Community Health ATI - Practice Questions and Answers with Verified Solutions

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Community Health ATI - Practice Questions and Answers with Verified Solutions A charge nurse in an emergency department is informed that a tornado touched down in a nearby town and mass casualties ... are en route. which of the following actions should the nurse take first? - ✔✔A. Follow Facility policy to activate the disaster plan B. Prepare the triage rooms. C. Obtain additional supplies D. Call in off-duty staff A is correct The nurse has little information other than that several clients are expected in a short period of time. According to evidenced-based practice, the nurse should first follow the facility's policy for activating the disaster plan (this might mean calling the nursing supervisor or the administrator). The disaster plan will then delineate the role and responsibilities of all responders, ensuring that clients are treated in a safe and orderly manner by an adequate number of caregivers. A nurse is planning to participate in a public educaiton program about prevention of West Nile virus. Which of the following instructions should the nurse include in her presentation? - ✔✔A. "Eliminate sourcecs of standing water." B. "Make sure your immunizations are up to date." C. "Keep all of your pets indoors." D. "Spray insect nests with a repellant that contains DEET." A is correct Standing water provides an environment for mosquitoes to lay eggs. Therefore, clients should empty water from flower pots, pet food and water dishes, birdbaths, swimming pool covers, buckets, barrels, and cans at least once per week. Discarded tires and other items that collect water should be disposed of. A nurse is performing a community assessment in a rural setting. Which of the following types of health care should the nurse recognize is most likely to be absent in this setting? - ✔✔A. Tertiary care B. Primary prevention C. Chronic care D. Secondary prevention A is correct Tertiary care, or specialized care through consultation, is usually obtained following a referral from a primary care provider. Specialists provide tertiary care and typically work in large medical centers that have personnel and facilities for special procedures. This level of care is not readily available in most rural settings. A triage nurse is in an emergency department when several hundred clients who were injured in a train collision arrive at the facility for treatment. The nurse should determine that which of the following clients requires immediate treatment? - ✔✔A. A client who has neck pain and was transported to the facility on a backboard B. A client who has epigastric and left-arm pain and is diaphoretic C. A client who has nasal and orbital ecchymosis and a respiratory rate of 16/min D. A client who has abdominal pain and is 2 months pregnant B is correct The nurse should apply the unstable versus stable priority-setting framework. Using this framework, unstable clients are the priority because of needs that threaten the client's survival. Threats or problems involving the airway, breathing, or circulatory status are life-threatening needs that the nurse should address first. Clients whose vital signs or laboratory values indicate a risk for becoming unstable are also a higher priority than clients who are stable. The nurse might also need to use nursing knowledge to determine which option describes the most unstable client. Therefore, the triage nurse should recognize that a report of severe epigastric and left-arm pain accompanied by diaphoresis is a classic manifestation of a myocardial infarction, which is life-threatening. This client needs immediate treatment. A nurse is providing teaching to a client who has a prescription for ciprofloxacin following exposure to anthrax. Which of the following statements by the client indicates that further teaching is required? - ✔✔A. "I will limit my intake of coffee, tea, or cola beverages." B. "I will wear a large-brim had and long sleeves if I am out in the sun." C. "I will take the ciprofloxacin with an antacid if I get an upset stomach." D. "I will avoid taking ciprofloxacin along with dairy products." C is correct Ciprofloxacin is an antibiotic prescribed for a wide range of serious skin infections and is also effective against inhalation anthrax. Taking ciprofloxacin with antacids can impair the absorption of the medication, reducing its effectiveness. A community health nurse is planning a study with the goal of improving the environmental health of a community. Identify the sequence the nurse should follow when conducting the research. - ✔✔Formulate the research questions Review related literature Design the study Analyze the findings An industrial health nurse is caring for a client who states, "I have been under a lot of stress lately. " When the nurse suggests stress management techniques, the client calmly states that he has a pistol in his car and intends to take his life in the parking lot after work that day. Which of the following actions should the nurse take? - ✔✔A. Have the industrial facility's security officers search the client's car and remove the pistol. B. Call emergency medical services to transport the client to a proper treatment facility C. Contact the client's family member to pick him up from work and take him for treatment. D. Explore with the client the reasons he feels that he has no options except suicide. B is correct Client safety is the nurse's primary concern. The client must be transported to a treatment facility as soon as possible. In addition, the nurse should not leave the client alone until he is safely evaluated by or admitted to a proper care facility. A public health nurse is caring for an older adult client who has chronic airflow limitation disease and is a former cigarette smoker. The client's medications include ipratropium bromide and albuterol inhalers, and she has a new prescription for home oxygen to use as needed. The nurse should recognize that this client's primary prevention needs include which of the following? - ✔✔A. Periodic pulmonary function tests B. Review of appropriate use of oxygen in the home C. Yearly mammography examinations D. Annual influenza immunizations D is correct An influenza immunization is an example of primary prevention. This client should receive influenza immunizations annually because she is at increased risk for complications of influenza. A charge nurse in an emergency department is notified by the county's emergency medical services that there has been a multiple- casualty crash involving a truck carrying radioactive waste. Which of the following actions should the nurse take first? - ✔✔A. Designate a decontamination area to accommodate clients who are irradiated B. Notify the admissions office to clear as many critical care beds as possible C. Clear the department of all nonurgent clients and move those awaiting admission to a holding area. D. Determine the number of casualties the emergency department can accommodate C is correct Evidenced-based practice indicates the nurse should first clear the emergency department of nonurgent clients and open up as many treatment areas as possible. Casualties of the crash will be brought to the emergency department, so the nurse must make room to accommodate the high number of clients. A home health nurse is caring for a client who is living in a mental health group home. During a visit, the nurse discovers that the cient has been hoarding psychotropic medications. Which of the following actions should the nurse take first? - ✔✔A. Have the client transported to an acute care facility. B. Determine the reason for the client's hoarding behavior C. Alert the staff that has been administering the client's medications D. Require the client to return any hoarded medications B is correct [Show More]

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