ATI Community Health Nursing questions and answers well illustrated.

ATI Community Health Nursing questions and answers well illustrated. High school student dietary recommendations - correct answers.- 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 - correct l, anger, bargaining, acceptance Lead exposure in 1968 housing - correct answers.- use wet sanding technique - wet mop wood floors - increase source of iron and calcium - cold tap water School aged child with pertussis - correct answers.- 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 - correct answers.- limit liquid intake - increase protein - sit upright - use milk instead of water to increase protein and calories family violence - correct answers.- 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 - correct answers.- 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 - correct ssis adolescents - correct answers.- safety belt use neglect - correct answers.-possible indicator: taking outdated prescriptions alcohol use disorder - correct naltrexone daily to decrease cravings; helps withdrawal and prevent relapse alcohol/substance support groups - correct answers.- AA is confidential, anonymous. 12 step approach toward sobriety - narcotics anonymous: group/social network hepatitis C - correct answers.- consume diet high in carbs and calories - transmitted through sex; abstain until antibodies are negative techniques for quality improvement - correct groups, written audits, satisfaction survey, and interviews lyme disease - correct answers.- 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 - correct answers.- changing health care providers frequently - rejection of pregnant client by partner safe vaccines for pregnancy - correct answers.- tdap faith community nurse - correct answers.- 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 - correct answers.- 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 - correct answers.- peak in winter months - dever, vomiting, watery diarrhea respiratory syncytial virus - correct answers.- droplet precautions - dyspnea, tachypnea, coughing, wheezing fifth disease (erythema infectiosum) - correct that gives slapped face appearance and progresses down body. fever, myalgia, nausea, vomiting, and lethargy shigella - correct answers.- antibiotics - fever, anorexia, watery or bloody diarrhea small pox - correct rs on face first ecological model - correct 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 - correct answers.- 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 - correct answers.- demographic - biological factors - social factors - cultural factors informant interviews - correct answers.- direct discussion with community members; obtain ideas and opinions - reading/writing not requires - personal interaction elicits more detailed responses - built in bias community forum - correct answers.- open public meeting; community input - potential drift from issue secondary data - correct answers.- 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 - correct answers.- observation of community activities - indication of community priorities, environmental profile, identification of power structures - bias and inability to ask questions focus group - correct answers.- directed talk with a representative sample - reading/writing not required - difficult to ensure true representative sample surveys - correct answers.- specific questions in written format - convenient - low response rate, superficial data windshield survey - correct answers.- descriptive approach that assesses several community components by driving through community Community health nursing - correct ation focused approach to planning, delivering, and evaluating nursing care; promote health and welfare across the diverse lifespan systems thinking - correct answers.- studies how individuals interact with other organizations/systems - useful for cause/effect relationships upstream thinking - correct on interventions that promote health or prevent illness Nightingale's environmental theory - correct answers.- relationship between individual's environment and health - health as a continuum - preventative care health belief model - correct answers.- predict or explain health behaviors - assumes preventative behaviors are taken; describes likelihood of taking action - change at individual level Milio's framework for prevention - correct answers.- change at community level - relationship between health deficits and availability of resources Pender's health promotion model - correct not consider health risk as factor that provokes change; examines factors that promote and protect health (personal factors, emotions, attitudes of others) determinants of health - correct rs that influence the client's health health indicators - correct ibes health status of community and serves as target for improvement (mortality/morbidity rates, substance abuse, etc) aggregate - correct s one or more personal characteristics in a community/population Core functions of PHNs - correct answers.- assessment: monitor health of population - policy development: develop laws/practices that promote health of population based on scientific evidence - assurance: making sure adequate resources are available Community oriented nursing - correct answers.- focus on aggregates, communities, populations and at risk/underserved individuals - health promotion, disease prevention - indirect nursing activities community based nursing - correct answers.- focuses on individuals and families - management of acute or chronic conditions - direct nursing activities ethical considerations - correct nting harm, promoting good, respecting rights and diversity, trustworthiness, advocacy Advocacy - correct ering clients to be responsible for their own health EBP - correct best practices, expert opinions, client preferences to change delivery of care and improve outcomes ethical principles - correct omy, nonmaleficence, beneficence, distributive justice Quality data - correct al bias