donna needs further teaching about the use of partograph if she said to her ci that

ATI RN

ATI Community Health Proctored Exam 2023

1. Donna needs further teaching about the use of partograph if she said to her CI that:

A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
B. I can use the partograph in all pregnant women.
C. I will plot the cervical dilatation using 'x'.
D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.

Correct answer: B

Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.

2. What is a key role of community health nurses?

A. Conducting health screenings
B. Developing health policies
C. Advocating for health policy changes
D. Providing emergency care

Correct answer: C

Rationale: A key role of community health nurses is advocating for health policy changes to address community health issues. By advocating for policy changes, community health nurses help promote better health outcomes for the population they serve.

3. A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?

A. Reviewing the most recent hospital patient data collected by the local college of nursing
B. Deciding which of several possible new clinic options would be most effective in better meeting the needs of the local community
C. Evaluating the results of the most recent community-wide screening program before planning for the next community health program
D. Giving testimony to the state legislature on a new health and safety bill

Correct answer: A

Rationale: The most easily postponed task among the options provided is reviewing the most recent hospital patient data collected by the local college of nursing. This task focuses on data collection and analysis, which can be delayed without immediate impact on decision-making related to new clinic options, community-wide screening program evaluation, or legislative testimony on health and safety bills.

4. All of the following are objectives of FHSIS except:

A. To complete the clinical picture of chronic diseases and describe their natural history
B. To provide a standardized, facility-level database that can be accessed for more in-depth studies
C. To minimize recording and reporting burden, allowing more time for patient care and promotive activities
D. To ensure that reported data are useful, accurate, and disseminated in a timely and easy-to-use fashion

Correct answer: A

Rationale: The objective of FHSIS is not to complete the clinical picture of chronic diseases and describe their natural history. Instead, it focuses on providing standardized facility-level data, minimizing reporting burden to allow more time for patient care, and ensuring that reported data are useful, accurate, and disseminated effectively.

5. 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.