ATI RN
ATI Community Health Proctored Exam 2019
1. 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.
2. The community health nurse is involved in public health work. Which of these statements by the nurse reflects an understanding of upstream interventions?
- A. I will engage in policy initiatives in my urban area.
- B. I will administer the flu shot to interested seniors.
- C. I will help manage a senior's diabetes needs at home.
- D. I will work with a local school to provide asthma education.
Correct answer: A
Rationale: The correct answer is A because engaging in policy initiatives reflects an understanding of upstream interventions. Upstream interventions focus on influencing broader determinants of health, such as policies and social factors, to prevent health issues before they occur. This approach addresses the root causes of health problems rather than just treating symptoms or providing individual care.
3. Which factor is most critical for the sustainability of health programs?
- A. Continuous community involvement
- B. Support from local government
- C. Availability of funding
- D. Regular program evaluation
Correct answer: A
Rationale: Continuous community involvement is the most critical factor for the sustainability of health programs. When the community is actively engaged and involved in health initiatives, there is a higher likelihood of long-term support and success. Community involvement fosters ownership, collaboration, and ensures that health programs are tailored to meet the specific needs of the community, leading to better outcomes and sustainability over time.
4. The Filipino Food Guide Pyramid strongly emphasizes which of the following?
- A. Ensuring a variety of foods every day
- B. Eating a diet low in fats and sugar
- C. Maintaining specific daily servings of food groups
- D. Avoiding poor eating habits
Correct answer: C
Rationale: The Filipino Food Guide Pyramid emphasizes the importance of maintaining specific daily servings of food groups to ensure a balanced and healthy diet. While it also encourages a variety of foods, a diet low in fats and sugar, and avoiding poor eating habits, the primary focus is on ensuring individuals consume the right portions of various food groups to meet their nutritional needs and promote overall health.
5. What action should be taken by nurses in the local community regarding the trash in the stream?
- A. Hold a dialogue with community members about the problem and its effects
- B. Advocate for stronger littering laws and harsher penalties
- C. Educate community organizations about the importance of clean water for recreational activities
- D. Ensure personal trash is disposed of in appropriate receptacles
Correct answer: A
Rationale: Nurses play a crucial role in community health promotion. By engaging in dialogue with community members about the issue of trash in the stream and its impacts, nurses can raise awareness, foster community involvement, and encourage collective action towards a cleaner environment. This approach aligns with nursing principles of empowering individuals and communities to address health-related concerns collaboratively.
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