ATI Community Health Nursing
Proctored Focus
ADHD teaching - -consistent daily routine
-limit distractions
Advocating for a newly approved community health clinic in an area of the city that has fewer
resources. Nurse is advocating for the leaders to uphold which ethical principle? - distributive
justice
alcohol abstinence meds: - -disulfuram
-naltrexone
-acamprostate
alcohol withdrawal delirium symtoms - -appear 2-3 days after stopping
-hallucinations
-severe HTN
-cardiac dysrhythmias
-delirium
-can progress to death
alcohol withdrawal symptoms - -appear within 4-12 hrs
-abd cramping
-vomiting
-tremors
-restlessness
,-inability to sleep
-TACHYCARDIA
-HTN
-transient hallucinations or illusions
-anxiety
-increased RR, temp
-tonic clonic seizures
-diaphoresis
American indian health/medicine beliefs - shaman to seek healing from infection
anthrax exposure, need access to...
it is used as... - ciprofloxacin, used as prophylactic tx
asian health beliefs: - -steam removes toxins from body
-heated blankets (yin yang)
Assessing a client who is experiencing alcohol withdrawal; expect what findings? - -fine hand
tremors
-vomiting
-restlessness
Autonomy - respecting a client's right to choose (i.e. refusing chemo)
Beneficence - maximize benefits and minimize possible harms
,Breast cancer prevention, women should begin... - yearly breast exam and mammography at
age 40
Calculate disease incidence - new cases / population total X 1000
Calculate disease Prevalence - existing cases divided by population total X 1000
Calculating prevalence proportion: - # of existing cases in the population at a specific time
divided by
population total= _____per 1000
Cardiac Glycosides and Heart Failure: Indications of Digoxin Toxicity - -hypokalemia
-fatigue
-weakness
-vision changes
-GI affects
Care of specific populations: Migrants
Migrant workers health problems include: - 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
, Caregiver burden responses: - fatigue
difficulty sleeping
illness
Caribbean nations health/medicine beliefs: - voodoo and witchcraft
Caring for a client who has alcohol disorder; no longer experiencing manifestations of
withdrawal. What med would be prescribed to maintain abstinence? - Disulfuram
Caring for a client with gonorrhea: - -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
case management nurse would do what? - identify referrals that that client needs
Case manager nursing responsibilities: - -promoting interprofessional services & increased
client/family involvement
-decreasing cost by improving client outcomes
-providing education to optimize health participation
Proctored Focus
ADHD teaching - -consistent daily routine
-limit distractions
Advocating for a newly approved community health clinic in an area of the city that has fewer
resources. Nurse is advocating for the leaders to uphold which ethical principle? - distributive
justice
alcohol abstinence meds: - -disulfuram
-naltrexone
-acamprostate
alcohol withdrawal delirium symtoms - -appear 2-3 days after stopping
-hallucinations
-severe HTN
-cardiac dysrhythmias
-delirium
-can progress to death
alcohol withdrawal symptoms - -appear within 4-12 hrs
-abd cramping
-vomiting
-tremors
-restlessness
,-inability to sleep
-TACHYCARDIA
-HTN
-transient hallucinations or illusions
-anxiety
-increased RR, temp
-tonic clonic seizures
-diaphoresis
American indian health/medicine beliefs - shaman to seek healing from infection
anthrax exposure, need access to...
it is used as... - ciprofloxacin, used as prophylactic tx
asian health beliefs: - -steam removes toxins from body
-heated blankets (yin yang)
Assessing a client who is experiencing alcohol withdrawal; expect what findings? - -fine hand
tremors
-vomiting
-restlessness
Autonomy - respecting a client's right to choose (i.e. refusing chemo)
Beneficence - maximize benefits and minimize possible harms
,Breast cancer prevention, women should begin... - yearly breast exam and mammography at
age 40
Calculate disease incidence - new cases / population total X 1000
Calculate disease Prevalence - existing cases divided by population total X 1000
Calculating prevalence proportion: - # of existing cases in the population at a specific time
divided by
population total= _____per 1000
Cardiac Glycosides and Heart Failure: Indications of Digoxin Toxicity - -hypokalemia
-fatigue
-weakness
-vision changes
-GI affects
Care of specific populations: Migrants
Migrant workers health problems include: - 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
, Caregiver burden responses: - fatigue
difficulty sleeping
illness
Caribbean nations health/medicine beliefs: - voodoo and witchcraft
Caring for a client who has alcohol disorder; no longer experiencing manifestations of
withdrawal. What med would be prescribed to maintain abstinence? - Disulfuram
Caring for a client with gonorrhea: - -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
case management nurse would do what? - identify referrals that that client needs
Case manager nursing responsibilities: - -promoting interprofessional services & increased
client/family involvement
-decreasing cost by improving client outcomes
-providing education to optimize health participation
