ATI RN
ATI Community Health Nursing Ch 7
1. Which strategy is most effective in improving health literacy among patients?
- A. Using clear and simple language in communication
- B. Providing health education sessions
- C. Offering one-on-one counseling
- D. Distributing written materials
Correct answer: A
Rationale: The most effective strategy in improving health literacy among patients is using clear and simple language in communication. Clear and simple language helps ensure that patients can easily understand health information, leading to better comprehension, decision-making, and health outcomes.
2. Which level nursery classifications are housed in institutions that can provide on-site surgical repair of serious congenital or acquired malformations?
- A. Level III
- B. Level I
- C. Level IV
- D. Level II
Correct answer: C
Rationale: The correct answer is C: Level IV. Level IV nurseries are equipped to provide the highest level of care, including complex surgical interventions for serious congenital or acquired malformations. These nurseries have the necessary resources and expertise to manage critical cases effectively. Choice A: Level III nurseries provide advanced care for moderately ill newborns but may not have the capacity for on-site surgical repair of serious malformations. Choice B: Level I nurseries offer basic care for healthy newborns and those with minor issues, lacking the resources for surgical interventions. Choice D: Level II nurseries can manage moderately ill newborns but may not have the capability for complex surgical interventions like Level IV nurseries.
3. Mr. Bruno asks what the “normal†allowable salt intake is. Your best response to Mr. Bruno is:
- A. 1 tsp of salt/day with iodine and sprinkle of MSG
- B. 5 gms per day or 1 tsp of table salt/day
- C. 1 tbsp of salt/day with some patis and toyo
- D. 1 tsp of salt/day but no patis and toyo
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. A nurse is providing discharge instructions to a client who has a new prescription for codeine for cough suppression. What is the priority instruction?
- A. Avoid driving
- B. Drink plenty of fluids
- C. Move slowly when standing up
- D. Take with food
Correct answer: C
Rationale: The correct answer is to instruct the client to 'Move slowly when standing up.' Codeine can cause orthostatic hypotension, a drop in blood pressure when changing positions, leading to dizziness or fainting. By advising the client to move slowly when standing up, the nurse helps prevent falls or injuries due to sudden drops in blood pressure. Choices A, B, and D are important instructions as well but not the priority when considering the risk of orthostatic hypotension associated with codeine.
5. A nurse is providing discharge teaching to a client who is starting to take carbidopa/levodopa to treat Parkinson's disease. Which of the following instructions should the nurse include in the teaching?
- A. This medication can cause your urine to turn a dark color.
- B. Expect immediate relief after taking this medication.
- C. Take the medication with a high protein food.
- D. Skip a dose of the medication if you experience dizziness.
Correct answer: A
Rationale: The correct instruction to include in the teaching is that carbidopa/levodopa can cause the client's urine to turn a dark color, which is a harmless effect. It is crucial for the nurse to educate the client about this common side effect. Choice B is incorrect because immediate relief is not expected; therapeutic effects may take weeks to months. Choice C is incorrect as carbidopa/levodopa should be taken on an empty stomach to enhance absorption. Choice D is incorrect as the client should not skip doses without consulting their healthcare provider, even if they experience dizziness.
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