ATI RN
ATI Community Health Nursing Ch 7
1. What procedure is performed prior to a blood transfusion to detect incompatibilities?
- A. Grouping and crossmatching
- B. Complete blood count
- C. D-dimer test
- D. Blood clotting test
Correct answer: A
Rationale: Grouping and crossmatching is the procedure performed prior to a blood transfusion to determine the blood type and identify any potential incompatibilities between the donor and recipient. This process involves testing the recipient's blood for ABO and Rh antigens and crossmatching it with the donor's blood to ensure compatibility and prevent adverse reactions during the transfusion. Complete blood count, D-dimer test, and blood clotting test are other laboratory tests that serve different purposes and are not specifically done to detect incompatibilities prior to blood transfusion.
2. After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?
- A. Apply warm blankets & continue oxygen as prescribed
- B. Take the patient's rectal temperature
- C. Page the doctor for further orders
- D. Adjust the thermostat in the room
Correct answer: A
Rationale: When a patient starts shivering uncontrollably after surgery, the priority nursing intervention is to apply warm blankets and continue oxygen as prescribed. Shivering can be a sign of hypothermia, and maintaining the patient's body temperature is crucial for their recovery. This intervention helps prevent further heat loss and supports the patient's comfort and safety. While monitoring temperature, paging the doctor, and adjusting the room temperature may be necessary, addressing the immediate need for warmth and oxygen is the priority in this situation.
3. Which is a major focus of community health nursing?
- A. Providing care to individuals and families
- B. Improving access to health care
- C. Implementing health policies
- D. Promoting community partnerships
Correct answer: A
Rationale: A major focus of community health nursing is providing care to individuals and families within the community setting. Community health nurses often work directly with individuals and families to promote health, prevent disease, and provide education and support tailored to their specific needs. This direct care approach is a fundamental aspect of community health nursing practice.
4. Why is cultural competence important in community health nursing?
- A. It helps nurses provide care that is respectful and responsive to the health beliefs and practices of diverse patients.
- B. It mandates all health care providers to undergo cultural training.
- C. It ensures that nurses are knowledgeable about different medical practices.
- D. It prevents nurses from encountering cultural misunderstandings.
Correct answer: A
Rationale: Cultural competence is essential in community health nursing as it enables nurses to deliver care that respects and responds to the health beliefs and practices of patients from diverse cultural backgrounds. By understanding and incorporating cultural considerations into their practice, nurses can enhance communication, build trust, and improve health outcomes for all individuals within the community.
5. A healthcare professional is working to improve the health of a community. Which action demonstrates this?
- A. Providing health education
- B. Conducting community assessments
- C. Advocating for health policy changes
- D. Developing health policies
Correct answer: C
Rationale: Advocating for health policy changes is a significant action that can impact the health of a community on a larger scale by influencing policies that affect the well-being of the population. While providing health education and conducting community assessments are valuable activities, advocating for policy changes can lead to systemic improvements in healthcare access, quality, and outcomes.
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