ATI RN
ATI Community Health Proctored Exam 2019
1. The C/PHN is supporting legislation that seeks tighter gun control laws in New York State. The nurse knows that a significant challenge to getting legislation passed relates to which of the following:
- A. A lack of interest in this topic by many citizens of the state.
- B. An inability to gather statistics to understand the magnitude of the problem.
- C. Special interest groups that exert influence on legislators.
- D. The idea that gun violence is not a significant public health concern in the US.
Correct answer: C
Rationale: Special interest groups often exert significant influence on legislators, making it challenging to pass tighter gun control laws. These groups may lobby against such legislation, impacting the decision-making process of lawmakers. This influence can hinder the progress of bills related to gun control, despite potential public support or health implications.
2. 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.
3. In value-based care, which equation represents the focus on achieving the best outcomes relative to cost?
- A. Cost X Quality
- B. Cost X Quality/Consumer satisfaction
- C. Quality/Cost
- D. Fee for service/discount rate
Correct answer: C
Rationale: Value-based care aims to deliver the highest quality of care while efficiently managing costs. The equation Quality/Cost represents this focus by emphasizing achieving superior outcomes relative to the resources invested.
4. A traditional birth attendant or a healer is classified as:
- A. None of the above
- B. Intermediate level health workers
- C. Barangay health workers
- D. All of the above
Correct answer: C
Rationale: Traditional birth attendants or healers fall under the category of barangay health workers. They play a crucial role in providing essential health services and support within their communities. Being recognized as barangay health workers aligns them with the local healthcare system and enables them to contribute effectively to improving maternal and newborn health outcomes.
5. Which action demonstrates an effective health communication strategy?
- A. Using medical jargon to explain complex health issues
- B. Distributing printed brochures in the community
- C. Hosting large community health fairs
- D. Using social media platforms for health campaigns
Correct answer: B
Rationale: Distributing printed brochures in the community is an effective health communication strategy as it allows for the dissemination of health information to a broad audience in a tangible and accessible format. Brochures can be distributed widely and provide concise, easy-to-understand information, making them a valuable tool for promoting health awareness and education within the community.
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