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ATI Community Health Nursing
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ATI Community Health Nursing
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HESI COMMUNITY HEALTH RN EXIT 2023 /COMMUNITY HEALTH RN HESI EXIT TEST BANK
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ATI Community Health NursingHigh school student dietary recommendations - ANSWER: - less than 10% of daily
calories from saturated fat
- less than 300 mg/day of dietary cholesterol
- decrease refined grains
- at least 1300 mg/day calcium
Stages of grief - ANSWER: denial, anger, bargaining, acceptance
Lead exposure in 1968 housing - ANSWER: - use wet sanding technique
- wet mop wood floors
- increase source of iron and calcium
- cold tap water
School aged child with pertussis - ANSWER: - instruct the parent to keep the child at
home until the coughing stage has passed
- encourage family members to obtain prophylactic treatment
- check immunization status of classmates
malnourished COPD nutrition - ANSWER: - limit liquid intake
- increase protein
- sit upright
- use milk instead of water to increase protein and calories
family violence - ANSWER: - no link with race or socioeconomic status
- common in homes where intimate partner abuse is present
- children who are abused are more likely to become abusers
HPV - ANSWER: - physical exam, PAP test, and manifestations assessment
- self treat lesions with topical imiquimod 5% cream to lesions at bedtime for up to 16
weeks
droplet precautions - ANSWER: pertussis
adolescents - ANSWER: - safety belt use
neglect - ANSWER: -possible indicator: taking outdated prescriptions
alcohol use disorder - ANSWER: take naltrexone daily to decrease cravings; helps
withdrawal and prevent relapse
,alcohol/substance support groups - ANSWER: - AA is confidential, anonymous. 12 step
approach toward sobriety
- narcotics anonymous: group/social network
hepatitis C - ANSWER: - consume diet high in carbs and calories
- transmitted through sex; abstain until antibodies are negative
techniques for quality improvement - ANSWER: focus groups, written audits,
satisfaction survey, and interviews
lyme disease - ANSWER: - no immunizations
- early stages can be treated with penicillin or tetracycline for 10-14 days
- infected by tick
- s/sx: flu like manifestations
risk for newborn abuse - ANSWER: - changing health care providers frequently
- rejection of pregnant client by partner
safe vaccines for pregnancy - ANSWER: - tdap
faith community nurse - ANSWER: - can facilitate substance abuse groups
- assist with receiving services from volunteers
- no access to medical records, will need assistance from other nurses to provide
medications
- services are voluntary or financially supported by faith agency
Hepatitis A - ANSWER: - clean bathroom fixtures with 10:1 bleach solution
- avoid sharing toothbrush/utensils, towels
- avoid sexual contact until provider confirms neg antibody (4-6 weeks)
Rotavirus - ANSWER: - peak in winter months
- dever, vomiting, watery diarrhea
respiratory syncytial virus - ANSWER: - droplet precautions
- dyspnea, tachypnea, coughing, wheezing
fifth disease (erythema infectiosum) - ANSWER: rash that gives slapped face
appearance and progresses down body. fever, myalgia, nausea, vomiting, and lethargy
shigella - ANSWER: - antibiotics
- fever, anorexia, watery or bloody diarrhea
small pox - ANSWER: appears on face first
ecological model - ANSWER: guide to examine the determinants of health for a
population and for targeting interventions to multiple factors that affect health
, factors to consider when determining health of a community - ANSWER: - status:
epidemiological data, client satisfaction, mental health, crime rates
- structure: presence of health care facilities, service types/patterns of use, demographic
data
- process: relationships, communication, commitment to participation in health
components of people - ANSWER: - demographic
- biological factors
- social factors
- cultural factors
informant interviews - ANSWER: - direct discussion with community members; obtain
ideas and opinions
- reading/writing not requires
- personal interaction elicits more detailed responses
- built in bias
community forum - ANSWER: - open public meeting; community input
- potential drift from issue
secondary data - ANSWER: - use of existing data to assess problem
- reliable sources generally end in '.edu' / '.org' / '.gov'
- data of prior concerns/needs
- trends over time
- may not represent current situation
- health surveys, medical records, statistics
participant observation - ANSWER: - observation of community activities
- indication of community priorities, environmental profile, identification of power
structures
- bias and inability to ask questions
focus group - ANSWER: - directed talk with a representative sample
- reading/writing not required
- difficult to ensure true representative sample
surveys - ANSWER: - specific questions in written format
- convenient
- low response rate, superficial data
windshield survey - ANSWER: - descriptive approach that assesses several community
components by driving through community
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