ATI Community Health Nursing
Proctored Focus Questions And
Answers
Care of specific populations: Migrants
Migrant workers health problems include: - 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: - 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: - answer-
SCREENING! screen for:
-pesticide exposure
-skin cancer
-chronic preventable diseases
-communicable diseases
Tertiary Prevention measures for Rural/Migrant Health care: - answer--
treat for symptoms of pesticide exposure
-mobilize primary care and emergency services
Client's rights include... - answer--right to info disclosure
-privacy
-informed consent
-info confidentiality
-participation in treatment decisions
Autonomy - answer-respecting a client's right to choose (i.e. refusing
chemo)
,Nonmaleficence - answer-doing no harm
Beneficence - answer-maximize benefits and minimize possible harms
Justice situation: - answer-determining eligibility for health care services
based on income and fiscal resources
HIPAA rules about information security: - 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: - 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
Agent - answer--the animate or inanimate object that causes the disease.
-ex. chemical (drugs, toxins); physical (noise, temperature); infectious
(viruses, bacteria)
Host - answer-the living being that is affected by the agent
-ex. age, gender, genetics, ethnicity, immunological status, physiological
state, occupation
environment - answer-the setting or surrounding that sustains the host
, -ex. Physical (geography, water/food supply, presence of
reservoirs/vectors); Social (access to health care, high-risk working
conditions, poverty)
CaringJforJaJclientJwithJgonorrhea:J-Janswer--nationallyJnotifiableJdisease
-womenJareJfrequentlyJasymptomatic
-
CDCJrecommendsJyearlyJscreeningJforJallJsexuallyJactiveJwomenJ25JyrsJo
rJolderJorJw/riskJfactors
-atJriskJpregnantJwomenJmustJbeJscreenedJatJfirstJprenatalJvisit
-identifyJ&JtreatJallJpartners
-adminJerythromycinJtoJallJinfantsJfollowingJdelivery
-ceftriaxoneJIMJorJazithromycinJPO
-
itJisJtheJresponsibilityJofJtheJproviderJtoJreportJgonorrheaJtoJlocalJh
ealthJdept
-stateJnotificationJtoJCDCJisJvoluntary
-ifJleftJuntreatedJinJwomenJitJcanJleadJtoJPIDJwhichJcanJcauseJinfertility
Referrals:JClientJbarriersJinclude:J-Janswer--lackJofJmotivation
-inadequateJinfoJaboutJcommunityJresources
-inadequateJunderstandingJofJtheJneedJforJreferral
-accessibilityJneeds
-priorites
-finances
-culturalJfactors
Referrals:JResourceJbarriersJinclude:J-Janswer--
attitudesJofJhealthJcareJpersonnel
-costsJofJservices
-physicalJaccessibilityJofJresources
-timeJlimitations
-limitedJexpertiseJworkingJw/culturallyJdiverseJpopulations
JustJbecauseJsomeoneJisJexposedJtoJasbestosJonceJdoesn'tJmeanJtheyJwi
llJdevelopJhealthJproblems...J-Janswer-
longJtermJexposureJcanJleadJtoJmesotheliomaJandJlungJconditions.JRiskJf
actorsJincludeJworkersJ(officeJbuildingsJwithJitJwhenJtheyJworkJthereJeve
ryday).
PriorityJaction(s)JinJdevelopingJaJdisasterJplan:J-Janswer--
setJupJcommunicationJalternatives
Proctored Focus Questions And
Answers
Care of specific populations: Migrants
Migrant workers health problems include: - 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: - 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: - answer-
SCREENING! screen for:
-pesticide exposure
-skin cancer
-chronic preventable diseases
-communicable diseases
Tertiary Prevention measures for Rural/Migrant Health care: - answer--
treat for symptoms of pesticide exposure
-mobilize primary care and emergency services
Client's rights include... - answer--right to info disclosure
-privacy
-informed consent
-info confidentiality
-participation in treatment decisions
Autonomy - answer-respecting a client's right to choose (i.e. refusing
chemo)
,Nonmaleficence - answer-doing no harm
Beneficence - answer-maximize benefits and minimize possible harms
Justice situation: - answer-determining eligibility for health care services
based on income and fiscal resources
HIPAA rules about information security: - 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: - 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
Agent - answer--the animate or inanimate object that causes the disease.
-ex. chemical (drugs, toxins); physical (noise, temperature); infectious
(viruses, bacteria)
Host - answer-the living being that is affected by the agent
-ex. age, gender, genetics, ethnicity, immunological status, physiological
state, occupation
environment - answer-the setting or surrounding that sustains the host
, -ex. Physical (geography, water/food supply, presence of
reservoirs/vectors); Social (access to health care, high-risk working
conditions, poverty)
CaringJforJaJclientJwithJgonorrhea:J-Janswer--nationallyJnotifiableJdisease
-womenJareJfrequentlyJasymptomatic
-
CDCJrecommendsJyearlyJscreeningJforJallJsexuallyJactiveJwomenJ25JyrsJo
rJolderJorJw/riskJfactors
-atJriskJpregnantJwomenJmustJbeJscreenedJatJfirstJprenatalJvisit
-identifyJ&JtreatJallJpartners
-adminJerythromycinJtoJallJinfantsJfollowingJdelivery
-ceftriaxoneJIMJorJazithromycinJPO
-
itJisJtheJresponsibilityJofJtheJproviderJtoJreportJgonorrheaJtoJlocalJh
ealthJdept
-stateJnotificationJtoJCDCJisJvoluntary
-ifJleftJuntreatedJinJwomenJitJcanJleadJtoJPIDJwhichJcanJcauseJinfertility
Referrals:JClientJbarriersJinclude:J-Janswer--lackJofJmotivation
-inadequateJinfoJaboutJcommunityJresources
-inadequateJunderstandingJofJtheJneedJforJreferral
-accessibilityJneeds
-priorites
-finances
-culturalJfactors
Referrals:JResourceJbarriersJinclude:J-Janswer--
attitudesJofJhealthJcareJpersonnel
-costsJofJservices
-physicalJaccessibilityJofJresources
-timeJlimitations
-limitedJexpertiseJworkingJw/culturallyJdiverseJpopulations
JustJbecauseJsomeoneJisJexposedJtoJasbestosJonceJdoesn'tJmeanJtheyJwi
llJdevelopJhealthJproblems...J-Janswer-
longJtermJexposureJcanJleadJtoJmesotheliomaJandJlungJconditions.JRiskJf
actorsJincludeJworkersJ(officeJbuildingsJwithJitJwhenJtheyJworkJthereJeve
ryday).
PriorityJaction(s)JinJdevelopingJaJdisasterJplan:J-Janswer--
setJupJcommunicationJalternatives
