ATI Community Health Nursing Ch 7

Correct Answer: B

Rationale: Tracheostomy is the process of surgically creating an airway in the front of the neck to aid in breathing or remove secretions from the airway. Bronchoscopy involves visualizing the airways using a scope, not creating an airway. Thoracentesis is the procedure to remove fluid or air from the pleural space around the lungs, not related to creating an airway. Underwater seal drainage is a method used in chest drainage systems to remove air or fluid from the pleural space, not the creation of an airway.

Correct Answer: B

Rationale: The correct answer is B: 'Encouraging healthy behaviors.' Health promotion focuses on empowering individuals and communities to take control of their health by promoting healthy behaviors and lifestyles. This approach involves education, creating supportive environments, and advocating for policies that enhance well-being. It goes beyond simply treating illness or preventing diseases, emphasizing a proactive and holistic approach to achieving and maintaining good health.

Correct Answer: A

Rationale: When a patient starts shivering uncontrollably after surgery, the priority nursing intervention is to apply warm blankets and continue oxygen as prescribed. Shivering can be a sign of hypothermia, and maintaining the patient's body temperature is crucial for their recovery. This intervention helps prevent further heat loss and supports the patient's comfort and safety. While monitoring temperature, paging the doctor, and adjusting the room temperature may be necessary, addressing the immediate need for warmth and oxygen is the priority in this situation.

Correct Answer: A

Rationale: A community health nurse plays a vital role in promoting health by advocating for health policy changes. By advocating for policy changes that support healthy environments, access to care, and addressing social determinants of health, community health nurses work towards improving the overall health and well-being of the community they serve. While providing direct care to individuals and families, educating the community about healthy lifestyles, and conducting research on community health issues are important aspects of nursing practice, advocating for health policy changes has a broader impact on population health outcomes.

Correct Answer: A

Rationale: The statement 'The nurse is responsible for obtaining the consent for surgery' is incorrect. The responsibility of obtaining informed consent for surgery lies with the physician or surgeon performing the procedure. Nurses can assist in the process by witnessing the client signing the consent form, ensuring the patient is educated about the procedure by the physician, and verifying that the consent process is voluntary and informed. For patients under 18 years of age, a parent or legal guardian typically needs to sign the consent form on behalf of the minor, as they are not legally able to provide consent themselves.