ATI RN
ATI Community Health Nursing Ch 7
1. Which action is an example of primary prevention in community health?
- A. Administering immunizations
- B. Providing treatment for diseases
- C. Educating about the importance of healthy lifestyles
- D. Conducting health screenings
Correct answer: A
Rationale: Administering immunizations is a prime example of primary prevention in community health. Primary prevention focuses on preventing diseases before they occur by taking proactive measures such as immunizations. Immunizations help individuals develop immunity against specific diseases, reducing the likelihood of their occurrence within a community.
2. The nurse is caring for a child with Meckel diverticulum. What type of stool does the nurse expect to observe?
- A. Steatorrhea
- B. Clay-colored
- C. Currant jelly-like
- D. Loose stools with undigested food
Correct answer: C
Rationale: Corrected Rationale: Currant jelly-like stools, which contain blood and mucus, are characteristic of Meckel diverticulum. This symptom occurs due to the bleeding from the ectopic gastric mucosa present in the diverticulum. Steatorrhea (choice A) is not typically associated with Meckel diverticulum. Clay-colored stools (choice B) are seen in conditions affecting the biliary system. Loose stools with undigested food (choice D) may indicate malabsorption issues, but it is not specifically linked to Meckel diverticulum.
3. What should the nurse do first if they are stuck by a needle?
- A. Seek medical attention
- B. Flush the exposed skin with water
- C. Complete an incident report
- D. Report the exposure
Correct answer: Flush the exposed skin with water
Rationale:
4. A client has a new diagnosis of COPD. Which of the following instructions should the nurse include in the teaching?
- A. Breathe rapidly through your mouth when using the incentive spirometer.
- B. Use pursed-lip breathing during periods of dyspnea.
- C. Avoid drinking fluids during meals.
- D. Use diaphragmatic breathing during periods of dyspnea.
Correct answer: B
Rationale: Pursed-lip breathing is a beneficial technique for clients with COPD as it helps control shortness of breath and improves oxygenation. This technique involves inhaling slowly through the nose and exhaling through pursed lips, which helps keep airways open. Option A is incorrect as breathing rapidly through the mouth when using the incentive spirometer can lead to hyperventilation. Option C is incorrect because it is important for clients with COPD to stay hydrated by drinking fluids between meals, but not during meals which can cause bloating and discomfort. Option D is incorrect as diaphragmatic breathing, though beneficial, is not the preferred technique for managing dyspnea in COPD; pursed-lip breathing is more effective.
5. Which of the following best describes the concept of value-based healthcare?
- A. Focusing on the volume of services provided
- B. Maximizing hospital revenue
- C. Improving clinical outcomes while controlling costs
- D. Emphasizing patient satisfaction
Correct answer: C
Rationale: The correct answer is C. Value-based healthcare focuses on improving clinical outcomes while controlling costs. It emphasizes quality over quantity, aiming to provide efficient and effective care that enhances patient health outcomes while managing expenses. Choices A and B are incorrect because value-based healthcare is not about focusing on the volume of services provided or maximizing hospital revenue. Choice D, emphasizing patient satisfaction, is also not the primary focus of value-based healthcare, which prioritizes clinical outcomes and cost control.
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