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. A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?

A. Reviewing the most recent hospital patient data collected by the local college of nursing
B. Deciding which of several possible new clinic options would be most effective in better meeting the needs of the local community
C. Evaluating the results of the most recent community-wide screening program before planning for the next community health program
D. Giving testimony to the state legislature on a new health and safety bill

Correct answer: A

Rationale: The most easily postponed task among the options provided is reviewing the most recent hospital patient data collected by the local college of nursing. This task focuses on data collection and analysis, which can be delayed without immediate impact on decision-making related to new clinic options, community-wide screening program evaluation, or legislative testimony on health and safety bills.

3. Which action would support health advocacy?

A. Providing health education to policymakers
B. Conducting community health assessments
C. Organizing community health fairs
D. Monitoring health outcomes

Correct answer: A

Rationale: Health advocacy involves engaging with policymakers to influence decisions that impact public health. By providing health education to policymakers, individuals can advocate for policies and initiatives that promote public health and address community needs effectively.

4. Which is a key component of program evaluation in community health?

A. Identifying program goals and objectives
B. Ensuring program sustainability
C. Monitoring program implementation
D. Evaluating health outcomes

Correct answer: D

Rationale: Evaluating health outcomes is a crucial component of program evaluation in community health. It allows for assessing the effectiveness of the program and identifying areas that require improvement. By analyzing health outcomes, organizations can determine the impact of their interventions and make data-driven decisions to enhance community health initiatives.

5. Which of the following is NOT a part of the community assessment process?

A. Identifying available resources such as time, money, and team skills
B. Setting action priorities based on the needs of the community and available resources
C. Withholding results from the community until they can be statistically confirmed to avoid alarming people
D. Collecting and analyzing information

Correct answer: C

Rationale: In the community assessment process, it is essential to involve the community and share information transparently. Withholding results until they are statistically confirmed can lead to misinformation or unnecessary delays in addressing community needs. Therefore, option C, which suggests withholding results, is NOT a standard practice in the community assessment process.