ATI RN
RN Evidence-Based Practice in Community and Public Health Assessment Questions
Question 1 of 5
Secondary prevention for malaria includes?
Correct Answer: B
Rationale: The correct answer is B because residual spraying of insecticides at night helps to kill mosquitoes that transmit malaria, reducing the risk of infection. This method targets the vector directly, interrupting the transmission cycle. A: Planting neem or eucalyptus trees may have some insect-repellent properties, but it is not a primary method of preventing malaria transmission. C: Determining endemic areas is important for overall prevention strategies, but it does not directly address secondary prevention measures like mosquito control. D: Growing larva-eating fish can help reduce mosquito larvae, but it is more of a primary prevention method rather than secondary prevention.
Question 2 of 5
To improve compliance to treatment, what innovation is being implemented in DOTS?
Correct Answer: B
Rationale: The correct answer is B because having the health worker or a responsible family member monitor drug intake ensures regular and accurate medication adherence. This approach provides direct supervision and support, increasing treatment compliance. A: Having the health worker follow up at home may not be feasible for all patients and may not ensure consistent monitoring. C: Having the patient come to the health center every month may not guarantee adherence between visits. D: Having a target list to check drug collection does not directly monitor drug intake, potentially leading to missed doses.
Question 3 of 5
Which of the following clients should be classified as a case of mutibacillary leprosy?
Correct Answer: D
Rationale: The correct answer is D because multibacillary leprosy is characterized by more than 5 skin lesions and a positive slit skin smear indicating a high bacterial load. Having 5 lesions and a positive smear aligns with the criteria for multibacillary leprosy diagnosis. Choices A, B, and C do not meet the criteria for multibacillary leprosy as they either have less than 5 lesions or a negative slit skin smear. Thus, D is the correct choice based on the definition and diagnostic criteria of multibacillary leprosy.
Question 4 of 5
What is the most effective way of controlling schistosomiasis in an endemic area?
Correct Answer: C
Rationale: The correct answer is C: Proper use of sanitary toilets. This is the most effective way to control schistosomiasis in an endemic area because it interrupts the life cycle of the parasite by preventing human waste from contaminating water sources. Molluscicides target snails, the intermediate host, but may not be sustainable. Building foot bridges and using protective footwear help reduce exposure but do not address the root cause. Sanitary toilets directly address the transmission route, making it the most effective control measure.
Question 5 of 5
For prevention of Hepatitis A, you decided to conduct health education activities. Which of the following is Irrelevant?
Correct Answer: D
Rationale: The correct answer is D because water pipe leaks and illegal water connections do not directly contribute to the prevention of Hepatitis A, which is primarily transmitted through contaminated food or water. A, B, and C are relevant as they address key factors in preventing the transmission of Hepatitis A such as avoiding the use of contaminated syringes, ensuring safe food handling practices, and maintaining proper hygiene and sanitation. Therefore, focusing on immediate reporting of water-related issues is not directly related to preventing Hepatitis A transmission.