Exam (elaborations)
2024 ATI COMMUNITY HEALTH NURSING PROCTORED (FOCUS) EXAM WITH CORRECT ANSWERS
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2024 ATI COMMUNITY HEALTH NURSING PROCTORED (FOCUS) EXAM WITH CORRECT ANSWERS
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2024 ATI COMMUNITY HEALTHNURSING PROCTORED (FOCUS)
EXAM WITH CORRECT ANSWERS
Care of specific populations: Migrants
Migrant workers health problems include: - CORRECT ANSWERS- 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
manifestations of possible child neglect? - CORRECT ANSWERS- underweight
poor hygiene
portals of exit - CORRECT ANSWERS- -skin
-GU tract
-mucous membrane
component of disaster prevention? - CORRECT ANSWERS- identifying
community vulnerabilities
Cat A bio agents: - CORRECT ANSWERS- -plague
-tularemia
-botulism
Primary Prevention for Rural or Migrant Health care: - CORRECT ANSWERS- -
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
ANSWERS- SCREENING! screen for:
-pesticide exposure
,-skin cancer
-chronic preventable diseases
-communicable diseases
Tertiary Prevention measures for Rural/Migrant Health care: - CORRECT
ANSWERS- -treat for symptoms of pesticide exposure
-mobilize primary care and emergency services
Client's rights include... - CORRECT ANSWERS- -right to info disclosure
-privacy
-informed consent
-info confidentiality
-participation in treatment decisions
Autonomy - CORRECT ANSWERS- respecting a client's right to choose (i.e.
refusing chemo)
Nonmaleficence - CORRECT ANSWERS- doing no harm
Beneficence - CORRECT ANSWERS- maximize benefits and minimize possible
harms
Justice situation: - CORRECT ANSWERS- determining eligibility for health
care services based on income and fiscal resources
HIPAA rules about information security: - CORRECT ANSWERS- -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 ANSWERS- -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 ANSWERS- -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 ANSWERS- -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 ANSWERS- -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 ANSWERS- 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 ANSWERS- -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
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