ATI RN COMMUNITY HEALTH PROCT ORED EXAM

ATI RN COMMUNITY HEALTH PROCT ORED EXAM

VERSION 30

National Prevention Strategy targets intervention in multiple setting to move the health of the populations from

• Poor to rich
• Wellness to health
• Shift from sickness to prevention
• Sadness to happiness

Rational: Called for under the Patient Protection and Affordable Care Act

Developed by National Prevention Council

Four Strategic Directions:

• Building healthy and safe community environments
• Expanding quality preventive services in both clinical and community settings
• Empowering people to make healthy choices
• Eliminating health disparities

To understand the causes of health and disease, epidemiology studies:

• Individuals
• Families
• Groups
• Populations

a nurse is teaching a client diagnosed with gonorrhea how to prevent reinfection and further spread. Which of the following describes the action taken by the nurse?Primary prevention Secondary promotion Tertiary prevention Secondary prevention Secondary prevention focuses on early detection and prompt treatment of disease, injury, or disability.Primary prevention refers to those interventions aimed at focuses on chronic care and rehabilitation, Primary health care refers to the first line of care provided to patients typically by a physician or other health care provider.PHNs utilize registries to identify children with delayed or missing immunizations. They subsequently follow up with families by phone calls or home visits. Which of the following levels of practice is being implemented?Policy Systems Individual Community A nurse who is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease is using which intervention?

• Screening
• Referral and follow-up
• Surveillance
• Health teaching 1 / 2

The factors, exposures, characteristics, and behaviors that determine patterns of disease are

described using:

• descriptive epidemiology.
• analytic epidemiology.
• distribution.
• determinants.

Determinants are the factors, exposures, characteristics, and behaviors that determine patterns of disease, which may be individual, relational, social, communal, or environmental. Descriptive epidemiology seeks to describe the occurrence of a disease in terms of person, place, and time. Analytic epidemiology focuses on the investigation of causes and associations. Distribution describes who has the disease and where and when the disease occurs.A client is receiving PHC services. Which of the following expectations would the client have?

• The care would be provided by a physician.
• Private insurance would be necessary to receive care.
• The emphasis of care provided would be on prevention.
• A referral would be made to a specialist after receiving services.

The focus of PHC is a broad range of services that are designed to be affordable for the recipients of the care and the governments who provide them. The emphasis of care is on prevention and the means of providing the care is based on practical, scientifically sound, culturally ap-propriate, and socially acceptable methods. All clients can receive PHC services regardless of insurance status. Those receiving primary care services may or may not need referral to a specialist.which of the following is an example of public health agency.Federal Bureau of Investigation (FBI) Drug enforcement administration (DEA) Women, Infants and children (WIC) Medical Center clinics (MCC) the public health care functions are directly linked to the healthcare promotion and prevention levels. The tertiary levels is characterized by The services are designed to treat disease in acute stage The service are designed to limit the progression of the disease or disability The function is to detect and treat disease is early stage Meets the basic needs of health people A school nurse is teaching a group of nurses newly hired to work in the school system about pedi information is appropriate to include in the teaching?Nits that are shed into the environment are capable of hatching for up to 10 days Infestation often appears as grayish brown threadlike burrow along the skin behind the ears Family pets can contribute to the transmission of lice Children from lower socioeconomic areas are more likely to have lice.

1.A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer?a.Meningococcal conjugate

• Nurse is preparing a community health program for adults at risk for cardiovascular disease. Which

of the following should the nurse include as a modifiable risk factor?

• Cigarette smoking
• An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic

workers. Which of the following actions should the nurse include as a secondary prevention strategy?

• Help plant workers identify signs of carpal tunnel syndrome
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