the client diagnosed with a mild concussion is being discharged from the emergency department which discharge instruction should the nurse teach the c

ATI RN

ATI Community Health Nursing Ch 7

1. The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?

A. Awaken the client every two (2) hours.
B. Monitor for increased intracranial pressure.
C. Observe frequently for hypervigilance.
D. Offer the client food every three (3) to four (4) hours.

Correct answer: A

Rationale: In a client with a mild concussion, it is important to monitor for signs of deterioration, which includes changes in the client's level of consciousness. Waking the client every two hours helps in assessing their neurological status, ensuring they can awaken and respond appropriately. This intervention aids in detecting any worsening symptoms promptly and seeking medical assistance if needed.

2. When assessing a community to determine its health needs, which data would be most useful?

A. Demographic data
B. Health behavior data
C. Environmental data
D. Morbidity and mortality data

Correct answer: D

Rationale: Morbidity and mortality data are essential for assessing the health needs of a community as they provide critical insights into the prevalence of diseases, causes of death, and areas that require intervention. By analyzing morbidity and mortality data, healthcare professionals can identify health trends, prioritize resources, and implement targeted interventions to improve the overall health outcomes of the community.

3. Fee-for-service care is best characterized by which statement:

A. Fees are scaled based on the patient’s ability to pay and are capped.
B. Fees reflect the fair market value of health care services being provided.
C. Adequate fee schedules enable hospitals and clinics to function properly.
D. Fees are not uniform throughout most states as they are fairly unregulated.

Correct answer: D

Rationale: Fee-for-service care is a payment model where providers are paid for each service performed, leading to non-uniform fees that vary by service and provider. This system is not highly regulated, resulting in differing fee structures across states and regions. Therefore, the statement that 'Fees are not uniform throughout most states as they are fairly unregulated' best characterizes fee-for-service care.

4. Malnutrition continues to be a public health concern in the country. The common nutritional deficiencies are the following, except:

A. Vitamin A
B. Iron
C. Iodine
D. Calcium

Correct answer: D

Rationale: The question addresses common nutritional deficiencies, except for one. Vitamin A, Iron, and Iodine are often cited as common deficiencies in populations facing malnutrition. However, Calcium deficiency is not typically considered one of the common nutritional deficiencies in such contexts. Calcium deficiency can occur but is not as prevalent as the other options listed in populations with malnutrition.

5. What is the most effective method for preventing the spread of disease?

A. Hand hygiene
B. Vaccination
C. Quarantine
D. Use of personal protective equipment

Correct answer: A

Rationale: Hand hygiene is considered the most effective method for preventing the spread of diseases. Regular handwashing with soap and water for at least 20 seconds can help remove germs and reduce the risk of infections. While vaccination, quarantine, and the use of personal protective equipment are also important in disease control, hand hygiene is fundamental and easily accessible for everyone to practice in daily life.