ATI Leadership and Community health Capstone post assessment Questions and Answers
1. A nurse is caring for a client newly diagnosed with pertussis. What is one(1)
intervention the nurse will incorporate in the plan of care.
2. A client threaten to leave the hospital against medical advice and the nurse notes that
this is the client's right. In addition to having the client sign an Against Medical Advice form,
what is the nurse's priority action?
3. A client newly admitted with abdominal pain ask the nurse to explain how their blood
test indicating that they are positive for helicobacter pylori has to do with their abdominal
pain. How should the nurse respond?
4. A nurse manager is preparing for a performance appraisal review for an employee who
has been identified as substandard. Describe the process of conducting a performance
appraisal review and when disciplinary action is necessary.
5. A committee of nurse have been task with reviewing an increase in central line
infections on their unit. Explain the process that they should follow.
6. A nurse is preparing discharge for a client that has been diagnosed with stage 4
terminal lung cancer. The client has chosen to pursue palliative care. Describe the nurse's
responsibility regarding discharge planning.
7. A nurse enter the room of the client that insist that they need to smoke a cigarette
immediately. Explain how the nurse can use the technique of collaboration to resolve this
conflict.
8. How are benchmarks used in the evaluation of health care quality? Provide an
example of using an evaluation of health care quality review.
9. During the admission assessment a client informs the nurse that they utilize essential
oils and acupuncture as part of their health routine. What is the nurse's responsibility
regarding this information?
10. Risk for violent behavior can be identified using the epidemiological triangle's 3
components: Hosts, Agent and Environment. Provide an example of each factor that can
influence violent behavior.
11. The nurse knows that health care beliefs can originate from different cultural practices.
Define the following belief types: Biomedical, naturalistic, and magico-religious.
12. The community health nurse is speaking to a men's civic group about health promotion
for men. The question is posed regarding how and when to properly perform testicular self-
examination (TSE). What information should the nurse provide to the group?
Answers (already graded 100% correct)
1. A nurse is caring for a client newly diagnosed with pertussis. What is one(1) intervention
the nurse will incorporate in the plan of care.
▪︎Educate about coughing, breathing and promote effective coughing.
•Teach the patient the proper ways of coughing and breathing. (e.g., take a deep breath,
hold for 2 seconds, and cough two or three times in succession).
•Educate the patient about optimal positioning (sitting position), use of pillow or hand splints
when coughing, use of abdominal muscles for more forceful cough, use of quad and huff
, techniques, use of incentive spirometry, and importance of ambulation and frequent position
changes.
2. A client threaten to leave the hospital against medical advice and the nurse notes that
this is the client's right. In addition to having the client sign an Against Medical Advice form,
what is the nurse's priority action?
▪︎To protect you and other health care providers caring for the patient and your facility if
problems were to arise from an unapproved discharge, you should have the patient sign an
AMA form. This form should clearly document that the patient knows he's leaving AMA, that
he's been advised of and understands the risks of leaving, and that he knows he can come
back. Use his own words to describe his refusal to stay for further treatment.
▪︎Here's what to include on the AMA form:
•explanation of the risks and consequences of the AMA discharge, as told to the patient,
and the name of the person who provided the explanation.
•other places the patient can go for follow-up care.
•names of people accompanying the patient at discharge and the instructions given to them.
•patient's destination after discharge.
▪︎Relate the patient's state
•In the progress notes, document statements and actions that reflect the patient's mental
state at the time he left your facility.
~This helps protect you and other health care providers caring for the patient and the facility
against a charge of negligence if the patient later claims that he was mentally incompetent
at the time of discharge and was improperly supervised while in that state.
▪︎The AMA form should document that the patient understands the risk of leaving against
medical advice and knows he can come back.
3. A client newly admitted with abdominal pain ask the nurse to explain how their blood test
indicating that they are positive for helicobacter pylori has to do with their abdominal pain.
How should the nurse respond?
▪︎Helicobacter pylori (H. pylori) infection occurs when H. pylori bacteria infect your
stomach.
▪︎It can damage the tissue in your stomach and the first part of your small intestine (the
duodenum).
▪︎This can cause redness and soreness (inflammation). In some cases it can also cause
painful sores called peptic ulcers in your upper digestive tract.
▪︎Ulcer symptoms may include belly or abdominal pain.
1. A nurse is caring for a client newly diagnosed with pertussis. What is one(1)
intervention the nurse will incorporate in the plan of care.
2. A client threaten to leave the hospital against medical advice and the nurse notes that
this is the client's right. In addition to having the client sign an Against Medical Advice form,
what is the nurse's priority action?
3. A client newly admitted with abdominal pain ask the nurse to explain how their blood
test indicating that they are positive for helicobacter pylori has to do with their abdominal
pain. How should the nurse respond?
4. A nurse manager is preparing for a performance appraisal review for an employee who
has been identified as substandard. Describe the process of conducting a performance
appraisal review and when disciplinary action is necessary.
5. A committee of nurse have been task with reviewing an increase in central line
infections on their unit. Explain the process that they should follow.
6. A nurse is preparing discharge for a client that has been diagnosed with stage 4
terminal lung cancer. The client has chosen to pursue palliative care. Describe the nurse's
responsibility regarding discharge planning.
7. A nurse enter the room of the client that insist that they need to smoke a cigarette
immediately. Explain how the nurse can use the technique of collaboration to resolve this
conflict.
8. How are benchmarks used in the evaluation of health care quality? Provide an
example of using an evaluation of health care quality review.
9. During the admission assessment a client informs the nurse that they utilize essential
oils and acupuncture as part of their health routine. What is the nurse's responsibility
regarding this information?
10. Risk for violent behavior can be identified using the epidemiological triangle's 3
components: Hosts, Agent and Environment. Provide an example of each factor that can
influence violent behavior.
11. The nurse knows that health care beliefs can originate from different cultural practices.
Define the following belief types: Biomedical, naturalistic, and magico-religious.
12. The community health nurse is speaking to a men's civic group about health promotion
for men. The question is posed regarding how and when to properly perform testicular self-
examination (TSE). What information should the nurse provide to the group?
Answers (already graded 100% correct)
1. A nurse is caring for a client newly diagnosed with pertussis. What is one(1) intervention
the nurse will incorporate in the plan of care.
▪︎Educate about coughing, breathing and promote effective coughing.
•Teach the patient the proper ways of coughing and breathing. (e.g., take a deep breath,
hold for 2 seconds, and cough two or three times in succession).
•Educate the patient about optimal positioning (sitting position), use of pillow or hand splints
when coughing, use of abdominal muscles for more forceful cough, use of quad and huff
, techniques, use of incentive spirometry, and importance of ambulation and frequent position
changes.
2. A client threaten to leave the hospital against medical advice and the nurse notes that
this is the client's right. In addition to having the client sign an Against Medical Advice form,
what is the nurse's priority action?
▪︎To protect you and other health care providers caring for the patient and your facility if
problems were to arise from an unapproved discharge, you should have the patient sign an
AMA form. This form should clearly document that the patient knows he's leaving AMA, that
he's been advised of and understands the risks of leaving, and that he knows he can come
back. Use his own words to describe his refusal to stay for further treatment.
▪︎Here's what to include on the AMA form:
•explanation of the risks and consequences of the AMA discharge, as told to the patient,
and the name of the person who provided the explanation.
•other places the patient can go for follow-up care.
•names of people accompanying the patient at discharge and the instructions given to them.
•patient's destination after discharge.
▪︎Relate the patient's state
•In the progress notes, document statements and actions that reflect the patient's mental
state at the time he left your facility.
~This helps protect you and other health care providers caring for the patient and the facility
against a charge of negligence if the patient later claims that he was mentally incompetent
at the time of discharge and was improperly supervised while in that state.
▪︎The AMA form should document that the patient understands the risk of leaving against
medical advice and knows he can come back.
3. A client newly admitted with abdominal pain ask the nurse to explain how their blood test
indicating that they are positive for helicobacter pylori has to do with their abdominal pain.
How should the nurse respond?
▪︎Helicobacter pylori (H. pylori) infection occurs when H. pylori bacteria infect your
stomach.
▪︎It can damage the tissue in your stomach and the first part of your small intestine (the
duodenum).
▪︎This can cause redness and soreness (inflammation). In some cases it can also cause
painful sores called peptic ulcers in your upper digestive tract.
▪︎Ulcer symptoms may include belly or abdominal pain.
