ATI Community Practice A - Health Nursing

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Questions and Answers

Which intervention should a nurse recognize as tertiary prevention?

Encouraging regular exercise for a diabetic client

Administering antibiotics to a client who has AIDs and was diagnosed with pneumocytis jirovecii (correct)

Screening for early signs of hypertension

Teaching about healthy eating habits

What is the responsibility of the nurse if a client with stage IV pancreatic cancer chooses to forgo treatment?

Make the hospice referral in accordance with the client's decisions

How is pertussis transmitted?

Individuals transmit the pertussis bacteria through airborne droplets

What primary prevention strategy should a nurse implement for clients experiencing menopause to reduce osteoporosis-related fractures?

Encourage the clients to participate in weight-bearing activities Signup and view all the answers

What activity should be included in a diabetes mellitus educational program using the psychomotor domain?

Observe the client's technique for drawing up insulin Signup and view all the answers

What instruction should be provided when performing the Rinne test?

After I place this tuning fork behind your ear, tell me when you no longer hear the sound. Signup and view all the answers

What indicates effective coping for a client with breast cancer?

Makes eye contact Signup and view all the answers

What should a community health nurse teach a client about active pulmonary tuberculosis regarding disease transmission?

Household members should take isoniazid for at least 6 months Signup and view all the answers

What statement indicates understanding of Lyme disease management?

I can take penicillin for 10-14 days to manage Lyme disease Signup and view all the answers

What is the best action for a nurse to take to advocate for clients unable to afford health insurance?

Work with local health care practitioners to establish a free clinic Signup and view all the answers

What intervention should the nurse identify as secondary prevention for reducing violence?

Recognizing and reporting suspected abuse to the appropriate protective services Signup and view all the answers

Which client should the home health nurse visit first?

A school-aged child who was treated in the emergency department last night for status asthmaticus Signup and view all the answers

What should the nurse take first when developing a plan for a client with a spinal cord injury?

Determine the client's ability to perform self-care Signup and view all the answers

What should a nurse reply to a neighbor asking if their neighbor has TB?

Do you have questions about tuberculosis? Signup and view all the answers

What finding is a risk factor for developing violent behavior?

A client says they were spanked as a child Signup and view all the answers

What indicates that a client with terminal lung cancer is in the denial stage of grief?

I'm looking forward to my daughter's wedding next year. Signup and view all the answers

What health risk information should be obtained with a genogram?

Biological Signup and view all the answers

What indicates understanding of postoperative care for a client who had a total hip replacement?

I will remind my partner to use a walker when moving around the house. Signup and view all the answers

What demographic data should be collected during a community assessment?

Racial distribution Signup and view all the answers

What indicates that a client understands information about palliative care?

This type of care can help me with pain control. Signup and view all the answers

What action should be taken during a health education program for adults?

Provide take-home materials written at a 6th grade level Signup and view all the answers

What should the nurse tell a client recently discharged for alcohol use disorder?

Tell the client to take naltrexone daily. Signup and view all the answers

What statement should a nurse make regarding food safety for an immunocompromised client?

Frozen food should be cooked immediately after it is thawed. Signup and view all the answers

What actions should a nurse include when planning education for a migrant farm worker? (Select all that apply)

Provide environmental health information Signup and view all the answers

What intervention should be included in a visual health program?

Consult with the local school nurse to schedule yearly vision screenings for students Signup and view all the answers

What information should be included in the cultural assessment?

Food preferences Signup and view all the answers

What occupational health risk should a nurse teach farmers about?

Respiratory disorders Signup and view all the answers

Which alternative therapy is contraindicated for a client with cirrhosis?

Kava for a client who has cirrhosis Signup and view all the answers

How should a nurse respond to a client with heart failure who refuses medication?

Can you tell me more about your decision to stop your medicine? Signup and view all the answers

What statement should be included about respiratory syncytial virus (RSV)?

RSV is spread through contact with respiratory secretions from an infected person. Signup and view all the answers

What action should a nurse take for a client diagnosed with influenza type A?

Administer antiviral medication to the clients at the facility. Signup and view all the answers

What should a nurse counsel a client who reports taking ibuprofen daily?

Gastric ulcerations Signup and view all the answers

What finding indicates the greatest risk of partner violence for a client?

The client states they are leaving their partner Signup and view all the answers

What action should a school nurse take for students returning with MRSA?

Provide education about MRSA through the school system. Signup and view all the answers

What indicates a client with alcohol use disorder understands treatment information?

I can expect to get help with other aspects of my life while in treatment. Signup and view all the answers

What should be the first action when developing a community health program?

Determine the need Signup and view all the answers

What modification is needed in a home for an older adult client?

There are two rocking chairs in the living room Signup and view all the answers

What information should be provided in a group session for clients with substance abuse disorders?

Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with developing a daily recovering program. Signup and view all the answers

What is the first action to take when planning a community garden to introduce nutritious food options?

Identify community members who demonstrate an interest in the project Signup and view all the answers

What instruction should be included to prevent the spread of hepatitis A?

Clean your bathroom fixtures with a chlorine bleach solution. Signup and view all the answers

Which condition is included on the Nationally Notifiable Infectious Conditions list?

Varicella Signup and view all the answers

What should the nurse do for a homeless client with hypothermia?

Initiate a referral to the facility's social worker. Signup and view all the answers

What instruction should be given regarding hepatitis C?

Abstain from sexual intercourse until antibody tests are negative. Signup and view all the answers

What should the nurse instruct about ginkgo biloba?

Ginkgo biloba can alter the effects of Warfarin. Signup and view all the answers

What actions should an occupational health nurse take when using an interpreter? (Select all that apply)

Instruct the interpreter to guide the nurse in providing information in a culturally-sensitive manner Signup and view all the answers

What source of carbon monoxide exposure should a nurse include in teaching about environmental health hazards?

Gas ranges Signup and view all the answers

What posture should a school nurse promote to desk workers?

Point and flex your toes periodically. Signup and view all the answers

Which client should be prioritized for triage after an explosion?

A client who has a tracheal deviation and shortness of breath. Signup and view all the answers

What statement indicates that an older adult is adapting to age-related macular degeneration?

I have a prescription bottle magnifier to help me read my pill bottle labels. Signup and view all the answers

What action should a nurse take when administering an immunization to a 5-year-old child?

Ask the child to pretend to blow up a balloon during the injection. Signup and view all the answers

Study Notes

Public Health Nursing Interventions

Tertiary prevention: Administering antibiotics to HIV/AIDS clients with pneumonia.
Hospice care referral: Nurses must respect client decisions regarding forgoing treatment for terminal illnesses.

Health Education and Disease Transmission

Pertussis transmission occurs via airborne droplets.
Tuberculosis exposure: Advise household members to take isoniazid for six months.
Lyme disease management can include a 10-14 day course of penicillin.

Community Health Strategies

Advocate for uninsured clients by establishing a free clinic with local healthcare providers.
Secondary prevention includes recognizing and reporting suspected abuse.
Primary prevention strategy for osteoporosis: Encourage weight-bearing activities.

Understanding Client Coping and Cultural Competency

Effective coping indications include making eye contact with healthcare professionals.
Cultural assessments should include understanding food preferences.

Home Health and Postoperative Care

Evaluate a child's technique for drawing up insulin to support psychomotor learning.
Post-operative care requires clients to use mobility aids like walkers as instructed.
Recommend food safety practices, especially for immunocompromised clients: cook thawed frozen food immediately.

Occupational and Environmental Health Risks

Educate farmers on occupational health risks such as respiratory disorders.
Identify carbon monoxide sources, like gas ranges, as community environmental hazards.

Community Programs and Client Engagement

Developing community health programs requires determining community needs first.
Initiate community gardens by identifying interested members.

Emergency and Triage Situations

Priority in emergencies: Assess breathing difficulties, such as tracheal deviation.
During health screenings, acknowledge adaptations for clients with vision impairments.

Specific Health Conditions and Treatments

Monitor risk factors for violent behavior which may stem from childhood experiences.
Ginkgo biloba can interfere with blood thinners like warfarin; advise caution.

Teaching Strategies for Diverse Populations

Use culturally sensitive methods when engaging interpreters during health education.
Provide health education materials assessed at a 6th-grade reading level to ensure understanding.

Child Health and Vaccination Procedures

Engaging children during immunization: Ask them to pretend to blow up a balloon to distract during the injection.

Client Support and Community Resources

Facilitate Alcoholics Anonymous programs for clients with alcohol addiction.
Counsel clients on maintaining safety in relationships, especially in cases of partner violence.

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Description

Test your knowledge on community health nursing concepts with this ATI Community Practice A quiz. Explore interventions related to tertiary prevention and the care of clients with serious health conditions. Enhance your understanding of nursing practices for diverse patient needs.