ATI RN
ATI Community Health Nursing Ch 7
1. You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?
- A. Assessing for allergies
- B. Conducting the Time Out
- C. Ensuring that informed consent is signed
- D. Ensuring that the history and physical examination have been completed
Correct answer: B
Rationale: Conducting the Time Out is a crucial safety step that occurs immediately before the start of the procedure, but it is not usually part of the preoperative checklist. The Time Out involves verifying patient identity, correct procedure, correct site, and addressing any concerns or questions with the surgical team before proceeding. The other options, such as assessing for allergies, ensuring informed consent, and completing the history and physical examination, are typically included in the preoperative checklist to ensure patient safety and readiness for surgery.
2. What is a common barrier to effective health education?
- A. Lack of funding for educational programs
- B. Cultural differences
- C. Complex medical terminology
- D. Resistance to behavior change
Correct answer: D
Rationale: Resistance to behavior change is a common barrier to effective health education because individuals may be resistant or hesitant to change their behaviors even when presented with health education interventions.
3. After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?
- A. Apply warm blankets & continue oxygen as prescribed
- B. Take the patient's rectal temperature
- C. Page the doctor for further orders
- D. Adjust the thermostat in the room
Correct answer: A
Rationale: When a patient starts shivering uncontrollably after surgery, the priority nursing intervention is to apply warm blankets and continue oxygen as prescribed. Shivering can be a sign of hypothermia, and maintaining the patient's body temperature is crucial for their recovery. This intervention helps prevent further heat loss and supports the patient's comfort and safety. While monitoring temperature, paging the doctor, and adjusting the room temperature may be necessary, addressing the immediate need for warmth and oxygen is the priority in this situation.
4. What is the term for the first contact between community members and other levels of health facilities?
- A. Secondary level health care
- B. Tertiary level of care
- C. Primary health care
- D. Intermediate level of care
Correct answer: C
Rationale: Primary health care is the initial point of contact between community members and higher levels of health facilities. It focuses on providing essential, accessible, and affordable health care services to individuals and communities. Primary health care plays a crucial role in promoting health, preventing diseases, and managing common health problems, making it an integral part of the healthcare system.
5. Which is an example of tertiary prevention?
- A. Providing rehabilitation services
- B. Diagnosing and treating disease
- C. Health education to prevent complications
- D. Screening for complications
Correct answer: A
Rationale: Tertiary prevention aims to manage long-term health problems and prevent complications in individuals who already have a disease or condition. Providing rehabilitation services falls under tertiary prevention as it helps individuals recover and improve their quality of life after the initial treatment of a health issue.
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