ATI LPN
ATI Proctored Community Health
1. Which of the following is a key principle of Primary Health Care (PHC)?
- A. Centralized health planning
- B. Community participation
- C. Focus on specialized care
- D. High technology healthcare
Correct answer: B
Rationale: Community participation is a fundamental principle of Primary Health Care (PHC) as it involves the active involvement of individuals, families, communities, and organizations in the planning and delivery of healthcare services. This ensures that services are culturally appropriate, accessible, and acceptable to the community, leading to better health outcomes.
2. What is the primary purpose of conducting an epidemiologic investigation?
- A. Delineate the etiology of the epidemic
- B. Encourage cooperation and support of the community
- C. Identify groups at risk of contracting the disease
- D. Identify the geographical locations of disease cases in the community
Correct answer: A
Rationale: The primary purpose of conducting an epidemiologic investigation is to delineate the etiology of the epidemic, which involves identifying the cause or origin of the disease outbreak. This process helps in understanding how the disease spreads, its risk factors, and developing strategies for control and prevention.
3. When preparing a primigravida for breastfeeding, which of the following will you do?
- A. Explain that lactation usually begins 1 to 3 days after delivery
- B. Teach her nipple stretching exercises if her nipples are flat or inverted
- C. Advise against washing her nipples excessively before and after each breastfeeding
- D. Inform her that putting the baby to breast can help reduce post-delivery blood loss
Correct answer: D
Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.
4. What is an advantage of conducting a home visit?
- A. It enables the nurse to provide nursing care to a greater number of people
- B. It provides an opportunity to conduct a firsthand appraisal of the home situation
- C. It allows sharing of experiences among people with similar health problems
- D. It fosters the family’s initiative in providing for the health needs of its members
Correct answer: B
Rationale: Conducting a home visit provides an opportunity to conduct a firsthand appraisal of the home situation. This allows healthcare professionals to observe the living conditions, identify potential health hazards, and tailor care plans to the individual's environment. It helps in gaining a better understanding of the patient's lifestyle, social support, and resources available at home, leading to more personalized and effective care.
5. Which numerator is used in computing the general fertility rate?
- A. Estimated midyear population
- B. Number of registered live births
- C. Number of pregnancies in the year
- D. Number of females of reproductive age
Correct answer: B
Rationale: The general fertility rate is calculated by dividing the number of registered live births by the number of females of reproductive age (usually 15-45 years) and then multiplying the result by 1,000. This rate helps in understanding the average number of live births a woman in a specific population is expected to have during her reproductive years.
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