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Science
Medicine
Public Health
ATI community health (chap 3, 4, 5, 6, 7)
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a nurse is preparing an education program on disease transmission for employees at a local daycare facility. when discussing the epidemiological triangle, the nurse should include which of the following factors as agents? (select all that apply)
a. Resource availability
b. ethnicity
c. toxins
d. bacteria
e. altered immunity
c. toxins
d. bacteria
A nurse is preparing a community health program on communicable diseases. When discussing modes of transmission, the nurse should include which of the following illnesses as airborne?
A. Cholera
B. Malaria
C. Influenza
D. Salmonellosis
C. Influenza
A nurse is planning measures to reduce the incidence of obesity. Which of the following interventions affects the environment, according to the epidemiological triangle?
a. determine whether clients have a family history of obesity
b. measure clients BMI
c. provide low fat meal options at public schools
d. ask affected adults to keep a diary of food intake
c. provide low fat meal options at public schools
a nurse is reviewing data on the rates of varicella-zoster (chickenpox) for a county. If there were 416 cases of varicella in one year among a population of 32,000 people, what should the nurse record as the incidence rate per 1,000 people?
13 per 1,000
# cases/# population x1,000
A nurse is determining the attack rate following an E. coli outbreak at a restaurant. If 84 people ate contaminated lettuce, and 13 people developed an E. coli infection, what should the nurse conclude as the attack rate?
15%
13/84
a nurse is preparing to conduct a windshield survey. Which of the following data should the nurse collect as a component of this assessment? (Select all that apply)
a. ethnicity of community members
b. individuals who hold power within the community
c. natural community boundaries
d. prevalence of disease
e. presence of public protection
a. ethnicity of community members
c. natural community boundaries
e. presence of public protection
a nurse is completing a needs assessment and beginning analysis of data. which of the following actions should the nurse take first?
a. determine health patterns within collected data
b. compile collected data into a database
c. ensure data collection is complete
d. identify health needs of the local community
b. compile collected data into a database
a nurse is planing a community health program. which of the following action should the nurse include as part of the evaluation plan?
a. determine availability of resources to initiate the plan
b. gain approval for the program from local leaders
c. establish a timeline for implementation of interventions
d. compare program impact to similar programs
d. compare program impact to similar programs
a nurse is conducting a community assessment. which of the following data collection methods is the nurse using when having direct conversations with individual members of the community?
a. key informant interviews
b. participant observations
c. focus groups
d. health surveys
a. key informant interviews
a nurse is collecting data to identify health needs in the local community. Which of the following examples should the nurse identify as secondary data (select all that apply)
a. birth statistics
b. previous health survey results
c. windshield survey
d. community forum
e. health records
a. birth statistics
b. previous health survey results
e. health records
a nurse is developing a community health education program for a group of clients who have a new diagnosis of diabetes mellitus. which of the following learning strategies should the nurse include for clients who are auditory learning?
a. showing photographs of sites for injections
b. providing equipment to practice hands-on skills
c. supplying outlines for note-taking
d. facilitating small group discussions
d. facilitating small group discussions
a nurse is talking to a client who asks for additional information about hospice. Which of the following statements should the nurse make?
a. clients who required skilled nursing care at home qualify for hospice care
b. one function of hospice is to provide teaching to clients about life-sustaining measures
c. hospice assists clients to develop the skills needed to care for themselves independently
d. a component of hospice care is to control the clients manifestations
d. a component of hospice care is to control the clients manifestations
a school nurse is scheduling visits with a physical therapist for a child who has cerebral palsy. In which of the following roles is the nurse functioning?
a. direct caregiver
b. consultant
c. case manager
d. counselor
c. case manager
an occupational health nurse is consulting with senior management of a local industrial facility. when discussing work-related illness and injury, the nurse should include which of the following factors as a physical agent? (select all that apply)
a. noise
b. age
c. lighting
d. viruses
e. stress
a. noise
c. lighting
a newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. which of the following information should the nurse determine when conducting a worksite survey?
a. work practices of employees
b. past exposure to specific agents
c. past jobs of individual employees
d. length of time working in current role
a. work practices of employees
a school nurse is planning health promotion and disease prevention activities for the upcoming school year. in which of the following situations is the nurse planning a secondary prevention strategy?
a. placing posters with images of appropriate hand hygiene near restrooms
b. routinely checking students for pediculosis throughout the school year
c. implementing age-appropriate injury prevention programs for each grade level
d. working with a dietitian to determine carbohydrate counts for students who have DM
b. routinely checking students for pediculosis throughout the school year
a nurse is completing an ecomap as part of a family assessment. which of the following questions should the nurse plan to ask to gather appropriate data?
a. do you have a family history of heart disease?
b. what kinds of foods does your family eat?
c. is your family involved in any community organizations?
d. how does your family cultural beliefs influence your health values?
c. is your family involved in any community organizations?
a home health nurse is planning care for a client following a stroke. the nurse plans to interview each member of the family to see how they might help the client progress towards recovery. the nurse is using which of the following approaches to family health?
a. family as a component of society
b. family as a system
c. family as a client
d. family as context
d. family as context
a public health nurse is planning interventions for children int eh community. which of the following topics should the nurse choose to target a major concern for school-aged children?
a. skin cancer detection
b. access to healthcare
c. sti prevention
d. cholesterol screening
b. access to healthcare
a public health nurse is planning n in-service on older adult health. which of the following information should the nurse include?
a. the percentage of older adults in the population is decreasing
b. the proportion of older adults who live alone is increasing
c. older adults take one-half of all prescription medications
d. older adults have a decreased recovery time following injury
b. the proportion of older adults who live alone is increasing
a nurse is preparing a list of important topics to discuss with young adults who are seen at the clinic. which of the following topics should the nurse plan to address with this aggregate?
a. preconception counseling
b. managing the common cold
c. deteting congential abnormaliites
d. accessing medicare benefits
a. preconception counseling
a nurse at a community clinic is conducting a well-child visit with a preschool-age child. the nurse should identify which of the following manifestations as a possible indications of child neglect? (select all that apply)
a. underweight
b. healing spiral fracture of the arm
c. genital irritation
d. burns on the palms of the hands
e. poor hygiene
a. underweight
e. poor hygiene
a nurse is planning interventions for migrant farm workers in a rural area. which of the following should the nurse include as part of primary prevention?
a. establish food banks at locations throughout the community
b. provide employers handouts on recognizing pesticide toxicity
c. partner with clinics to provide on-site care for acute injuries
d. create handouts on identifying skin cancer in multiple languages
a. establish food banks at locations throughout the community
A community health nurse is developing an education program on substance use disorders for a group of adolescents. Which of the following information should the nurse include when discussing nicotine and smoking?
A. smoking is the 5th most preventable cause of death in the US
B. nicotine is a CNS depressant
C. withdrawal effects from smoking are minimal
D. tolerance to nicotine develops quickly
D. tolerance to nicotine develops quickly
A community health nurse is developing strategies to prevent or improve mental health issues in the local area. In which of the following situations is the nurse implementing a tertiary prevention strategy?
A. providing support programs for new parents
B. screening a client whose partner recently died from suicide
C. teaching a client who has schizophrenia about medication interactions
D. discussing stress reduction techniques with employees at an industrial site
C. teaching a client who has schizophrenia about med interactions
A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following should the nurse include as the fastest-growing segment of the homeless population?
A. Families with children
B. Adolescent runaways
C. Intimate partner abuse victims
D. Older adults
A. Families with children
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