which is an example of a community level intervention

ATI RN

ATI Community Health Nursing Ch 7

1. Which is an example of a community-level intervention?

A. Developing health policies
B. Conducting health education programs
C. Offering immunizations at a local clinic
D. Implementing community-wide health campaigns

Correct answer: D

Rationale: Implementing community-wide health campaigns is the correct answer as it involves interventions that target the entire community to address health issues on a broader scale. These campaigns aim to promote health and well-being across various segments of the community by implementing strategies that can reach a larger population and have a significant impact on public health outcomes.

2. 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.

3. What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?

A. Bronchoscopy
B. Tracheostomy
C. Thoracentesis
D. Underwater seal drainage

Correct answer: B

Rationale: Tracheostomy is the process of surgically creating an airway in the front of the neck to aid in breathing or remove secretions from the airway. Bronchoscopy involves visualizing the airways using a scope, not creating an airway. Thoracentesis is the procedure to remove fluid or air from the pleural space around the lungs, not related to creating an airway. Underwater seal drainage is a method used in chest drainage systems to remove air or fluid from the pleural space, not the creation of an airway.

4. The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:

A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
C. I collaborated with the social work services team when I noted that my patient was unhoused.
D. I taught the newly pregnant mom about necessary vaccinations to have at this time.

Correct answer: C

Rationale: Collaborating with social work services is a form of delegation, ensuring that clients receive comprehensive care.

5. When assisting clients in changing their behavior, what would be the most effective approach?

A. Counseling through the Ask, Advise, Assess, Assist, and Arrange approach
B. Encouraging them to interact with others who also need to change their behavior
C. Showing them how the inappropriate behavior is hurting their friends and family
D. Using subtle rewards when small steps are taken toward the appropriate behavior

Correct answer: A

Rationale: The most effective approach in helping clients to change their behavior is to utilize the Ask, Advise, Assess, Assist, and Arrange approach. This comprehensive counseling strategy is commonly employed in various programs, such as smoking cessation, to guide individuals through behavior change by systematically addressing their needs and providing support at each stage of the process.