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 best describes the concept of social justice in health care?

A. Ensuring that all individuals have access to the same health care services
B. Providing the same level of care to everyone, regardless of their background
C. Addressing the underlying social determinants that contribute to health disparities
D. Offering free health services to underserved populations

Correct answer: C

Rationale: Social justice in health care goes beyond equal access and treatment for all individuals. It involves recognizing and addressing the underlying social determinants that lead to health disparities, aiming to achieve fairness and equity in healthcare outcomes.

3. Why is cultural competence important in health promotion?

A. Ensuring that health messages are tailored to diverse populations
B. Providing translation services for non-English speakers
C. Training health workers on cultural sensitivity
D. Standardizing health education materials

Correct answer: A

Rationale: Cultural competence in health promotion is crucial as it involves tailoring health messages to suit the diverse cultural backgrounds of populations. This ensures that the information provided is not only relevant but also effectively communicated to different groups, promoting better health outcomes and reducing disparities.

4. What is the primary purpose of health education?

A. To empower individuals to make informed health decisions
B. To reduce healthcare costs
C. To provide health information
D. To comply with legal requirements

Correct answer: A

Rationale: The primary purpose of health education is to empower individuals with the knowledge and skills to make informed health decisions. By providing individuals with the necessary information and tools, they can take control of their health, leading to better health outcomes and overall well-being. While reducing healthcare costs may be an indirect benefit of health education, the core focus is on empowering individuals rather than cost reduction, simply providing health information or meeting legal requirements.

5. Which sign or reflex is used to diagnose meningitis?

A. Homan's sign
B. Brudzinski
C. Startle
D. Anterior drawer

Correct answer: B

Rationale: Brudzinski sign is a physical exam finding used to diagnose meningitis. It is elicited by flexing the patient's neck, resulting in involuntary flexion of the hips and knees. This maneuver indicates meningeal irritation, a common feature in meningitis. Homan's sign is used to assess for deep vein thrombosis, Startle is a reflex response to sudden stimuli, and the Anterior drawer test is used to diagnose ligamentous instability in the knee.