ATI RN
ATI Community Health Nursing Ch 9
1. Why is cultural competence important in health promotion?
- A. Ensuring that health messages are tailored to diverse populations
- B. Providing translation services for non-English speakers
- C. Training health workers on cultural sensitivity
- D. Standardizing health education materials
Correct answer: A
Rationale: Cultural competence in health promotion is crucial as it involves tailoring health messages to suit the diverse cultural backgrounds of populations. This ensures that the information provided is not only relevant but also effectively communicated to different groups, promoting better health outcomes and reducing disparities.
2. A client takes an antidepressant and oral contraceptives. Which herbal supplement should the nurse educate the client about as a potential drug-herb interaction?
- A. Iron supplement
- B. Garlic
- C. Green tea
- D. St. John’s Wort
Correct answer: D
Rationale: St. John’s Wort is the correct answer because it can interact with antidepressants and oral contraceptives, potentially affecting their efficacy. Iron supplement, garlic, and green tea do not typically interact with antidepressants or oral contraceptives to the same extent as St. John’s Wort.
3. A nurse is caring for a client who is receiving parenteral nutrition. Which of the following findings indicates the therapy is effective?
- A. Client has soft, formed bowel movements.
- B. Client’s mucous membranes are pink.
- C. Client reports ability to complete ADLs.
- D. Client’s blood glucose level is within the expected reference range.
Correct answer: D
Rationale: The correct answer is D because having a blood glucose level within the expected reference range indicates that parenteral nutrition is effectively meeting the client's nutritional needs. Choices A, B, and C are incorrect because soft, formed bowel movements, pink mucous membranes, and the ability to complete activities of daily living do not directly reflect the effectiveness of parenteral nutrition therapy.
4. A patient who is receiving methotrexate for severe rheumatoid arthritis develops a megaloblastic anemia. The nurse will anticipate teaching the patient about increasing oral intake of
- A. iron.
- B. folic acid.
- C. cobalamin (vitamin B12).
- D. ascorbic acid (vitamin C).
Correct answer: C
Rationale: The correct answer is C: cobalamin (vitamin B12). Methotrexate can lead to a deficiency in cobalamin, resulting in megaloblastic anemia. Therefore, increasing the oral intake of cobalamin is essential to address this deficiency. Choice A, iron, is incorrect because megaloblastic anemia caused by methotrexate is not typically due to iron deficiency. Choice B, folic acid, is also incorrect as methotrexate does not directly cause folic acid deficiency. Choice D, ascorbic acid (vitamin C), is incorrect as it is not directly related to megaloblastic anemia caused by methotrexate; instead, cobalamin is the key vitamin that needs attention.
5. What is a surgical procedure to remove one of the lobes of the lungs, often performed to treat lung cancer?
- A. Lobectomy
- B. Pneumonectomy
- C. Thoracotomy
- D. Tracheostomy
Correct answer: A
Rationale: A lobectomy is the correct answer. This surgical procedure involves removing one of the lobes of the lungs, commonly done to treat lung cancer or other serious lung ailments. Choice B, pneumonectomy, involves the complete removal of a lung, not just a lobe. Choice C, thoracotomy, is a surgical incision into the chest wall and is not specific to removing a lung lobe. Choice D, tracheostomy, is the creation of an opening in the windpipe to assist with breathing and is unrelated to lung lobe removal.
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