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. Which of the following describes a valid way to collect data for community assessment?
- A. Using a library database to conduct a literature review
- B. All of these strategies are helpful in conducting a community assessment
- C. Using surveys or questionnaires to gather information from members of the community
- D. Reading government documents to determine if similar data have already been collected
Correct answer: B
Rationale: Selecting option B is the correct choice as all the mentioned strategies in options A, C, and D are valid and useful methods for collecting data during a community assessment. Using a library database for a literature review, conducting surveys or questionnaires to gather information from community members, and reading government documents to identify existing data are essential approaches in assessing a community comprehensively.
3. How can health professionals address social determinants of health?
- A. Providing direct care to underserved populations
- B. Advocating for policy changes
- C. Conducting health screenings
- D. Educating about healthy lifestyle behaviors
Correct answer: B
Rationale: Advocating for policy changes is an effective way for health professionals to address social determinants of health. By influencing policies related to housing, education, employment, and healthcare access, health professionals can create systemic changes that benefit entire communities and address the root causes of health disparities.
4. When writing a community diagnosis, the community health nurse notes that the 'among' phrase:
- A. Presents a synthesis of all assessment data.
- B. Provides the supporting data.
- C. Specifies the aggregate that will benefit from the nurse's plan.
- D. Describes the cause of the health problem and directs focus of interventions.
Correct answer: C
Rationale: In community diagnosis, the 'among' phrase is used to specify the particular population group that will benefit from the nurse's plan. It helps in targeting interventions and tailoring healthcare activities to the identified group within the community.
5. In a community with competencies, what characteristic demonstrates their ability effectively?
- A. Identify their needs, achieve consensus, and plan and implement goals
- B. Delegate community processes to an outside expert
- C. Conduct their own cross-sectional epidemiological studies
- D. Predict morbidity and mortality rates
Correct answer: A
Rationale: A community with competencies can identify its needs, achieve consensus, and effectively plan and implement goals. This showcases their self-sufficiency and collaborative problem-solving skills, enabling them to address community issues efficiently.
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