the community health nurse is involved in public health work which of these statements by the nurse reflects an understanding of upstream intervention
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ATI RN

ATI Community Health Proctored Exam 2019

1. The community health nurse is involved in public health work. Which of these statements by the nurse reflects an understanding of upstream interventions?

Correct answer: A

Rationale: The correct answer is A because engaging in policy initiatives reflects an understanding of upstream interventions. Upstream interventions focus on influencing broader determinants of health, such as policies and social factors, to prevent health issues before they occur. This approach addresses the root causes of health problems rather than just treating symptoms or providing individual care.

2. Which of the following is an indication for tracheostomy?

Correct answer: D

Rationale: Tracheostomy is a surgical procedure where an incision is made in the windpipe to help with breathing. Acute respiratory failure, which can occur due to various reasons such as upper airway obstruction, is a common indication for tracheostomy. While drainage of pleural effusion, hemorrhage, and infections may require medical intervention, they are not direct indications for a tracheostomy like acute respiratory failure.

3. During a health education program, a facilitator continues to ask questions and encourages attendees to contribute examples from their own lives relevant to the discussion. Which best describes the rationale for the facilitator’s action?

Correct answer: C

Rationale: The facilitator's action of encouraging active participation, where attendees contribute examples from their own lives, is aimed at facilitating learning through doing. This approach engages participants directly in the learning process, enhancing understanding and retention by connecting theoretical concepts to real-life experiences. Active participation promotes a deeper understanding of the material and increases the likelihood of behavior and attitude change.

4. Directly Observed Treatment Short Course (D.O.T.S.) can do all of the following except:

Correct answer: C

Rationale: Directly Observed Treatment Short Course (D.O.T.S.) is an effective strategy for treating tuberculosis (TB) that involves ensuring patients receive and complete their medication regimen under observation. DOTS aims to cure TB patients, stop resistance to anti-TB drugs, and prevent new infections among children and adults. One of the key advantages of DOTS is that it does not require hospitalization, allowing patients to receive treatment in their communities. Therefore, the statement that DOTS requires hospitalization is incorrect, making option C the correct answer.

5. Which of the following is an example of tertiary prevention?

Correct answer: C

Rationale: Tertiary prevention aims to manage and improve the quality of life of individuals already diagnosed with a disease. Physical therapy, which focuses on rehabilitation and restoring function after an injury or illness, is a prime example of tertiary prevention. It helps individuals regain mobility and independence, thereby reducing the impact of the disease and preventing further complications.

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