ATI RN
ATI Community Health Nursing Ch 9
1. Which action would engage the community in health promotion activities?
- A. Distributing health brochures
- B. Conducting health screenings
- C. Organizing community health fairs
- D. Hosting educational workshops
Correct answer: C
Rationale: Organizing community health fairs is an effective way to engage the community in health promotion activities. These fairs bring together community members, healthcare providers, and organizations to provide health education, screenings, resources, and promote healthy behaviors. They help raise awareness, encourage participation, and foster a sense of community well-being.
2. The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:
- A. Susceptibility
- B. Self-efficacy
- C. Severity
- D. Cue to action
Correct answer: B
Rationale: The correct answer is B, 'Self-efficacy.' In the Health Belief Model, self-efficacy refers to a person's belief in their capacity to execute behaviors necessary to achieve specific goals or outcomes. In this scenario, the client's statement reflects a lack of confidence in their ability to successfully quit smoking, indicating low self-efficacy. By addressing and enhancing the client's self-efficacy, the public health RN can help empower the client to take steps towards successful smoking cessation.
3. A patient in Mindanao was diagnosed with Dengue Hemorrhagic Fever. The therapeutic regimen for the patient includes the following EXCEPT:
- A. Rapid replacement of plasma loss
- B. Aspirin for high fever
- C. Rapid fluid and electrolyte replacement
- D. Oxygen therapy
Correct answer: B
Rationale: In cases of Dengue Hemorrhagic Fever, aspirin is contraindicated due to the risk of bleeding. The therapeutic regimen focuses on rapid replacement of plasma loss, rapid fluid and electrolyte replacement, and oxygen therapy to manage the condition effectively.
4. Which best describes the role of a community health nurse in promoting health?
- A. Advocating for health policy changes
- B. Providing direct care to individuals and families
- C. Educating the community about healthy lifestyles
- D. Conducting research on community health issues
Correct answer: A
Rationale: A community health nurse plays a vital role in promoting health by advocating for health policy changes. By advocating for policy changes that support healthy environments, access to care, and addressing social determinants of health, community health nurses work towards improving the overall health and well-being of the community they serve. While providing direct care to individuals and families, educating the community about healthy lifestyles, and conducting research on community health issues are important aspects of nursing practice, advocating for health policy changes has a broader impact on population health outcomes.
5. Which statement is incorrect regarding an informed consent signed by a patient?
- A. The nurse is responsible for obtaining the consent for surgery
- B. Patients under 18 years of age may need a parent or legal guardian to sign a consent form
- C. The nurse can witness the client signing the consent form
- D. It is the nurse's responsibility to ensure the patient has been educated by the physician about the procedure before informed consent is obtained
Correct answer: A
Rationale: The statement 'The nurse is responsible for obtaining the consent for surgery' is incorrect. The responsibility of obtaining informed consent for surgery lies with the physician or surgeon performing the procedure. Nurses can assist in the process by witnessing the client signing the consent form, ensuring the patient is educated about the procedure by the physician, and verifying that the consent process is voluntary and informed. For patients under 18 years of age, a parent or legal guardian typically needs to sign the consent form on behalf of the minor, as they are not legally able to provide consent themselves.
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