one of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about
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Nursing Elites

ATI RN

ATI Community Health Proctored Exam 2019

1. One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):

Correct answer: D

Rationale: A windshield survey involves observations made from a moving vehicle, allowing the community health nurse to gather information about the community's physical and social environment without direct interaction. This method helps in understanding the community's resources, potential hazards, and overall characteristics, which are essential for planning and implementing effective community health interventions.

2. Which best describes an effective approach to community health assessment?

Correct answer: C

Rationale: Engaging community members in the assessment process is crucial for an effective community health assessment. By involving community members, the assessment becomes more comprehensive, inclusive, and reflective of the actual needs and priorities of the community. This approach helps in gathering insights, perspectives, and first-hand experiences that may not be captured through standardized tools or data analysis alone. Community engagement fosters trust, collaboration, and empowerment within the community, leading to more meaningful and sustainable health interventions.

3. How do social determinants impact health?

Correct answer: A

Rationale: Social determinants play a significant role in impacting health by directly influencing health behaviors and outcomes. These determinants include factors such as socioeconomic status, education, neighborhood, and access to healthcare, which shape the conditions in which individuals live, work, and age, ultimately affecting their health status.

4. Which of the following is an indication for tracheostomy?

Correct answer: D

Rationale: Tracheostomy is a surgical procedure where an incision is made in the windpipe to help with breathing. Acute respiratory failure, which can occur due to various reasons such as upper airway obstruction, is a common indication for tracheostomy. While drainage of pleural effusion, hemorrhage, and infections may require medical intervention, they are not direct indications for a tracheostomy like acute respiratory failure.

5. The appropriate order of steps in active management of the third stage of labor include:

Correct answer: C

Rationale: Intramuscular injection of oxytocin, controlled cord traction with counter traction to the uterus, and uterine massage are the appropriate steps in active management of the third stage of labor.

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