ATI RN
ATI Community Health Nursing Ch 9
1. Which best describes a primary prevention strategy in community health?
- A. Providing immunizations
- B. Conducting health screenings
- C. Offering rehabilitation services
- D. Providing treatment for acute illnesses
Correct answer: A
Rationale: The correct answer is A: Providing immunizations. This is a primary prevention strategy that focuses on preventing diseases before they occur. Immunizations help build immunity against specific diseases, reducing the likelihood of infection and transmission within the community. This proactive approach is essential in promoting public health and preventing the spread of communicable diseases.
2. What refers to the systematic study of vital events such as births, illnesses, marriages, divorce, separation, and deaths?
- A. Vital statistics
- B. Statistics
- C. Morbidity
- D. Mortality
Correct answer: A
Rationale: Vital statistics encompass the systematic study of vital events such as births, illnesses, marriages, divorce, separation, and deaths. It provides essential data for understanding population health trends and informing public health policies.
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. What is the primary role of community health nurses in disaster preparedness?
- A. Developing emergency response plans
- B. Providing direct patient care
- C. Coordinating care among various providers
- D. Conducting health screenings
Correct answer: A
Rationale: Community health nurses primarily focus on developing emergency response plans in disaster preparedness. This involves creating strategies to address various aspects of a disaster, such as evacuation procedures, resource management, and communication plans. While providing direct patient care and coordinating care among providers are important aspects of nursing, in the context of disaster preparedness, the emphasis is on planning and preparedness to ensure an effective response in times of crisis.
5. Identifying that numerous factors influence chronic illnesses such as hypertension, which of the following would be an upstream factor to enhance health outcomes for adults with hypertension in the community?
- A. Nutritional classes featuring low-fat and low-carb choices.
- B. Motivational interviewing sessions for smoking cessation.
- C. Working with the public health department to restrict smoking in public.
- D. Initiating chair yoga classes for seniors in the community.
Correct answer: C
Rationale: Working with the public health department to restrict smoking in public is an upstream factor that focuses on implementing population-level interventions to prevent health issues such as hypertension. By creating policies to limit smoking in public spaces, it can help reduce the overall exposure to tobacco smoke, thereby positively impacting the health outcomes of adults with hypertension in the community.
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