ATI RN
ATI Community Health Nursing Ch 7
1. Which is an example of tertiary prevention?
- A. Providing rehabilitation services
- B. Diagnosing and treating disease
- C. Health education to prevent complications
- D. Screening for complications
Correct answer: A
Rationale: Tertiary prevention aims to manage long-term health problems and prevent complications in individuals who already have a disease or condition. Providing rehabilitation services falls under tertiary prevention as it helps individuals recover and improve their quality of life after the initial treatment of a health issue.
2. A client who has ulcerative colitis has persistent diarrhea. He is thin and has lost 12 pounds since the exacerbation of his ulcerative colitis. The nurse should anticipate that the physician will order which of the following treatment approaches to help the client meet his nutritional needs?
- A. Initiate continuous enteral feedings
- B. Encourage a high protein, high-calorie diet
- C. Implement total parenteral nutrition
- D. Provide six small meals a day.
Correct answer: C
Rationale: Implementing total parenteral nutrition helps meet the nutritional needs of a client with persistent diarrhea and significant weight loss due to ulcerative colitis.
3. An appropriate nursing diagnosis for clients in the acute manic phase of bipolar disorder is:
- A. Risk for injury directed to self
- B. Risk for injury directed to others
- C. Impaired nutrition less than body requirements
- D. Ineffective individual coping
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
4. In patients receiving chemotherapy, which nutrient is often supplemented to manage mucositis?
- A. Vitamin E
- B. Vitamin B12
- C. Zinc
- D. Calcium
Correct answer: C
Rationale: Zinc supplementation is often used to manage mucositis in patients receiving chemotherapy. Zinc has been shown to aid in the healing process of mucositis. Vitamin E (Choice A) is not typically used to manage mucositis associated with chemotherapy. Vitamin B12 (Choice B) is essential for nerve function and the formation of red blood cells, but it is not primarily used to manage mucositis. Calcium (Choice D) is important for bone health and nerve function but is not specifically used to manage mucositis.
5. What is the best way to prevent transmission of infectious agents?
- A. Take antibiotics daily
- B. Call the practitioner for herbal supplements
- C. Wash hands
- D. Avoid public areas as much as possible
Correct answer: C
Rationale: The correct answer is C: Wash hands. Washing hands is the most effective way to prevent the transmission of infectious agents. Antibiotics are not effective in preventing infections, and their overuse can lead to antibiotic resistance. Calling a practitioner for herbal supplements is not a primary method for preventing the transmission of infectious agents. Avoiding public areas entirely is impractical and not as effective as proper hand hygiene.
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