ATI RN
ATI Community Health Nursing Ch 9
1. What is a critical element of a community health assessment?
- A. Engaging community members in the assessment process
- B. Collecting national health statistics
- C. Reviewing health policies
- D. Analyzing laboratory results
Correct answer: A
Rationale: Engaging community members in the assessment process is crucial as it ensures that the assessment captures the diverse needs and perspectives of the community. By involving community members, the assessment becomes more comprehensive, relevant, and effective in addressing the specific health issues and priorities of the community.
2. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT
- A. Chest indrawing should be present at all times
- B. The lower chest wall does not move in when the child breathes in
- C. The lower chest moves in when the child breathes in
- D. The child should be calm
Correct answer: A
Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.
3. Garantisadong Pambata (GP) or Child Health Week is the approach adopted to provide micronutrient supplements to 6-71-month-old preschoolers on a nationwide scale. This involves twice a year distribution of:
- A. Retinol
- B. Iron
- C. Iodine
- D. Calcium
Correct answer: A
Rationale: During Child Health Week, retinol (vitamin A) is distributed to preschoolers. Vitamin A supplementation is crucial for maintaining good vision, boosting the immune system, and supporting overall growth and development in children.
4. As a community health nurse covering a cluster of Barangays, your population coverage includes the following:
- A. Families in their homes, school population, workers in factories
- B. All except workers in factories
- C. Families in their homes, school population, workers in factories, patients in hospitals
- D. All except patients in hospitals
Correct answer: D
Rationale: As a community health nurse focusing on a cluster of Barangays, the primary population coverage typically includes families in their homes, school populations, and workers in factories. Patients in hospitals are usually under the care of hospital healthcare providers, not community health nurses. The main role of community health nurses is to provide healthcare services and education within the community and public health settings, rather than hospitals.
5. Identify the etiologic or causal statement component of the following community diagnosis: 'There is an increased risk for undetected testicular cancer among young men related to insufficient knowledge about the disease and the methods for preventing and detecting it at an early stage as demonstrated by high rates of late initiation of treatment.'
- A. Risk for undetected testicular cancer
- B. Young men
- C. Insufficient knowledge about the disease and methods of prevention
- D. High rates of late initiation of treatment
Correct answer: C
Rationale: The etiologic or causal statement in the community diagnosis is the part that explains the cause of the increased risk for undetected testicular cancer among young men. In this scenario, the insufficient knowledge about the disease and methods of prevention is the cause identified as contributing to the high rates of late initiation of treatment. It is important to identify the root cause to develop effective interventions and strategies to address the issue.
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