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Exam (elaborations)

ATI COMMUNITY HEALTH PROCTORED EXAM

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A nurse who is facilitating a support group in a community center notices that one member of the group expresses anger repeatedly. Which of the following strategies should the nurse use to facilitate the group process with this member. Remind the group that everyone should have a chance to participate. Divide the group into pairs and give each pair a topic for discussion. Give the member extra time to compose her thought before expressing them. Focus more on the group members who have a positive outlook. This is a strategy that is often effective with group members who demonstrate angry, hostel, or negative behavior. The nurse should also speak to the group member in private to try to uncover the source of her ongoing anger. Which of the following activities done by a nurse is considered public health nursing? Reviewing morbidity and mortality data for the community. Caring for new mothers and infants. Reviewing the medications prescribed for an older adult couple. Reviewing morbidity and mortality data for the community is a key component of public health nursing, which focuses on the health care of populations and communities. A nurse working for a non-profit organization with limited resources is asked to develop an education program that will benefit a supporting agency's employees. The nurse was planning another program to benefit more people in the community. Which of the following is an ethical tenet the nurse should follow in deciding which program to implement. Allow members of the community to vice their shared ideas. Develop public policy in concert with the interest and needs of the community. Give precedence to community support provided by public servants over entrepreneurs. Place the needs of the community above those of special interest groups. This statement upholds the ethical tenet for policy development: to serve citizens, not customers. While the nurse may feel pressure to comply with the agency's request due to its financial or material support, the nurse must use available resources to meet the needs of the greatest number of citizens first. A. "Smallpox has been considered eradicated worldwide." B. "People who were immunized against smallpox before to be protected." C. "It is easy for providers to distinguish smallpox from present early with the disease." D. "Unlike chickenpox, the vesicles of smallpox are m 5. A nurse is preparing to care for a client who has suspected exposure to plague as a result of bioterrorism. Which of the following actions should the nurse plan to take first? A. Prepare for drainage of lesions B. Initiate contact precautions C. Notify the CDC D. Decontaminate the client 6.A nurse in an emergency department is caring for a victim of a suspected...exposure to cutaneous anthrax. Which of the following is an expected...? A. Immediate onset of respiratory distress B. Flu-like symptoms 48 hr after exposure C. Itching of the skin progressing to ulceration over 1 to 7 D. Immediate onset of vascular lesions of the skin 7. A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? A. Anthrax B. Botulism C. Plague D. Smallpox 8.A nurse is assessing a client who is experiencing difficulty sleeping, having nightmares, experiencing feelings of survivor guilt, and having difficulty concentrating one year after the death of a relative during a destructive and devastating natural disaster. Which of the following describe the client's symptoms? A. Generalized anxiety disorder B. Post-traumatic stress syndrome C. Historionic personality disorder D. Dissociative identity syndrome • Vraag 20 • • OT is een 44-jarige patiënt die zich presenteert voor evaluatie van plotselinge ernstige pijn in de bovenbuik. Ze is zich bewust van het begin, dat diep was en ongeveer een uur geleden gebeurde. Hij ontkent dat het begin iets te maken had met eten of eten, en hij ontkent misselijkheid of braken. Bij onderzoek ligt ze op haar rechterkant met heupen en knieën gebogen om de knieën naar de borst te trekken. De vitale functies zijn stabiel, maar onderzoek onthult onvrijwillige afscherming. De buik is zacht en trommelachtig voor percussie in alle kwadranten. CBC onthult een aantal witte bloedcellen van 15.600/μL. AGACNP vermoedt: • • A. Dissectie van het aorta-aneurysma. • B. acute pancreatitis • C. geperforeerde maagzweer • D. Mallory-Weiss traan • • • Vraag 21 • P. T. es una mujer de 58 años que ingresa con dolor en el pecho y dificultad para respirar y se encuentra que tiene una embolia pulmonar grande. Su presión arterial sistólica está disminuyendo y se a. dígale que comenzar HT ahora puede reducir su riesgo de cáncer de seno. si. aconseje un curso corto de TH ahora que puede disminuir su riesgo de CHD. procedimiento abdominal transversal importante mañana por la mañana. El paciente está muy nervioso y hace muchas preguntas. El AGACNP prescribe un agente para dormir porque sabe que la ansiedad y el insomnio pueden: Pregunta 16 Carolyn C. tiene antecedentes de enfermedad de Crohn y ha sido tratada con agentes inmunológicos, con un éxito moderado. Hoy se presenta con dolor abdominal intenso que va y viene en oleadas; comenzó poco después de que ella comió un poco de requesón y galletas saladas. Esto nunca ha sucedido antes con su enfermedad de Crohn. Tiene dificultad para localizar el dolor, pero parece indicar el área general del ombligo. Ella tuvo un episodio de diarrea esta mañana. El examen abdominal es inespecífico y produce sensibilidad leve a la palpación. Las películas abdominales simples revelan un intestino delgado dilatado con niveles de líquido en el aire. La

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