the process of creating a surgical airway in front of the neck cervical region to remove copious secretions is called

ATI RN

ATI Community Health Nursing Ch 7

1. What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?

A. Bronchoscopy
B. Tracheostomy
C. Thoracentesis
D. Underwater seal drainage

Correct answer: B

Rationale: Tracheostomy is the process of surgically creating an airway in the front of the neck to aid in breathing or remove secretions from the airway. Bronchoscopy involves visualizing the airways using a scope, not creating an airway. Thoracentesis is the procedure to remove fluid or air from the pleural space around the lungs, not related to creating an airway. Underwater seal drainage is a method used in chest drainage systems to remove air or fluid from the pleural space, not the creation of an airway.

2. Which is an example of a secondary prevention strategy?

A. Administering immunizations to prevent disease
B. Conducting health screenings to detect early signs of disease
C. Providing rehabilitation services to prevent complications
D. Educating the public about healthy lifestyle choices

Correct answer: B

Rationale: Conducting health screenings to detect early signs of disease is an example of secondary prevention. This strategy focuses on early detection and intervention to prevent the progression of a disease or health issue. By identifying potential health problems at an early stage, individuals can receive timely treatment and management, thereby reducing the risk of complications and improving health outcomes.

3. When assisting clients in changing their behavior, what would be the most effective approach?

A. Counseling through the Ask, Advise, Assess, Assist, and Arrange approach
B. Encouraging them to interact with others who also need to change their behavior
C. Showing them how the inappropriate behavior is hurting their friends and family
D. Using subtle rewards when small steps are taken toward the appropriate behavior

Correct answer: A

Rationale: The most effective approach in helping clients to change their behavior is to utilize the Ask, Advise, Assess, Assist, and Arrange approach. This comprehensive counseling strategy is commonly employed in various programs, such as smoking cessation, to guide individuals through behavior change by systematically addressing their needs and providing support at each stage of the process.

4. As an important tool for planning a community health survey was conducted, the first tangible outcome of collaboration and teamwork with the Local Health Department and its Rural Health Units (RHUs) was observed. This later led to case findings activities via collection and examination of stools from children for suspected parasitism. Which of the following community nursing diagnoses will guide the Parish Health Team for concrete action?

A. Parasitism as a foreseeable crisis
B. Malnutrition as a health deficit
C. Parasitism as a health deficit
D. Parasitism as a health threat

Correct answer: D

Rationale: The correct answer is 'Parasitism as a health threat' as it is the most appropriate diagnosis that focuses on the immediate and significant health threat posed by parasitic infections, which can have widespread implications in a community setting. This diagnosis would guide the Parish Health Team to take concrete actions to address and mitigate the health risks associated with parasitism.

5. 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.