ATI RN
ATI Community Health Nursing Ch 7
1. Which best describes a key component of health literacy?
- A. Understanding medical terminology
- B. Reading and comprehending health information
- C. Accessing health care services
- D. Navigating the health care system
Correct answer: B
Rationale: Health literacy encompasses the ability to read and comprehend health information effectively. This skill is crucial for individuals to interpret and utilize health-related information to make informed decisions about their health and well-being. While understanding medical terminology, accessing health care services, and navigating the health care system are important aspects of healthcare, the core of health literacy lies in the ability to understand and apply health information in various contexts.
2. What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?
- A. Bronchoscopy
- B. Tracheostomy
- C. Thoracentesis
- D. Underwater seal drainage
Correct answer: B
Rationale: Tracheostomy is the process of surgically creating an airway in the front of the neck to aid in breathing or remove secretions from the airway. Bronchoscopy involves visualizing the airways using a scope, not creating an airway. Thoracentesis is the procedure to remove fluid or air from the pleural space around the lungs, not related to creating an airway. Underwater seal drainage is a method used in chest drainage systems to remove air or fluid from the pleural space, not the creation of an airway.
3. Donna needs further teaching about the use of partograph if she said to her CI that:
- A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
- B. I can use the partograph in all pregnant women.
- C. I will plot the cervical dilatation using 'x'.
- D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.
Correct answer: B
Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.
4. The public health nurse is working with a client who desires to move away from eating take-out and fatty foods to maintain a healthier lifestyle. The client mentions eliminating processed foods from her diet most days of the week but still struggles to consistently add fruits and vegetables to her meals. According to the Transtheoretical Model of health behavior change, this client is in which stage:
- A. Pre-contemplation
- B. Contemplation
- C. Preparation
- D. Action
Correct answer: C
Rationale: The client is in the Preparation stage as they are actively taking steps towards behavior change by eliminating processed foods from their diet most days of the week. While they still struggle to consistently add fruits and vegetables, their efforts to make small changes indicate that they are in the Preparation stage, where individuals are getting ready to take action to change their behavior.
5. Which best describes a tertiary prevention strategy?
- A. Providing rehabilitation services
- B. Screening for early signs of disease
- C. Educating the public about healthy lifestyles
- D. Offering health education workshops
Correct answer: A
Rationale: The correct answer is A: Providing rehabilitation services. Tertiary prevention involves interventions that focus on managing and improving the outcomes of existing conditions. Rehabilitation services fall under tertiary prevention as they aim to help individuals recover and manage long-term health issues. Screening for early signs of disease (Choice B) is part of secondary prevention, while educating the public about healthy lifestyles (Choice C) and offering health education workshops (Choice D) typically fall under primary prevention strategies.
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