ATI Community Health Final Exam Questions and Answers Graded A+

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ATI Community Health Final Exam Questions and Answers Graded A+ A community health nurse is planning a presentation for adults who have a family history of Alzheimers. Which of the following behavi... ors should the RN include as an early manifestation of Alzhemiers disease? -✔✔ A) Withdrawal from social activities (Later manifestations) B) Forgetting the location of common objects C) Experiencing incontinence (Later manifestations) D) Neglecting personal hygiene (Later manifestations) B A community health nurse identifies as increase in the occurence of osteoporosis-related fractures in women experiencing menopause. Which of the following primary prevention strategies should the nurse implement? -✔✔ A) Advise the women to keep their immunizations updated. B) Encourage the women to participate in weight-bearing activities. C) Educate the women about the importance of limiting sun exposure D) Instruct at-risk women to increase their intake of foods high in vitamin E. B What is the role of an occupational health nurse? -✔✔ They can plan workplace safety training for employees in a local factory. What is the role of a faith community nurse? -✔✔ They can facilitate substance abuse support groups. Methods to yield direct data: -✔✔ -Informant interviews - Methods to yield secondary data: -✔✔ -Health surveys -Medical records -Vital statistics (morbidity/ mortality) Education for a family who lives in a housing development built in 1968 regarding lead exposure: -✔✔ Children will need increased amounts of iron (red meat) and milk (calcium) to prevent lead absorption from their environment. The client should wet mop wood floors, use wet-sanding techniques and use cold tap water to prepare formula because hot water dissolves lead more quickly from the pipe. A community health RN is participating in a quality improvement plan for a local health department. Which following techniques should the RN use for process evaluation of the facility? -✔✔ -Focus Groups -Written audits -Satisfaction survey -Interviews What is a manifestation of primary syphilis? What are secondary manifestations? -✔✔ -Chancre. -Maculpapular rashes on the palms and soles of feet, Malaise, Lympadenopathy A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. What action should the RN do FIRST? -✔✔ Help the client obtain a provider for prenatal care. Signs of an older adult being neglected: -✔✔ -Weight loss and malnourishment -Taking outdated prescriptions -Lack of access to basic necessities such as food and water. A 16 year old who has a new dx of human papillomavirus should be instructed to: -✔✔ apply imiquimod 5% cream to the lesions at bedtime for up to 16 weeks. What should the nurse administer ceftriaxone to a client for? -✔✔ Gonorrhea What will prevent the spread of MRSA? -✔✔ Appropriate hand hygiene and self-care. What can a client take who has Lyme Disease? How is Lyme disease spread? What are the manifestations? -✔✔ Penicillin or Tetracycline therapy for 10-14 days in the early stages. A bite of an infective ixodid tick. mild flu like symptoms such as fever, fatigue and malaise. Manifestations of E.Coli? -✔✔ abdominal pain and diarrhea. Dietary teachings to student in high school: -✔✔ -Consume 1,300 mg/day of dietary calcium. -Decrease their consumption of foods that contain refined grains. -Consume less than 300 mg/day of dietary cholesterol. -Consume less than 10% of their daily calories from saturated fatty acids. Teachings for a client who has a newly dx of Hep. C: -✔✔ Abstain from sex until antibody tests are negative. Eat a diet high in carbs and calories. What is a sign of future abuse of an unborn child for a woman who is 28 weeks pregnant? -✔✔ Frequently changing health care providers because it can indicate the client is in an abusive relationship and attempting to hide from her provider. Clients who experience abuse are: -✔✔ At higher risk for abusing their own children. What is an interaction with ginko bilboa? -✔✔ Watfarin. It can hinder coagulation. A Rn developing a genogram will expect to obtain what with this tool? -✔✔ Biological risk factors as a family genogram tracks the incidence of disease over multiple generations. What will a lifestyle risk assessment help you obtain? -✔✔ Information regarding behavioral risks, including personal and family health habits. To obtain information regarding social risks, including living in high stress environments like a high crime neighborhood, what would you need to conduct? -✔✔ An Environmental risk assessment. You can also use this risk assessment to obtain information regarding economic risks. Adverse effects of ibuprofen: -✔✔ -Gastric ulcerations -Tachycardia and dysthymias -Hypoglycemia -Oliguria, dysuria and hematuria Child abuse is very common in homes where: -✔✔ Intimate partner abuse is present. What is Naltrexone prescribed for? -✔✔ To assist the clients with alcohol withdrawal and prevent relapse. When should pregnant women receive the Tdap vaccine? -✔✔ between 27 and 36 weeks gestation. At what grade level should any health information of written materials be written in? -✔✔ A 6th grade level or lower. Education for a client with COPD: -✔✔ -Limit fluids at meal time. -Consume eggs as they provide protein. -Use milk when preparing canned soup to increase intake of protein and calories.. Ethnocentrism occurs when: -✔✔ People view the world from the perspective of their own cultural background and viewpoint. Cultural imposition: -✔✔ The process of forcing one group's cultural beliefs on others. Social organization: -✔✔ Pattern of relationships among a cultural group and how that group structures itself to carry out role functions. Stereotyping: -✔✔ Occurs when members of a culture are viewed according to perceived characteristics without considering individual differences. What is the leading cause of death among adolescents? -✔✔ Automobile crashes so safety belt use is extremely important to teach. A community health nurse is assessing a group of clients for risk factors of abusive behaviors. Which of the following findings should the RN identify as a risk factor for developing violent behaviors? -✔✔ A: Client states he witnessed his mother physically mistreat his father. B: Client states that her mother-in-law provides childcare while she is working. C: A client participates in volunteer activities in the community. D: A client lives in the same neighborhood where he spent his childhood years. A. Rationale: Clients who have prior exposure to violence have greater potential for continuing the violent and abusive behaviors. The others support and protect against developing violent behaviors. Community-Oriented approaches: -✔✔ Community-based approaches: -✔✔ Rinne test: -✔✔ Place tuning fork behind the ear and tell the client to state when they can no longer hear the sound. Weber test: -✔✔ Place tuning fork on scalp and ask them to tell you if you hear any sound is better in one ear or in both ears. Where is the smallpox rash expected to first appear: -✔✔ ON the face. [Show More]

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