ATI RN
ATI Community Health Proctored Exam 2019
1. 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.
2. 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.
3. Which group is an example of a community of solution?
- A. That lives within a specific geographic location.
- B. Concerned with reducing teenage suicides.
- C. With the same ethnic background.
- D. In which all members enjoy hiking.
Correct answer: B
Rationale: A community of solution is formed by individuals who are united to address a common issue. In this case, the group concerned with reducing teenage suicides is an example of a community of solution as they are coming together to tackle a specific problem.
4. 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.
5. While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:
- A. Discussing how the student is managing his overall academic studies since drinking has become a problem
- B. Explaining to the student the full range of harmful impacts binge drinking has on the body and mind
- C. Asking open-ended questions and actively listening to the student while trying to remove any judgement
- D. Asking the student to make a validated survey that reveals attitudes and knowledge about binge drinking
Correct answer: C
Rationale: Asking open-ended questions and actively listening without judgement is a key technique in motivational interviewing.
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