ATI RN
ATI Community Health Nursing Ch 7
1. You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?
- A. Assessing for allergies
- B. Conducting the Time Out
- C. Ensuring that informed consent is signed
- D. Ensuring that the history and physical examination have been completed
Correct answer: B
Rationale: Conducting the Time Out is a crucial safety step that occurs immediately before the start of the procedure, but it is not usually part of the preoperative checklist. The Time Out involves verifying patient identity, correct procedure, correct site, and addressing any concerns or questions with the surgical team before proceeding. The other options, such as assessing for allergies, ensuring informed consent, and completing the history and physical examination, are typically included in the preoperative checklist to ensure patient safety and readiness for surgery.
2. All of the following are characteristics of the Patient Centered Medical Home (PCMH) except:
- A. Comprehensive in scope of care
- B. Guarantees safety at home
- C. Patient needs come first
- D. Providers work together
Correct answer: B
Rationale: The Patient Centered Medical Home (PCMH) model is designed to provide comprehensive care, prioritize patient needs, and ensure that healthcare providers work together to coordinate care effectively. However, guaranteeing safety at home is not a specific characteristic of the PCMH model. Home safety is an important aspect of patient care but is not explicitly part of the PCMH model's core principles.
3. 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.
4. Which statement best describes the focus of community health nursing?
- A. Providing care to individuals and families within the community
- B. Improving the overall health of the community
- C. Ensuring access to health care for all community members
- D. Addressing the social determinants of health
Correct answer: B
Rationale: The correct answer is B because community health nursing focuses on improving the health of the entire community rather than just individuals or families. By addressing health issues at the population level, community health nurses work towards enhancing the overall well-being and health outcomes of the community.
5. During secondary prevention activities, what action is a healthcare professional performing?
- A. Conducting health screenings
- B. Providing early treatment for disease
- C. Administering medications
- D. Referral to specialized care
Correct answer: B
Rationale: During secondary prevention, healthcare professionals focus on providing early treatment for disease to prevent its progression or complications. Health screenings fall under the realm of primary prevention by detecting diseases early or identifying risk factors before they lead to illness.
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