ATI RN
ATI Community Health Proctored Exam 2019
1. 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.
2. Fee-for-service care is best characterized by which statement:
- A. Fees are scaled based on the patient’s ability to pay and are capped.
- B. Fees reflect the fair market value of health care services being provided.
- C. Adequate fee schedules enable hospitals and clinics to function properly.
- D. Fees are not uniform throughout most states as they are fairly unregulated.
Correct answer: D
Rationale: Fee-for-service care is a payment model where providers are paid for each service performed, leading to non-uniform fees that vary by service and provider. This system is not highly regulated, resulting in differing fee structures across states and regions. Therefore, the statement that 'Fees are not uniform throughout most states as they are fairly unregulated' best characterizes fee-for-service care.
3. Identify the etiologic or causal statement component of the following community diagnosis: 'There is an increased risk for undetected testicular cancer among young men related to insufficient knowledge about the disease and the methods for preventing and detecting it at an early stage as demonstrated by high rates of late initiation of treatment.'
- A. Risk for undetected testicular cancer
- B. Young men
- C. Insufficient knowledge about the disease and methods of prevention
- D. High rates of late initiation of treatment
Correct answer: C
Rationale: The etiologic or causal statement in the community diagnosis is the part that explains the cause of the increased risk for undetected testicular cancer among young men. In this scenario, the insufficient knowledge about the disease and methods of prevention is the cause identified as contributing to the high rates of late initiation of treatment. It is important to identify the root cause to develop effective interventions and strategies to address the issue.
4. What can be an equally effective medicinal alternative to relieve muscle and joint pains that is non-costly, especially in far-flung communities and provinces, apart from the muscle pain-relieving drug advertised by Manny Pacquiao in the Philippines market?
- A. Sambong
- B. Lagundi
- C. Akapulko
- D. Yerba Buena
Correct answer: D
Rationale: Yerba Buena is a well-known herbal medicine in the Philippines that is traditionally used for its muscle pain-relieving properties. It is a cost-effective alternative that can be easily accessible, particularly in remote areas where access to modern medicines may be limited. Yerba Buena has been proven effective in providing relief for muscle and joint pains, making it a suitable option for those seeking a non-costly remedy in such communities.
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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