ATI LPN
ATI Proctored Community Health
1. Which of the following is an example of a waterborne disease?
- A. Hepatitis A
- B. Influenza
- C. Measles
- D. Tuberculosis
Correct answer: A
Rationale: Hepatitis A is a waterborne disease caused by a virus that can be transmitted through contaminated water or food. Ingestion of even microscopic amounts of fecal matter from an infected person can lead to infection. It is important to practice good hygiene and ensure water sources are clean to prevent the spread of Hepatitis A.
2. Which assessment finding best supports dissociative fugue?
- A. The patient states that he cannot remember important information about himself.
- B. The patient is found to be wandering in a park and cannot remember his name or where he lives.
- C. The patient reports feeling as if she is outside her body and observing herself from a distance.
- D. The patient has a sudden onset of symptoms after experiencing a traumatic event.
Correct answer: B
Rationale: The key feature of dissociative fugue is sudden, unexpected travel away from home during which the individual may not be able to recall their identity or past events. Choice B best reflects this by describing a scenario where the patient is found wandering in a park and unable to remember their name or residence, which aligns with the characteristic dissociative amnesia seen in dissociative fugue. Choices A, C, and D do not directly support dissociative fugue. Choice A refers more to general dissociative amnesia, Choice C describes depersonalization/derealization disorder, and Choice D suggests acute stress reaction rather than dissociative fugue.
3. The client has atrial fibrillation and is receiving warfarin (Coumadin) therapy. Which laboratory test should be monitored to evaluate the effectiveness of the warfarin therapy?
- A. Prothrombin time (PT) and international normalized ratio (INR)
- B. Activated partial thromboplastin time (aPTT)
- C. Complete blood count (CBC)
- D. Fibrinogen levels
Correct answer: A
Rationale: Monitoring the Prothrombin time (PT) and international normalized ratio (INR) is crucial for assessing the effectiveness of warfarin therapy. These tests help determine the clotting ability of the blood and ensure that the client is within the desired therapeutic range to prevent clotting events or bleeding complications. Activated partial thromboplastin time (aPTT) (Choice B) is more commonly used to monitor heparin therapy, not warfarin. Complete blood count (CBC) (Choice C) and fibrinogen levels (Choice D) do not directly assess the effectiveness of warfarin therapy in the same way that PT and INR do.
4. The end products of digestion of macronutrients include fatty acids, amino acids, and:
- A. monosaccharides.
- B. polysaccharides.
- C. enzymes.
- D. cholesterol.
Correct answer: A
Rationale: The correct answer is A: monosaccharides. When macronutrients like carbohydrates are digested, they are broken down into simpler forms. Carbohydrates are broken down into monosaccharides, proteins into amino acids, and fats into fatty acids. Therefore, the end products of carbohydrate digestion are monosaccharides. Choices B, C, and D are incorrect because polysaccharides are larger carbohydrate molecules, enzymes are not the end products of digestion but rather aid in the process, and cholesterol is not a direct end product of macronutrient digestion.
5. According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement?
- A. The community health nurse continuously develops personally and professionally.
- B. Health education and community organizing are essential in providing community health services.
- C. Community health nursing primarily focuses on health promotion, prevention, and treatment of disease.
- D. The goal of community health nursing is to provide nursing services to people in their own place of residence.
Correct answer: B
Rationale: Freeman and Heinrich highlight that community health nursing involves developing the health capability of individuals through health education and community organizing activities. These components are crucial in addressing the health needs of the community and empowering individuals to lead healthier lives. Therefore, choice B, emphasizing the importance of health education and community organizing in providing community health services, best illustrates the developmental nature of community health nursing as described by Freeman and Heinrich.
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