ATI Community Health Nursing Ch 7

ATI Community Health Nursing Ch 7 Related

Review ATI Community Health Nursing Ch 7 related questions and content

Which strategy is most effective in improving health literacy among patients?

  • A. Using clear and simple language in communication
  • B. Providing health education sessions
  • C. Offering one-on-one counseling
  • D. Distributing written materials
Correct Answer: A

Rationale: The correct answer is A because using clear and simple language in communication is the most effective strategy in improving health literacy among patients. This approach ensures that information is easily understood and retained by patients of diverse educational backgrounds. Clear communication helps patients comprehend health-related information, make informed decisions, and follow treatment plans correctly. Providing health education sessions (choice B) may be beneficial, but the effectiveness can vary depending on the presentation and comprehension levels of patients. One-on-one counseling (choice C) is helpful, but it may not be feasible for all patients due to time and resource constraints. Distributing written materials (choice D) can be a useful supplement, but may not be as effective as clear verbal communication in addressing individual questions and concerns.

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What is the most crucial factor in determining the health of a community?

  • A. Access to health care services
  • B. Socioeconomic status
  • C. Environmental quality
  • D. Genetic predisposition
Correct Answer: B

Rationale: The correct answer is B: Socioeconomic status. Socioeconomic status influences access to healthcare, environmental quality, and genetic predisposition. Low socioeconomic status is linked to poorer health outcomes due to limited access to healthcare services, exposure to environmental hazards, and unhealthy lifestyle factors. It also impacts education, employment, and social support, all of which are crucial for community health. Access to healthcare services (A) is important but is influenced by socioeconomic status. Environmental quality (C) and genetic predisposition (D) play a role, but socioeconomic status has a broader impact on overall community health.

What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?

  • A. Bronchoscopy
  • B. Tracheostomy
  • C. Thoracentesis
  • D. Underwater seal drainage
Correct Answer: B

Rationale: The correct answer is B: Tracheostomy. Tracheostomy involves creating a surgical airway in the front of the neck to remove copious secretions. This procedure allows direct access to the trachea to facilitate breathing and clear secretions. Bronchoscopy (choice A) involves visualizing the airways with a scope, not creating a surgical airway. Thoracentesis (choice C) is a procedure to remove fluid from the chest cavity, not the airway. Underwater seal drainage (choice D) is used for managing chest tube drainage, not creating a surgical airway.

The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?

  • A. Awaken the client every two (2) hours.
  • B. Monitor for increased intracranial pressure.
  • C. Observe frequently for hypervigilance.
  • D. Offer the client food every three (3) to four (4) hours.
Correct Answer: A

Rationale: The correct answer is A: Awaken the client every two (2) hours. This instruction is important to monitor for any changes in the client's condition, such as worsening symptoms or neurological deficits. By waking the client every two hours, it allows for assessment of responsiveness and orientation. This is crucial in detecting any signs of deterioration or complications post-concussion.

Choice B is incorrect because monitoring for increased intracranial pressure requires specialized equipment and expertise beyond what can be done at home. Choice C is incorrect as hypervigilance is not typically a common concern after a mild concussion. Choice D is incorrect because offering food every three to four hours is not specific to the client's needs post-concussion.

Which of the following is an indication for tracheostomy?

  • A. Drainage of pleural effusion
  • B. Hemorrhage
  • C. Infections
  • D. Acute respiratory failure
Correct Answer: D

Rationale: The correct answer is D: Acute respiratory failure. Tracheostomy is indicated in cases of severe respiratory compromise when the upper airway is obstructed or when long-term mechanical ventilation is needed. It ensures a patent airway and facilitates weaning from a ventilator. Choices A, B, and C are incorrect as drainage of pleural effusion, hemorrhage, and infections do not typically require a tracheostomy for management.

Parkinson's disease is associated with the loss of which of the following neurotransmitter?

  • A. Serotonin
  • B. Adrenaline
  • C. Dopamine
  • D. GABA
Correct Answer: C

Rationale: The correct answer is C: Dopamine. Parkinson's disease is primarily caused by the loss of dopamine-producing neurons in the brain. Dopamine is crucial for controlling movement, mood, and cognition. Serotonin (A) is not directly related to Parkinson's. Adrenaline (B) is involved in the fight-or-flight response, not Parkinson's. GABA (D) is an inhibitory neurotransmitter, not typically associated with Parkinson's disease.

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