the client diagnosed with a mild concussion is being discharged from the emergency department which discharge instruction should the nurse teach the c

ATI RN

ATI Community Health Nursing Ch 7

1. The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?

A. Awaken the client every two (2) hours.
B. Monitor for increased intracranial pressure.
C. Observe frequently for hypervigilance.
D. Offer the client food every three (3) to four (4) hours.

Correct answer: A

Rationale: In a client with a mild concussion, it is important to monitor for signs of deterioration, which includes changes in the client's level of consciousness. Waking the client every two hours helps in assessing their neurological status, ensuring they can awaken and respond appropriately. This intervention aids in detecting any worsening symptoms promptly and seeking medical assistance if needed.

2. What is a key objective of community health nursing?

A. Providing curative services to the community
B. Improving the quality of life for individuals and families
C. Promoting health and preventing disease
D. Conducting research to find new treatments

Correct answer: B

Rationale: A key objective of community health nursing is to improve the quality of life for individuals and families by promoting health and preventing disease. Community health nurses focus on preventive care, health promotion, and education to enhance the overall well-being of the community they serve.

3. Match the following terms in column A with the correct definition in Column B:

A. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin. II. Epidural anesthesia D. Injecting the anesthesia in the epidural mater of the spinal cord.
B. II. Epidural anesthesia B. Anesthesia is introduced in the subarachnoid space at the lumbar area L4 and L5. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin.
C. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin. II. Epidural anesthesia D. Injecting the anesthesia in the epidural mater of the spinal cord.
D. I. Topical anesthesia C. The agent is applied directly to the skin and mucous membranes of the skin. II. Epidural anesthesia B. Anesthesia is introduced in the subarachnoid space at the lumbar area L4 and L5.

Correct answer: A

Rationale: Topical anesthesia involves applying the anesthetic agent directly to the skin and mucous membranes to numb the area. On the other hand, epidural anesthesia involves injecting the anesthetic into the epidural space surrounding the spinal cord. Therefore, the correct matches are: I. Topical anesthesia with the definition of applying the agent directly to the skin and mucous membranes (Choice C), and II. Epidural anesthesia with the definition of injecting the anesthesia in the epidural space around the spinal cord (Choice D).

4. What best describes the role of advocacy in community health nursing?

A. Educating the community about health issues
B. Providing direct patient care
C. Developing new health technologies
D. Securing funding for health programs

Correct answer: A

Rationale: Advocacy in community health nursing involves educating the community about health issues to raise awareness, promote health literacy, and empower individuals to make informed decisions. By educating the community, nurses can advocate for policies and interventions that address health disparities, promote preventive care, and improve overall health outcomes.

5. The Four M's framework for Age-Friendly Health Systems includes all of the following concepts except:

A. medication
B. mentation
C. mobility
D. managed care

Correct answer: D

Rationale: The Four M's framework for Age-Friendly Health Systems consists of medication, mentation, mobility, and what matters. Managed care is not part of this framework, making it the correct answer.