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?
- A. I will engage in policy initiatives in my urban area.
- B. I will administer the flu shot to interested seniors.
- C. I will help manage a senior's diabetes needs at home.
- D. I will work with a local school to provide asthma education.
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. Which group is an example of a community of solution?
- A. That lives within a specific geographic location.
- B. Concerned with reducing teenage suicides.
- C. With the same ethnic background.
- D. In which all members enjoy hiking.
Correct answer: B
Rationale: A community of solution is formed by individuals who are united to address a common issue. In this case, the group concerned with reducing teenage suicides is an example of a community of solution as they are coming together to tackle a specific problem.
3. Which action would be classified as tertiary prevention?
- A. Providing rehabilitation services
- B. Administering medications
- C. Conducting health education sessions
- D. Conducting follow-up appointments
Correct answer: A
Rationale: The correct answer is providing rehabilitation services. Tertiary prevention focuses on improving the quality of life and minimizing the impact of chronic conditions. Rehabilitation services help individuals with chronic illnesses or disabilities to restore or enhance their functioning, making it a crucial aspect of tertiary prevention efforts.
4. What are the steps involved in the community assessment process for community health nurses? (Select all that apply.)
- A. Writing a community diagnosis
- B. Evaluating the outcomes
- C. Collecting assessment data
- D. Identifying the cause of the problem, planning community interventions
Correct answer: D
Rationale: The steps in the community assessment process for community health nurses involve collecting assessment data, identifying the cause of the problem, and planning community interventions. These steps are crucial for a comprehensive assessment and effective intervention planning in community health nursing.
5. While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:
- A. Discussing how the student is managing his overall academic studies since drinking has become a problem
- B. Explaining to the student the full range of harmful impacts binge drinking has on the body and mind
- C. Asking open-ended questions and actively listening to the student while trying to remove any judgement
- D. Asking the student to make a validated survey that reveals attitudes and knowledge about binge drinking
Correct answer: C
Rationale: Asking open-ended questions and actively listening without judgement is a key technique in motivational interviewing.
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