ATI RN
ATI Community Health Proctored Exam 2019
1. The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:
- A. Susceptibility
- B. Self-efficacy
- C. Severity
- D. Cue to action
Correct answer: B
Rationale: The correct answer is B, 'Self-efficacy.' In the Health Belief Model, self-efficacy refers to a person's belief in their capacity to execute behaviors necessary to achieve specific goals or outcomes. In this scenario, the client's statement reflects a lack of confidence in their ability to successfully quit smoking, indicating low self-efficacy. By addressing and enhancing the client's self-efficacy, the public health RN can help empower the client to take steps towards successful smoking cessation.
2. As a community health nurse covering a cluster of Barangays, your population coverage includes the following:
- A. Families in their homes, school population, workers in factories
- B. All except workers in factories
- C. Families in their homes, school population, workers in factories, patients in hospitals
- D. All except patients in hospitals
Correct answer: D
Rationale: As a community health nurse focusing on a cluster of Barangays, the primary population coverage typically includes families in their homes, school populations, and workers in factories. Patients in hospitals are usually under the care of hospital healthcare providers, not community health nurses. The main role of community health nurses is to provide healthcare services and education within the community and public health settings, rather than hospitals.
3. The public health nurse partners with the American Heart Association to develop NYS public policy priority statements to promote the expansion of the Double Up Food Bucks program. Which area and intervention on the Minnesota Public Health Wheel do these actions most closely align?
- A. Counseling - Blue wedge
- B. Advocacy - Yellow wedge
- C. Outreach - Red wedge
- D. Screening - Red wedge
Correct answer: B
Rationale: In this scenario, the public health nurse is engaging in advocacy by partnering with an organization to influence public policy through the development of public policy priority statements. Advocacy, represented by the yellow wedge on the Minnesota Public Health Wheel, aligns most closely with these actions as it involves working to influence public policy.
4. 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.
5. The C/PHN reviews the process of how a bill becomes a federal law. They note that which of the following statements is true?
- A. The bill will go to the appropriate committee to be discussed, research, and expert testimony heard.
- B. The bill will first be reviewed by the President to see if it aligns with the country's goals.
- C. The bill must have a complete consensus in both houses of the legislature.
- D. A bill cannot be vetoed by the President if the Senate supports it 100%.
Correct answer: A
Rationale: When a bill is introduced, it is sent to the appropriate committee where it is discussed, research is conducted, and expert testimony is heard. This is an essential step in the legislative process to evaluate the bill's merits and potential impact before it moves forward for consideration by the full legislative body.
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