ATI Community Health Nursing Proctored Focus Exam 2021 with complete solution
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Course
ATI Community Health Nursing Procto
Institution
ATI Community Health Nursing Procto
Care of specific populations: Migrants
Migrant workers health problems include: Correct answer- 1. Dental disease
2. TB
3. Chronic conditions
4. Stress, anxiety, & other mental health conditions
5. Leukemia
6. Iron deficiency anemia
7. Stomach, uterine, & cervical cancers
8. Lack of...
primary prevention for rural or migrant health care
secondary prevention measures for ruralmigrant health care
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ATI Community Health Nursing
Proctored Focus Exam
Care of specific populations: Migrants
Migrant workers health problems include: Correct answer- 1. Dental disease
2. TB
3. Chronic conditions
4. Stress, anxiety, & other mental health conditions
5. Leukemia
6. Iron deficiency anemia
7. Stomach, uterine, & cervical cancers
8. Lack of prenatal care
9. Higher infant mortality rates
Primary Prevention for Rural or Migrant Health care: Correct answer- -educate on
measures to reduce exposure to pesticides
-teach on accident prevention
-prenatal care
-mobilize preventative services (dental, immunizations)
Secondary Prevention measures for Rural/Migrant Health care: Correct answer-
SCREENING! screen for:
-pesticide exposure
-skin cancer
-chronic preventable diseases
-communicable diseases
Tertiary Prevention measures for Rural/Migrant Health care: Correct answer- -treat for
symptoms of pesticide exposure
-mobilize primary care and emergency services
Client's rights include... Correct answer- -right to info disclosure
-privacy
-informed consent
-info confidentiality
-participation in treatment decisions
Autonomy Correct answer- respecting a client's right to choose (i.e. refusing chemo)
Nonmaleficence Correct answer- doing no harm
Beneficence Correct answer- maximize benefits and minimize possible harms
,Justice situation: Correct answer- determining eligibility for health care services based
on income and fiscal resources
HIPAA rules about information security: Correct answer- -only staff assigned to the
patient may view/read client's health record (no other nurses or doctors)
-client's have the right to read or obtain a copy of their health record
-nurses may not photocopy any part of med record except for authorized exchange of
docs between facilities & providers
-staff must keep records/names of client in secured place
-electronic records are password protected
-no sharing info to family members w/out code in person, email, or phone call
-talking about a client must be in a private setting so no one can overhear
HIPAA info security protocols include: Correct answer- -log off computer before leaving
workstation
-never share ID or password
-never leave med records where ppl can see it
-shred any printed info about client after use
-don't use or view social media in clinical settings
-no posting about clinical stuff
Caring for a client with gonorrhea: Correct answer- -nationally notifiable disease
-women are frequently asymptomatic
-CDC recommends yearly screening for all sexually active women 25 yrs or older or
w/risk factors
-at risk pregnant women must be screened at first prenatal visit
-identify & treat all partners
-admin erythromycin to all infants following delivery
-ceftriaxone IM or azithromycin PO
-it is the responsibility of the provider to report gonorrhea to local health dept
-state notification to CDC is voluntary
-if left untreated in women it can lead to PID which can cause infertility
Referrals: Client barriers include: Correct answer- -lack of motivation
-inadequate info about community resources
-inadequate understanding of the need for referral
-accessibility needs
-priorites
-finances
-cultural factors
Referrals: Resource barriers include: Correct answer- -attitudes of health care
personnel
-costs of services
-physical accessibility of resources
, -time limitations
-limited expertise working w/culturally diverse populations
Just because someone is exposed to asbestos once doesn't mean they will develop
health problems... Correct answer- long term exposure can lead to mesothelioma and
lung conditions. Risk factors include workers (office buildings with it when they work
there everyday).
Priority action(s) in developing a disaster plan: Correct answer- -set up communication
alternatives
-highlight possible evac routes
-identify local & distant meeting places
-create disaster kit
AS A NURSE:
-identify at risk populations in community
-identify community disaster warning system & how to access
-identify 1st responders
-make list of agencies for all levels of disaster
-triage
-gather equipment, check often
Hyperthyroidism: Radioactive iodine therapy home safety: Correct answer- Client is
radioactive!
-no pregnant people
-no breastfeeding
-keep distance from others, limit visits to 30 min at a 6 ft distance
-drink lots of fluid
-maintain good hygiene to prevent infection
Teaching safe disposal of insulin syringes: Correct answer- -put in strong plastic
container i.e. old detergent container (no soda bottles)
-DO NOT recycle old needles, throw container in trash
-seal the container when 3/4 full with duct tape
-facilities throw it in sharps red container
Teaching about use of crutches: Correct answer- -don't alter crutches after fitting
-follow prescribed crutch gait
-support body weight at the hand grips w/elbows flexed at 30 degrees
-position crutches on unaffected side when sitting or rising from a chair
Demographics of homeless population: Correct answer- -families w/children are the
fastest growing segment
-people with mental illness (large segment)
-veterans
-substance abuse disorders
-youth and runaways
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