ATI RN
ATI Community Health Nursing Ch 9
1. Which action exemplifies secondary prevention?
- A. Administering vaccines
- B. Providing treatment for acute illnesses
- C. Teaching safe health practices
- D. Developing health policies
Correct answer: B
Rationale: The correct answer is B: Providing treatment for acute illnesses. Secondary prevention focuses on early detection and treatment of a disease to prevent its progression and complications. Administering vaccines (choice A) is an example of primary prevention aimed at preventing the onset of a disease. Teaching safe health practices (choice C) falls under health promotion and education, which is a form of primary prevention. Developing health policies (choice D) is more aligned with public health initiatives and may impact primary, secondary, or tertiary prevention strategies, depending on the specific policies enacted.
2. What are the expected ECG changes in hypokalemia?
- A. Flattened T waves
- B. ST elevation
- C. Wide QRS complex
- D. Tall T waves
Correct answer: A
Rationale: Flattened T waves are the most common ECG change seen in patients with hypokalemia. Hypokalemia leads to a decrease in serum potassium levels, affecting the repolarization phase of the cardiac action potential. This results in T wave flattening or inversion. ST elevation is typically seen in conditions like myocardial infarction, not in hypokalemia. Wide QRS complex is more associated with hyperkalemia than hypokalemia. Tall T waves are often seen in hyperkalemia, not hypokalemia.
3. What is the combat health support system in the field designed to do?
- A. Provide evacuation to the far rear for treatment and delay return to duty
- B. Project, sustain, and protect the health of the soldier in war and operations other than war
- C. Provide rearward evacuation and reassignment
- D. Provide far rear area care and delayed return to duty
Correct answer: B
Rationale: The combat health support system in the field is primarily designed to project, sustain, and protect the health of soldiers during war and other operations. Choice A is incorrect as it focuses solely on evacuation and delaying return to duty, missing the broader scope of health support. Choice C is incorrect as it only mentions rearward evacuation and reassignment, which is not the sole purpose of the combat health support system. Choice D is also incorrect as it emphasizes far rear area care and delayed return to duty, neglecting the comprehensive nature of health support in combat situations.
4. Understanding the causes of mental disorders is important because ________
- A. effective treatment is not possible without such an understanding.
- B. classification of disorders cannot be done without such information.
- C. such knowledge might make both the prevention and cure of mental disorders possible.
- D. disagreements about the causes of psychopathology have long limited the advancements made in the study of abnormal psychology.
Correct answer: C
Rationale: Understanding the causes of mental disorders is crucial because it can potentially lead to both prevention and cure. By identifying the root causes, strategies can be developed to prevent the onset of disorders, and effective treatments can be tailored to address these causes directly. This approach can make treatments more efficient, as addressing the underlying factors contributing to the disorder can result in better outcomes for individuals. Choices A and B are incorrect because while understanding causes is important for effective treatment and classification, the primary focus is on prevention and cure. Choice D, while highlighting the impact of disagreements on advancements in abnormal psychology, does not directly address the importance of understanding causes for prevention and cure.
5. A healthcare professional is providing discharge teaching for a client with type 2 diabetes mellitus. Which resource should be provided?
- A. Personal blogs about managing the adverse effects of diabetes medications.
- B. Food label recommendations from the Institute of Medicine.
- C. Diabetes medication information from the Physicians' Desk Reference.
- D. Food exchange lists for meal planning from the American Diabetes Association.
Correct answer: D
Rationale: Food exchange lists from the American Diabetes Association are a valuable resource for meal planning in diabetes. These lists provide guidelines for portion control and help individuals make healthier food choices. Personal blogs may not always provide accurate and evidence-based information. Food label recommendations are important but may not specifically address meal planning for diabetes. Diabetes medication information is essential but not the primary focus when educating about dietary management for type 2 diabetes.
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