Focusing on the areas of practice that need further improvement
E. Seeking further education
Answer: A. Recognizing the value of their role
B. Practicing self-compassion
C. Finding ways to see the positive
Question: 9 of 21
A nurse is discussing ways to improve access to health care with a client. Which of the
following would best improve access to quality health care?
A. Offering to drive the client to their appointments
B. Talking with the client's family about moving the client closer to the health care facility
C. Offering the client a list of health care providers that have low fees
D. Assisting the client to obtain health insurance
Answer: D. Assisting the client to obtain health insurance
Question: 10 of 21
A nurse is caring for a client who has been diagnosed with chronic kidney disease. Which of
the following assessment findings would the nurse identify as consistent with a chronic
kidney disease diagnosis?
A. Occult blood In the stool
B. Dry mucous membranes
C. Flaccid left arm
D. Average blood pressure of 160/190 mm Hg
Answer: D. Average blood pressure of 160/190 mm Hg
Question: 11 of 21
A nurse is discussing risk factors for developing type 2 diabetes mellitus with a client. The
nurse should identify that which of the following factors places the client most at risk?
A. Obesity
B. Age younger than 12 years old
C. Sleeping 7 hours every night
D. Male gender
Answer: A. Obesity
Question: 12 of 21
A nurse is gathering the health history of a client who identifies as lesbian, gay, bisexual,
transgender, queer or questioning, intersex, asexual (LGBTQIA) and is in a monogamous
same-sex marriage. Which of the following is the most likely outcome if the nurse does not
understand the unique needs of this client?
A. Health inequity and disparities
B. Lengthy conversations about sexual health
C. Rapport and trust between the client and the nurse
D. Increased treatment adherence
Answer: A. Health inequity and disparities
Question: 13 of 21
The nurse is evaluating a client who smokes cigarettes daily and has a BMI of 30. Using the
Wellness-Illness Continuum, how can the nurse best support the client in achieving wellness?
A. Educate the client about their current illness.
B. Enroll the client in a smoking cessation program.
C. Discuss modifiable risk factors and how to reduce the chance of developing an illness.
D. No nursing Interventions are needed at this time.
Answer: C. Discuss modifiable risk factors and how to reduce the chance of developing an
illness.
Question: 14 of 21
A nurse is assisting a client who will be receiving palliative care. Which of the following
should the nurse include while educating the client and their family about the focus of
palliative care?
A. Discontinue usual care and implement end-of-life care.
B. Maintain usual care and add symptom management.
C. Have the family take over all care and decision-making.
D. Follow a strict diet and exercise program.
Answer: B. Maintain usual care and add symptom management.
Question: 15 of 21
A nurse is caring for a 78-year-old client who is in the clinic for a routine physical. When
asked about hobbies and activities, the client responds, "I don't really do anything, I usually
just stay home by myself." The nurse recognizes that this client is at risk for developing
which of the following?
A. Primary hypertension
B. Depression
C. Kidney failure
D. Bipolar disorder
Answer: B. Depression
Question: 16 of 21
A nurse is promoting public health prevention at a local senior center. Which of the following
would be suitable as a primary prevention strategy?
A. Design a weekly schedule for exercise.
B. Develop a teaching plan for the management of hypertension.
C. Create safe bike paths in the community.
D. Provide referrals for mental health services.
Answer: A. Design a weekly schedule for exercise.
Question: 17 of 21
A nurse is developing a plan to address health concerns in their community by using
primordial prevention. Which of the following would provide this level of prevention?
A. Modifying nutrition policies at a local food pantry
B. Arranging routine ultrasound screenings far atherosclerosis
C. Monitoring clients for polypharmacy
D. Providing rehabilitation for anyone who experiences a stroke
Answer: A. Modifying nutrition policies at a local food pantry
Question: 18 of 21
A nurse is assisting a client with management of atherosclerotic cardiovascular disease. The
nurse should focus on which of the following while educating the client about modifiable risk
factors?
A. Age of the client
B. Race of the client
C. Sedentary lifestyle
D. History of cancer
Answer: C. Sedentary lifestyle
Question: 19 of 21
A nurse is assisting a client in the development of an exercise plan. The nurse should
recognize which of the following as a priority in developing the plan?
A. Write the plan to follow the American Heart Association guidelines.
B. Determine the clients baseline level of activity.
C. Avoid physical activity for clients who have disabilities.
D. Advise the client to start with an exercise bike.
Answer: B. Determine the clients baseline level of activity.
Question: 20 of 21
During the admission assessment the nurse notes that the client is at risk for low health
literacy. While teaching the client, which of the following is the best strategy the nurse can
Implement to ensure client understanding?
A. Provide detailed brochures.
B. Teach family members what the client should know.
C. Ask the client to teach back the information.
D. Utilize an online website to teach Information.
Answer: C. Ask the client to teach back the information.
Question: 21 of 21
A nurse is discussing the unmet health care needs of a community with several local
politicians. The nurse should explain that which of the following clients in their jurisdiction
might be considered the "working poor"?
A. A client who works but cannot afford necessities like food and housing
B. A client who works but does not meet the expectations of their employer
C. A client who works but does not like their job
D. A client who works but does not seek out job promotions
Answer: A. A client who works but cannot afford necessities like food and housing
