the steps in the community assessment process for community health nurses are select all that apply

ATI RN

ATI Community Health Proctored Exam 2019

1. What are the steps involved in the community assessment process for community health nurses? (Select all that apply.)

A. Writing a community diagnosis
B. Evaluating the outcomes
C. Collecting assessment data
D. Identifying the cause of the problem, planning community interventions

Correct answer: D

Rationale: The steps in the community assessment process for community health nurses involve collecting assessment data, identifying the cause of the problem, and planning community interventions. These steps are crucial for a comprehensive assessment and effective intervention planning in community health nursing.

2. Which fluid is used in the management of gastrointestinal tract (GIT) loss and burns?

A. Ringer's lactate
B. Normal saline
C. Dextrose
D. Blood

Correct answer: A

Rationale: Ringer's lactate is the preferred fluid for managing gastrointestinal tract (GIT) losses and burns due to its balanced electrolyte composition. It helps replace lost fluids and electrolytes, making it an ideal choice for resuscitation in such scenarios. Normal saline is commonly used for volume resuscitation but may not be the best choice for these specific conditions. Dextrose is a source of glucose and is not typically used as the primary fluid for GIT losses and burns. Blood transfusion is indicated for specific situations like severe hemorrhage or anemia but is not the primary fluid for GIT losses and burns.

3. Which of the following is the best intervention for a client with less than 6 months to live who is seeking comfort care?

A. Set up a meeting with the hospice team
B. Arrange a meeting with the client’s family
C. Discuss advance directives (DNR & living will) with the patient
D. Ask the provider to decrease the patient’s heart medications

Correct answer: A

Rationale: Setting up a meeting with the hospice team is the most appropriate intervention for a client with less than 6 months to live who is seeking comfort care. Hospice care focuses on providing comfort and support for individuals with terminal illnesses. By involving the hospice team, the client can receive specialized care aimed at improving their quality of life and managing symptoms effectively during this challenging time.

4. What is a primary responsibility of a community health nurse?

A. Providing direct patient care
B. Conducting health education sessions
C. Advocating for policy changes
D. Developing health policies

Correct answer: C

Rationale: A primary responsibility of a community health nurse is advocating for policy changes that positively impact health outcomes within the community. By advocating for policy changes, community health nurses can address social determinants of health and help create sustainable improvements in the overall health and well-being of the community.

5. How should contaminated instruments used during delivery be handled?

A. Wash with soap and water and soak in 0.5% chlorine solution for 10 minutes
B. Soak in 0.5% chlorine solution for 30 minutes
C. Wash with soap and water and boil for 2 hours
D. Soak in 0.5% chlorine solution for 10 minutes

Correct answer: B

Rationale: When dealing with contaminated instruments used during delivery, it is crucial to soak them in a 0.5% chlorine solution for 30 minutes to ensure proper disinfection. This practice helps eliminate potential pathogens and ensures the safety of both the healthcare provider and the patient.