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. Which best describes a community-based participatory approach to health?
- A. Engaging community members in the planning process
- B. Conducting research on community health issues
- C. Implementing health policies
- D. Focusing on individual health behaviors
Correct answer: A
Rationale: A community-based participatory approach involves engaging community members in the planning and implementation of health initiatives. This approach values the active involvement of community members in decision-making processes related to health programs and initiatives, emphasizing collaboration and shared decision-making between community members and health professionals.
3. Which action is an example of primary prevention?
- A. Administering immunizations to prevent disease
- B. Providing treatment for acute illnesses
- C. Conducting health screenings
- D. Offering rehabilitation services
Correct answer: A
Rationale: Administering immunizations to prevent disease is a clear example of primary prevention. Primary prevention focuses on preventing diseases before they occur by implementing measures such as vaccinations to reduce the risk of illness in individuals and communities.
4. Donna needs further teaching about the use of partograph if she said to her CI that:
- A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
- B. I can use the partograph in all pregnant women.
- C. I will plot the cervical dilatation using 'x'.
- D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.
Correct answer: B
Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.
5. Which of the following is used to monitor specific groups eligible for a certain program of the DOH?
- A. Family treatment record
- B. Target Client list
- C. Reporting forms
- D. Output record
Correct answer: B
Rationale: The Target Client List is specifically designed to monitor and track specific groups that are eligible for the programs offered by the DOH. This list helps in identifying and managing the individuals or populations that qualify for specific services or interventions, ensuring that resources are allocated efficiently and effectively to those who meet the eligibility criteria.
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