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ATI Community Health Nursing
Proctored Focus Final Test Exam
Questions and Answers
(LATEST 2025, 2026 UPDATE)
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)
,2
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
,3
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
, 4
Caring for a client with gonorrhea:
ANSWER: -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:
ANSWER: -lack of motivation
-inadequate info about community resources
-inadequate understanding of the need for referral
-accessibility needs
-priorites
-finances
-cultural factors
Referrals: Resource barriers include:
ATI Community Health Nursing
Proctored Focus Final Test Exam
Questions and Answers
(LATEST 2025, 2026 UPDATE)
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)
,2
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
,3
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
, 4
Caring for a client with gonorrhea:
ANSWER: -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:
ANSWER: -lack of motivation
-inadequate info about community resources
-inadequate understanding of the need for referral
-accessibility needs
-priorites
-finances
-cultural factors
Referrals: Resource barriers include:
