ATI COMMUNITY HEALTH NURSING PROCTORED FOCUS QUESTIONS AND CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024

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 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 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) Primary Prevention for Rural or Migrant Health care: - CORRECT ANSWERS -educate on measures to reduce exposure to pesticides ATI COMMUNITY HEALTH NURSING PROCTORED FOCUS QUESTIONS AND CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 -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 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 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 ATI COMMUNITY HEALTH NURSING PROCTORED FOCUS QUESTIONS AND CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 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) Autonomy - CORRECT ANSWERS respecting a client's right to choose (i.e. refusing chemo) Nonmaleficence - CORRECT ANSWERS doing no harm Nonmaleficence - CORRECT ANSWERS doing no harm Beneficence - CORRECT ANSWERS maximize benefits and minimize possible harms 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 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 ATI COMMUNITY HEALTH NURSING PROCTORED FOCUS QUESTIONS AND CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 -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 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 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 ATI COMMUNITY HEALTH NURSING PROCTORED FOCUS QUESTIONS AND CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 -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 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: Client barriers include: - CORRECT ANSWERS -lack of motivation ATI COMMUNITY HEALTH NURSING PROCTORED FOCUS QUESTIONS AND CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 -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 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). 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 ATI COMMUNITY HEALTH NURSING PROCTORED FOCUS QUESTIONS AND CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 -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 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 Hyperthyroidism: Radioactive iodine therapy home safety: - CORRECT ANSWERS Client is radioactive! -no pregnant people -no breastfeeding -keep distance from others, limit visits to 30 min at a 6 ft distance -drink lots of fluid -maintain good hygiene to prevent infection ATI COMMUNITY HEALTH NURSING PROCTORED FOCUS QUESTIONS AND CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 Hyperthyroidism: Radioactive iodine therapy home safety: - CORRECT ANSWERS Client is radioactive! -no pregnant people -no breastfeeding -keep distance from others, limit visits to 30 min at a 6 ft distance -drink lots of fluid -maintain good hygiene to prevent infection Teaching safe disposal of insulin syringes: - CORRECT ANSWERS -put in strong plastic container i.e. old detergent container (no soda bottles) -DO NOT recycle old needles, throw container in trash -seal the container when 3/4 full with duct tape -facilities throw it in sharps red container Teaching safe disposal of insulin syringes: - CORRECT ANSWERS -put in strong plastic container i.e. old detergent container (no soda bottles) -DO NOT recycle old needles, throw container in trash -seal the container when 3/4 full with duct tape -facilities throw it in sharps red container Teaching about use of crutches: - CORRECT ANSWERS -don't alter crutches after fitting -follow prescribed crutch gait -support body weight at the hand grips w/elbows flexed at 30 degrees -position crutches on unaffected side when sitting or rising from a chair Teaching about use of crutches: - CORRECT ANSWERS -don't alter crutches after fitting -follow prescribed crutch gait -support body weight at the hand grips w/elbows flexed at 30 degrees -position crutches on unaffected side when sitting or rising from a chair ATI COMMUNITY HEALTH NURSING PROCTORED FOCUS QUESTIONS AND CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 Demographics of homeless population: - CORRECT ANSWERS -families w/children are the fastest growing segment -people with mental illness (large segment) -veterans -substance abuse disorders -youth and runaways -intimate partner abuse victims -people with HIV or AIDS -older adults Demographics of homeless population: - CORRECT ANSWERS -families w/children are the fastest growing segment -people with mental illness (large segment) -veterans -substance abuse disorders -youth and runaways -intimate partner abuse victims -people with HIV or AIDS -older adults Planning Primary Prevention Activities - CORRECT ANSWERS -determine solutions -establish goals -give responsibilities to individuals -determine resources -screening and education -determine funding, develop budget -plan for evaluation Planning Primary Prevention Activities - CORRECT ANSWERS -determine solutions -establish goals ATI COMMUNITY HEALTH NURSING PROCTORED FOCUS QUESTIONS AND CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 -give responsibilities to individuals -determine resources -screening and education -determine funding, develop budget -plan for evaluation Parish nursing: - CORRECT ANSWERS promotes health and wellness within populations of faith communities -work with: pastoral care staff, professional health care members, and volunteers to provide holistic approach to healing Functions: -personal health counseling -health education -liaison between faith & community & local resources -facilitate support groups -spiritual support Parish nursing: - CORRECT ANSWERS promotes health and wellness within populations of faith communities -work with: pastoral care staff, professional health care members, and volunteers to provide holistic approach to healing Functions: -personal health counseling -health education -liaison between faith & community & local resources -facilitate support groups -spiritual support Windshield survey: - CORRECT ANSWERS -nurse and other driver drive through community assessing components -time consuming ATI COMMUNITY HEALTH NURSING PROCTORED FOCUS QUESTIONS AND CORRECT VERIFIED ANSWERS LATEST UPDATE 2023/2024 -provides descriptive overview of community -results limited because it is only based on visualization & doesn't include community member input nurse looks for: -pets and animals -evidence of drug abuse/substance abuse -origin/race/ethnicity of population -general appearance -natural/man made boundaries -housing details -social systems: clinics, hospitals, dentists, parks & rec, worship places, stores, public protection & transport Windshield survey: - CORRECT ANSWERS -nurse and other driver drive through community assessing components -time consuming -provides descriptive overview of community -results limited because it is only based on visualization & doesn't include community member input nurse looks for: -pets and animals -evidence of drug abuse/substance abuse -origin/race/ethnicity of population -general appearance -natural/man made boundaries -housing details -social systems: clinics, hospitals, dentists, parks & rec, worship places, stores, public protection & transport Positive Mantoux skin test for TB includes: - CORRECT ANSWERS an induration-palpable, raised, hardened area of 10 mm or greater in diameter