ATI RN
ATI Community Health Proctored Exam 2019
1. In value-based care, which equation represents the focus on achieving the best outcomes relative to cost?
- A. Cost X Quality
- B. Cost X Quality/Consumer satisfaction
- C. Quality/Cost
- D. Fee for service/discount rate
Correct answer: C
Rationale: Value-based care aims to deliver the highest quality of care while efficiently managing costs. The equation Quality/Cost represents this focus by emphasizing achieving superior outcomes relative to the resources invested.
2. In evaluating the healthcare provided, which of the following vital statistics in the communities served will BEST indicate their health status?
- A. 0 crude death rate for the year 2012
- B. 50% (Swaroop's) index for the year 2011
- C. 0 infant mortality rate for the year 2011
- D. 0 crude birth rate for the year 2011
Correct answer: C
Rationale: The infant mortality rate is a critical indicator of a community's health status as it reflects the impact of economic and social conditions on the health of mothers and infants, as well as the effectiveness of healthcare systems. A low infant mortality rate signifies better overall health outcomes and healthcare access within a community.
3. The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:
- A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
- B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
- C. I collaborated with the social work services team when I noted that my patient was unhoused.
- D. I taught the newly pregnant mom about necessary vaccinations to have at this time.
Correct answer: C
Rationale: Collaborating with social work services is a form of delegation, ensuring that clients receive comprehensive care.
4. When studying for an epidemiology quiz, what does public health nursing surveillance involve?
- A. Having all carriers transferred to one main facility for care
- B. Gathering data to work toward primary illness prevention
- C. Establishing the incubation period of a disease
- D. Determining the colonization rate of the disease
Correct answer: B
Rationale: Public health nursing surveillance involves the systematic collection, analysis, and interpretation of health-related data for the purpose of preventing and controlling diseases. By gathering data, public health nurses can identify trends, risks, and patterns to implement interventions aimed at preventing illnesses in communities. This process is essential for early detection, timely response, and effective prevention strategies.
5. One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):
- A. Census survey.
- B. Needs survey.
- C. Informant survey.
- D. Windshield survey.
Correct answer: D
Rationale: A windshield survey involves observations made from a moving vehicle, allowing the community health nurse to gather information about the community's physical and social environment without direct interaction. This method helps in understanding the community's resources, potential hazards, and overall characteristics, which are essential for planning and implementing effective community health interventions.
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