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ATI Community Health Proctored Exam 2019 Quizlet
1. In calculating the crude death rate of your municipality, with a total population of about 18,000 last year, there were 94 deaths. Among the deceased, 20 died due to heart diseases, and 32 were aged 50 years or older. What is the crude death rate?
- A. 4.1/1000
- B. 5.2/1000
- C. 6.3/1000
- D. 7.3/1000
Correct answer: B
Rationale: To calculate the crude death rate, divide the total number of deaths (94) by the total population (18,000) and then multiply by 1,000. This gives a crude death rate of 5.2 deaths per 1,000 population.
2. In the absence of an occupational nurse at a garment factory, who should provide the occupational health needs of the factory workers?
- A. Occupational health nurse at the Provincial Health Office
- B. Physician employed by the factory
- C. Public Health nurse of the RHU of their municipality
- D. Rural Sanitary inspector of the RHU in their municipality
Correct answer: C
Rationale: In the scenario where a garment factory lacks an occupational nurse, the responsibility of addressing the occupational health needs of the factory workers falls under the jurisdiction of the Public Health nurse of the Rural Health Unit (RHU) in their municipality. Public Health nurses are trained to provide essential health services to the community, including monitoring and promoting health in workplaces. They can assess workplace hazards, provide health education, and facilitate access to medical care when necessary, making them the most suitable option among the given choices to cater to the occupational health needs of the factory workers.
3. When preparing a primigravida for breastfeeding, which of the following will you do?
- A. Explain that lactation usually begins 1 to 3 days after delivery
- B. Teach her nipple stretching exercises if her nipples are flat or inverted
- C. Advise against washing her nipples excessively before and after each breastfeeding
- D. Inform her that putting the baby to breast can help reduce post-delivery blood loss
Correct answer: D
Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.
4. Which of the following is a key strategy in the prevention of mother-to-child transmission of HIV?
- A. Exclusive breastfeeding
- B. Routine immunization
- C. Antiretroviral therapy
- D. Nutritional supplementation
Correct answer: C
Rationale: Antiretroviral therapy is a crucial strategy in preventing mother-to-child transmission of HIV. By providing antiretroviral medications to the mother during pregnancy, labor, and breastfeeding, the risk of transmitting the virus to the child is significantly reduced. This treatment approach has been shown to be highly effective in reducing the likelihood of HIV transmission from mother to child.
5. The public health nurse is responsible for presenting the municipal health statistics using graphs and tables. To compare the frequency of the leading causes of mortality in the municipality, which graph will you prepare?
- A. Line
- B. Bar
- C. Pie
- D. Scatter diagram
Correct answer: B
Rationale: A bar graph is the appropriate choice for comparing the frequency of the leading causes of mortality in the municipality because it allows for the clear visualization of the different causes side by side. Bar graphs are commonly used to compare discrete categories, making them ideal for this scenario. Line graphs are typically used for showing trends over time or age, pie graphs for illustrating population composition or distribution, and scatter diagrams for displaying the correlation between two variables.
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