ATI RN
ATI Community Health Nursing Ch 7
1. Which is a key component of the chronic care model?
- A. Implementing community health education programs
- B. Improving access to care for all individuals
- C. Increasing funding for health care services
- D. Coordinating care across different health care settings
Correct answer: A
Rationale: A key component of the chronic care model involves implementing community health education programs. These programs are essential for supporting self-management among individuals with chronic conditions and have been shown to improve health outcomes by empowering patients with the knowledge and skills needed to manage their conditions effectively.
2. Which best describes an example of health advocacy?
- A. Educating policymakers about health issues
- B. Providing direct patient care
- C. Organizing community health fairs
- D. Developing new health technologies
Correct answer: A
Rationale: The correct answer is A: 'Educating policymakers about health issues.' Health advocacy involves advocating for improved health outcomes by influencing policy changes through educating policymakers about health issues. This can lead to systemic changes that benefit public health on a broader scale. Providing direct patient care (Choice B) is important but falls under healthcare delivery rather than advocacy. Organizing community health fairs (Choice C) is a community health promotion activity rather than advocacy. Developing new health technologies (Choice D) is related to innovation and research, not advocacy efforts focused on policy change.
3. The C/PHN is supporting legislation that seeks tighter gun control laws in New York State. The nurse knows that a significant challenge to getting legislation passed relates to which of the following:
- A. A lack of interest in this topic by many citizens of the state.
- B. An inability to gather statistics to understand the magnitude of the problem.
- C. Special interest groups that exert influence on legislators.
- D. The idea that gun violence is not a significant public health concern in the US.
Correct answer: C
Rationale: Special interest groups often exert significant influence on legislators, making it challenging to pass tighter gun control laws. These groups may lobby against such legislation, impacting the decision-making process of lawmakers. This influence can hinder the progress of bills related to gun control, despite potential public support or health implications.
4. Which action demonstrates primary prevention?
- A. Administering immunizations
- B. Screening for early signs of disease
- C. Providing rehabilitation services
- D. Offering smoking cessation programs
Correct answer: A
Rationale: Administering immunizations is a prime example of primary prevention because it focuses on preventing diseases before they occur. By administering vaccines, individuals are protected from various infectious diseases, thereby reducing the risk of illness and transmission to others. This proactive approach aligns with the primary prevention goal of promoting health and preventing the onset of diseases.
5. What procedure is performed prior to a blood transfusion to detect incompatibilities?
- A. Grouping and crossmatching
- B. Complete blood count
- C. D-dimer test
- D. Blood clotting test
Correct answer: A
Rationale: Grouping and crossmatching is the procedure performed prior to a blood transfusion to determine the blood type and identify any potential incompatibilities between the donor and recipient. This process involves testing the recipient's blood for ABO and Rh antigens and crossmatching it with the donor's blood to ensure compatibility and prevent adverse reactions during the transfusion. Complete blood count, D-dimer test, and blood clotting test are other laboratory tests that serve different purposes and are not specifically done to detect incompatibilities prior to blood transfusion.
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