ATI RN
ATI Community Health Proctored Exam 2019
1. Which best describes an example of primary prevention in maternal newborn care?
- A. Providing prenatal education classes
- B. Screening for gestational diabetes
- C. Providing postpartum support groups
- D. Offering breastfeeding support
Correct answer: A
Rationale: Providing prenatal education classes is a prime example of primary prevention in maternal newborn care. These classes aim to educate expectant mothers about healthy practices, nutrition, and prenatal care to prevent potential health issues for both the mother and the newborn before they occur. By providing education and promoting healthy behaviors during pregnancy, the goal is to avoid complications and promote overall well-being.
2. How should contaminated instruments used during delivery be handled?
- A. Wash with soap and water and soak in 0.5% chlorine solution for 10 minutes
- B. Soak in 0.5% chlorine solution for 30 minutes
- C. Wash with soap and water and boil for 2 hours
- D. Soak in 0.5% chlorine solution for 10 minutes
Correct answer: B
Rationale: When dealing with contaminated instruments used during delivery, it is crucial to soak them in a 0.5% chlorine solution for 30 minutes to ensure proper disinfection. This practice helps eliminate potential pathogens and ensures the safety of both the healthcare provider and the patient.
3. A patient who has multiple health issues is discharged after a recent hospitalization. Which of the following comprehensive programs would a community health nurse refer the patient to if the patient is not under medical supervision but does have insurance?
- A. private health care practitioner
- B. a patient-centered medical home
- C. hospital clinic
- D. subacute facility
Correct answer: B
Rationale: A patient-centered medical home is a comprehensive care model that provides coordinated healthcare services across various settings. It is an ideal referral for a patient with multiple health issues who is not under medical supervision but has insurance, as it offers a patient-focused approach to managing the patient's overall health needs.
4. In the Philippines, Community Health Nursing (CHN) involves health care provisions for individuals, families, population groups, and communities. During community health work, various health care strategies are utilized. The legal basis for incorporating traditional, non-traditional, alternative, or complementary health care strategies may be found in:
- A. PhilHealth Act
- B. Traditional and Alternative Health Care Law
- C. Philippine Nursing Act
- D. Philippine Medical Act
Correct answer: B
Rationale: The Traditional and Alternative Health Care Law serves as the legal foundation for integrating traditional, non-traditional, alternative, or complementary health care strategies within Community Health Nursing practice in the Philippines.
5. Which of the following nursing interventions are appropriate to address parasitism issues?
- A. Administering broad-spectrum antihelminthic treatment to patients
- B. Emphasizing the importance of thoroughly washing vegetables, especially if consumed raw
- C. Instructing on proper stool disposal and emphasizing not to use it as fertilizer
- D. Promoting hand washing before and after meals
Correct answer: C
Rationale: In addressing parasitism issues, it is crucial to educate individuals on the proper disposal of stools and emphasize that they should not be used as fertilizer to prevent the spread of parasites. Administering antihelminthic treatment, emphasizing vegetable washing, and promoting hand hygiene are all important interventions in managing parasitism, making them inappropriate choices for exceptions.
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