the community health nurse is involved in public health work which of these statements by the nurse reflects an understanding of upstream intervention
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Nursing Elites

ATI RN

ATI Community Health Proctored Exam 2019

1. The community health nurse is involved in public health work. Which of these statements by the nurse reflects an understanding of upstream interventions?

Correct answer: A

Rationale: The correct answer is A because engaging in policy initiatives reflects an understanding of upstream interventions. Upstream interventions focus on influencing broader determinants of health, such as policies and social factors, to prevent health issues before they occur. This approach addresses the root causes of health problems rather than just treating symptoms or providing individual care.

2. What is the most critical factor for the success of a community health intervention?

Correct answer: B

Rationale: Community involvement is the most critical factor for the success of a community health intervention. When the community actively participates, it ensures that the intervention aligns with their needs, values, and preferences. This involvement fosters ownership and sustainability, leading to better outcomes and long-term success. Without community involvement, interventions may lack acceptance, relevance, and support, hindering their effectiveness.

3. Which factor is most closely linked to health disparities?

Correct answer: A

Rationale: Access to health care is a critical factor closely linked to health disparities. Limited access to healthcare services can result in disparities in health outcomes, as individuals with restricted access may face challenges in receiving timely and adequate medical care, leading to poorer health outcomes compared to those with better access.

4. Which strategy is most effective in improving health literacy among patients?

Correct answer: A

Rationale: The most effective strategy in improving health literacy among patients is using clear and simple language in communication. Clear and simple language helps ensure that patients can easily understand health information, leading to better comprehension, decision-making, and health outcomes.

5. The public health nurse is reading information from a study that states that hypertension may be associated with an odds ratio of 2.49, meaning the patient is approximately 2.5 times more likely to have a severe form of COVID-19 than those without hypertension. The nurse describes the odds ratio as:

Correct answer: A

Rationale: The odds ratio is a measure of association between an exposure and an outcome. In this context, an odds ratio of 2.49 indicates that individuals with hypertension are approximately 2.5 times more likely to develop severe COVID-19 compared to those without hypertension. Therefore, choice A is correct as it accurately defines the role of odds ratio in assessing the relationship between an exposure (hypertension) and an outcome (severe COVID-19). Choices B, C, and D are incorrect as they do not describe the nature of odds ratio.

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