a nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharg

ATI RN

ATI Community Health Proctored Exam 2019

1. A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?

A. Acute care hospital nursing
B. Community-based nursing
C. Community health nursing
D. Public health nursing

Correct answer: B

Rationale: The nurse is providing care to a patient at home, which falls under the realm of community-based nursing. Community-based nursing involves providing healthcare services outside of traditional healthcare facilities, such as in patients' homes or community settings, to promote health and wellness and prevent hospital readmissions.

2. Donna needs further teaching about the use of partograph if she said to her CI that:

A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
B. I can use the partograph in all pregnant women.
C. I will plot the cervical dilatation using 'x'.
D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.

Correct answer: B

Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.

3. The classic definition of public health is:

A. It is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
B. It is the health of individuals and communities that are, to a large extent, affected by a combination of many factors.
C. It refers to the overall health of individuals, families, and communities being influenced by various factors in the ecosystem.
D. It is the science and art of preventing disease, prolonging life, and promoting health through organized community efforts for sanitation, disease control, and health education.

Correct answer: D

Rationale: The classic definition of public health is focused on the science and art of preventing disease, prolonging life, and promoting health through organized community efforts. This definition emphasizes the importance of community-based interventions to improve public health outcomes such as sanitation, disease control, and health education. Public health aims to address the health needs of populations rather than just individuals, highlighting the collective approach to enhancing the well-being of communities.

4. Which best describes the concept of health promotion?

A. Focusing on treating illness
B. Encouraging healthy behaviors
C. Ensuring access to care
D. Focusing on disease prevention

Correct answer: B

Rationale: The correct answer is B: 'Encouraging healthy behaviors.' Health promotion focuses on empowering individuals and communities to take control of their health by promoting healthy behaviors and lifestyles. This approach involves education, creating supportive environments, and advocating for policies that enhance well-being. It goes beyond simply treating illness or preventing diseases, emphasizing a proactive and holistic approach to achieving and maintaining good health.

5. Which of the following is NOT a part of the community assessment process?

A. Identifying available resources such as time, money, and team skills
B. Setting action priorities based on the needs of the community and available resources
C. Withholding results from the community until they can be statistically confirmed to avoid alarming people
D. Collecting and analyzing information

Correct answer: C

Rationale: In the community assessment process, it is essential to involve the community and share information transparently. Withholding results until they are statistically confirmed can lead to misinformation or unnecessary delays in addressing community needs. Therefore, option C, which suggests withholding results, is NOT a standard practice in the community assessment process.