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. When assisting clients in changing their behavior, what would be the most effective approach?
- A. Counseling through the Ask, Advise, Assess, Assist, and Arrange approach
- B. Encouraging them to interact with others who also need to change their behavior
- C. Showing them how the inappropriate behavior is hurting their friends and family
- D. Using subtle rewards when small steps are taken toward the appropriate behavior
Correct answer: A
Rationale: The most effective approach in helping clients to change their behavior is to utilize the Ask, Advise, Assess, Assist, and Arrange approach. This comprehensive counseling strategy is commonly employed in various programs, such as smoking cessation, to guide individuals through behavior change by systematically addressing their needs and providing support at each stage of the process.
3. The appropriate order of steps in active management of the third stage of labor include:
- A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be sure the placenta is intact.
- B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
- C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine massage
- D. Controlled cord traction, fundal massage and oxytocin
Correct answer: C
Rationale: Intramuscular injection of oxytocin, controlled cord traction with counter traction to the uterus, and uterine massage are the appropriate steps in active management of the third stage of labor.
4. The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:
- A. Moving the teen to find a new friend group.
- B. Addressing the problem of teen awkwardness.
- C. Agreeing that awkwardness is hard.
- D. Using open-ended questioning.
Correct answer: D
Rationale: The RN's question, 'Please tell me more about this and how it feels awkward for you,' is an example of using open-ended questioning. Open-ended questions encourage clients to share more about their feelings and thoughts, allowing for a deeper exploration of their concerns and experiences. It helps in building rapport, understanding the client's perspective, and facilitating a client-centered conversation.
5. What is the MOST COMMON cause of vaginal bleeding immediately after birth?
- A. Uterine atony
- B. Genital lacerations
- C. Abnormal clotting mechanisms
- D. Endometritis
Correct answer: A
Rationale: Vaginal bleeding immediately after birth is most commonly due to uterine atony. Uterine atony is the failure of the uterine muscle to contract adequately after childbirth, leading to postpartum hemorrhage. This condition is more frequent than genital lacerations, abnormal clotting mechanisms, or endometritis as a cause of immediate postpartum bleeding.
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