a nurse is using the ecologic model for population health to develop interventions to address hiv in a community which of the following interventions

ATI RN

RN ATI Capstone Proctored Comprehensive Assessment Form B

1. A nurse is using the ecologic model for population health to develop interventions to address HIV in a community. Which of the following interventions should the nurse include to address financial factors affecting community health?

A. Have adolescents lead peer discussions in schools about safe sexual practices
B. Distribute condoms through remote community clinics
C. Create commercial advertisements describing the long-term effects of HIV
D. Include information about perinatal HIV transmission at prenatal education classes

Correct answer: B

Rationale: The correct answer is B. Distributing condoms addresses financial barriers by providing access to essential protective measures in remote areas. Choice A focuses on education rather than direct intervention related to financial factors. Choice C involves advertising and not a direct intervention to address financial factors. Choice D pertains to education about HIV transmission rather than directly addressing financial barriers affecting community health.

2. What are the instructions for a behind-the-ear hearing aid?

A. Remove before sleeping
B. Remove before shower
C. Keep on during all activities
D. Replace every week

Correct answer: B

Rationale: The correct answer is to remove a behind-the-ear hearing aid before showering to prevent water damage. Choice A is incorrect because it is safe to wear the hearing aid while sleeping as it does not pose a risk of damage. Choice C is incorrect because it is advisable to remove the hearing aid during certain activities to prevent damage or loss. Choice D is incorrect as hearing aids do not need to be replaced weekly unless there is an issue with the device.

3. What is the priority intervention for a patient experiencing chest pain?

A. Administer nitroglycerin as prescribed.
B. Encourage the patient to take deep breaths.
C. Monitor the patient's blood pressure closely.
D. Encourage the patient to rest in a comfortable position.

Correct answer: A

Rationale: The correct answer is to administer nitroglycerin as prescribed. Nitroglycerin helps relieve chest pain by dilating blood vessels and improving blood flow, addressing the immediate concern of chest pain. Encouraging deep breaths may not be appropriate for chest pain, monitoring blood pressure, although important, is not the priority when the patient is experiencing chest pain, and while resting in a comfortable position is beneficial, administering nitroglycerin is the priority intervention to address the chest pain.

4. A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements indicates an understanding of the teaching?

A. I should avoid taking acetaminophen while taking this medication
B. I will take this medication at the same time each day
C. I will need to get my blood tested regularly while taking this medication
D. I should increase my intake of leafy green vegetables

Correct answer: C

Rationale: The correct answer is C. Warfarin therapy requires regular blood testing to monitor INR levels and ensure therapeutic dosing. Option A is incorrect because acetaminophen can be taken with warfarin. Option B is not specific to warfarin administration. Option D is incorrect as it does not address the key monitoring requirement of blood testing while on warfarin.

5. A client with HIV-1 starting therapy with ritonavir and zidovudine asks why both medications are necessary. What explanation should the nurse provide?

A. Taking two medications ensures a faster recovery.
B. The medications work best together to improve your immune system.
C. Taking the 2 medications together keeps you from becoming resistant to either of them.
D. These medications target different parts of the virus.

Correct answer: C

Rationale: The correct answer is C because taking two medications together helps prevent the development of drug resistance in HIV treatment. Choice A is incorrect because the primary goal of combination therapy is not necessarily a faster recovery. Choice B is incorrect as the main purpose of combining medications in HIV treatment is to prevent resistance rather than improving the immune system. Choice D is incorrect because while it is true that the medications may target different parts of the virus, the main reason for using both together is to prevent resistance.