ATI RN
RN Evidence-Based Practice in Community and Public Health Assessment Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Estimate the number of infants in the barangay.
Correct Answer: C
Rationale: The correct answer is C (55). To estimate the number of infants in the barangay, we need to consider a reasonable average number of infants per household. Assuming an average household size of 4, with about 2 adults and 2 children, we can estimate that roughly 25% of households may have infants. With a total of 220 households in the barangay, 25% of 220 is 55, making C the most reasonable estimate. Summary of other choices: A: 45 - This is on the lower side and underestimates the number of infants. B: 50 - Similar to A, it underestimates the number of infants. D: 60 - This is on the higher side and overestimates the number of infants.
Question 5 of 5
A client was diagnosed as having Dengue Fever. You will say that there is slow capillary refill when the color of the nailbed that you pressed does not return within how many seconds?
Correct Answer: B
Rationale: The correct answer is B: 5 seconds. Slow capillary refill in Dengue Fever typically indicates poor peripheral perfusion, which can be a sign of shock. In a healthy individual, capillary refill should occur within 2 seconds. In cases of shock or poor perfusion, the capillary refill time may be prolonged. Choosing 5 seconds as the threshold aligns with the delayed capillary refill commonly seen in patients with Dengue Fever. Choices A, C, and D are incorrect as they do not reflect the typical time frame for capillary refill in these circumstances.