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COMMUNITY HEALTH EXAM 2
ATI COMMUNITY HEALTH EXAM 2
Total Questions : 49
Showing 10 questions Sign up for moreA nurse in a public clinic is planning a health fair for clients in the community who are at risk for developing type 2 diabetes mellitus. Which of the following activities should the nurse include for secondary prevention?
Explanation
Secondary prevention involves the early detection of diabetes by screening for elevated blood sugar levels. Identifying individuals with high blood sugar levels allows for timely intervention and management to prevent the progression of diabetes and its associated complications.
A, C, and D are more focused on health promotion and primary prevention rather than early detection and intervention for those already at risk for developing type 2 diabetes mellitus.
A community health nurse is calculating the number of deaths of school age children in a county. Which of the following methods should the nurse use to obtain this data?
Explanation
Age-specific mortality rate refers to the number of deaths within a specific age group relative to the size of that age group.
Prevalence rate relates to the total number of cases of a particular condition within a population at a specific time
Cause-specific mortality rate focuses on the number of deaths attributed to a particular cause within a given population over a specified period
Case fatality rate is the proportion of individuals diagnosed with a certain condition who die from that condition within a specified period.
A nurse is caring for a client who has end-stage liver disease and states, "I am aware of the dangers of continuing to drink, but I am choosing not to stop." Which of the following actions should the nurse take to act as a client advocate?
Explanation
As a client advocate, the nurse's role is to respect the client's autonomy and right to make their own decisions about their health, even if those decisions may not align with medical advice. This approach maintains a therapeutic relationship and respects the client's autonomy while still offering support and resources.
A. is coercive and not respectful of the client's autonomy.
B. involves reporting the client's refusal to comply, which does not respect the client's right to make their own decisions.
D. involves involving the client's family without the client's consent, which undermines the client's autonomy and privacy.
A nurse should identify a possible health literacy barrier when a client responds with which of the following statements?
Explanation
Health literacy refers to a person's ability to obtain, process, and understand basic health information and services to make appropriate health decisions. The statement indicates a preference for receiving information orally rather than through written materials, which may indicate challenges with reading comprehension or a preference for verbal communication.
A school nurse is preparing a lesson for a high school health class about the prevention of sexually transmitted infections (STIS). Which of the following interventions should the nurse include that aims to block transmission of STIS at the portal of exit?
Explanation
Condom use is an intervention that aims to block the transmission of sexually transmitted infections (STIs) at the portal of exit. Condoms act as a barrier method, preventing the exchange of bodily fluids between sexual partners and thereby reducing the risk of transmitting STIs.
Prophylactic antivirals and immunization acts to prevent infection once the agent is already in the body.
Antibiotics help to treat infection that has already developed
A school nurse receives a telephone call from a parent who suspects their school-age child may have coronavirus-2 (SARS-COV-2). Which of the following instructions should the nurse give as secondary prevention?
Explanation
Secondary prevention involves detecting and treating a disease or condition in its early stages to prevent complications. In the context of suspected COVID-19 (caused by SARS-CoV-2), testing the child to determine the cause of their illness is a key step in secondary prevention. By identifying cases early through testing, appropriate measures can be taken to prevent further spread of the virus, such as isolation and contact tracing.
A nurse is preparing a workshop on preventing common communicable and infectious diseases in the community. Which of the following prevention methods should the nurse include to target diseases that are transmitted directly?
Explanation
Direct transmission of communicable and infectious diseases occurs through close contact between infected and susceptible individuals. Isolation is a preventive method that targets directly transmitted diseases by physically separating infected individuals from those who are not infected.
B, C, and D are important preventive measures for controlling various infectious diseases, but they primarily target diseases that are transmitted indirectly.
A public health nurse is working with local health care providers on programs to improve the growth and development of children in their community. Which of the following describes a secondary prevention intervention for autism spectrum disorder (ASD)?
Explanation
Secondary prevention interventions for autism spectrum disorder (ASD) focus on early detection and intervention to reduce the impact of the condition. Early identification allows for prompt intervention and support, which can improve outcomes for children with ASD by facilitating access to appropriate services and therapies.
A, B, and C are all important components of public health efforts to promote child health and development, but they primarily focus on primary prevention
A nurse is discussing individual client factors that influence developing a communicable or infectious disease with a peer. Which of the following factors could increase a client's risk for contracting a communicable or infectious disease?
(Select All that Apply.)
Explanation
A. Older adults often have weakened immune systems and may have underlying health conditions, making them more susceptible to infections.
C. Immunosuppressant medications suppress the immune system's response, making individuals more vulnerable to infections.
D. Close living quarters and shared facilities in nursing homes can facilitate the spread of infections among residents.
E. Malnutrition or inadequate nutrition weakens the immune system, making individuals more susceptible to infections.
B. Immunizations are up to date decreases the risk of contracting certain communicable diseases by providing immunity against them.
A nurse is collecting data from a client and their full-time caregiver who is their adult child. The caregiver appears to be disheveled and irritable. Which of the following should the nurse identify as a caregiver concern to address?
Explanation
The disheveled appearance and irritability of the caregiver may indicate neglect of their own needs and well-being. This lack of self-care can lead to caregiver burnout and negatively impact the quality of care provided to the client.
A, B, and D are also important considerations when assessing caregiver concerns, but in this scenario, the caregiver's appearance and behavior suggest a need for attention to their own self- care needs
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