ATI RN
ATI Community Health Proctored Exam 2019
1. How does critical theory differ from other nursing theories such as the Health Belief Model or Orem’s self-care deficit theory?
- A. Critical theory can be utilized by professionals other than nurses.
- B. Critical theory focuses on oppression and enables group action.
- C. Critical theory is indirectly associated with health promotion.
- D. Critical theory addresses challenging an individual’s beliefs.
Correct answer: B
Rationale: Critical theory differs from other nursing theories like the Health Belief Model or Orem's self-care deficit theory by focusing on oppression and enabling group action. Unlike these nursing theories that may concentrate more on individual beliefs, critical theory aims to address broader societal issues and promote collective action for social change.
2. Which of the following is an example of tertiary prevention?
- A. Vaccination
- B. Screening for cancer
- C. Physical therapy
- D. Health education
Correct answer: C
Rationale: Tertiary prevention aims to manage and improve the quality of life of individuals already diagnosed with a disease. Physical therapy, which focuses on rehabilitation and restoring function after an injury or illness, is a prime example of tertiary prevention. It helps individuals regain mobility and independence, thereby reducing the impact of the disease and preventing further complications.
3. The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:
- A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
- B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
- C. I collaborated with the social work services team when I noted that my patient was unhoused.
- D. I taught the newly pregnant mom about necessary vaccinations to have at this time.
Correct answer: C
Rationale: Collaborating with social work services is a form of delegation, ensuring that clients receive comprehensive care.
4. Which of the following is a critical component of a health promotion program?
- A. Community involvement
- B. Sufficient funding
- C. Effective leadership
- D. Transparent communication
Correct answer: A
Rationale: Community involvement is a critical component of a health promotion program as it ensures that the program aligns with the community's needs and fosters ownership and sustainability. Engaging the community in the planning, implementation, and evaluation of health promotion initiatives increases their effectiveness and relevance.
5. After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?
- A. Apply warm blankets & continue oxygen as prescribed
- B. Take the patient's rectal temperature
- C. Page the doctor for further orders
- D. Adjust the thermostat in the room
Correct answer: A
Rationale: When a patient starts shivering uncontrollably after surgery, the priority nursing intervention is to apply warm blankets and continue oxygen as prescribed. Shivering can be a sign of hypothermia, and maintaining the patient's body temperature is crucial for their recovery. This intervention helps prevent further heat loss and supports the patient's comfort and safety. While monitoring temperature, paging the doctor, and adjusting the room temperature may be necessary, addressing the immediate need for warmth and oxygen is the priority in this situation.
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