ATI RN
ATI Community Health Proctored Exam 2019
1. The public health nurse partners with the American Heart Association to develop NYS public policy priority statements to promote the expansion of the Double Up Food Bucks program. Which area and intervention on the Minnesota Public Health Wheel do these actions most closely align?
- A. Counseling - Blue wedge
- B. Advocacy - Yellow wedge
- C. Outreach - Red wedge
- D. Screening - Red wedge
Correct answer: B
Rationale: In this scenario, the public health nurse is engaging in advocacy by partnering with an organization to influence public policy through the development of public policy priority statements. Advocacy, represented by the yellow wedge on the Minnesota Public Health Wheel, aligns most closely with these actions as it involves working to influence public policy.
2. Which level of care serves as a referral center for primary health facilities?
- A. Secondary level of care
- B. Tertiary level of care
- C. Primary level of care
- D. Intermediate level of care
Correct answer: B
Rationale: The correct answer is B - Tertiary level of care. Tertiary level of care is the highest level of care and serves as a referral center for primary health facilities, handling complex cases and providing specialized services that primary care facilities may not offer.
3. Who among the following individuals was involved in the discovery of anesthesia?
- A. Robert Koch
- B. William Morton
- C. Joseph Lister
- D. Sushruta
Correct answer: B
Rationale: William Morton was a dentist who was involved in the discovery of anesthesia. In 1846, Morton demonstrated the use of ether as a surgical anesthetic, leading to a significant advancement in medical practices. Robert Koch was a bacteriologist known for his work on anthrax and tuberculosis. Joseph Lister was a surgeon who introduced antiseptic surgical methods. Sushruta was an ancient Indian physician known for his contributions to the field of surgery.
4. Paralysis of all or part of the trunk, legs, and pelvic organs is referred to as:
- A. Hemiplegia
- B. Tetraplegia
- C. Paraplegia
- D. Hemiparesis
Correct answer: C
Rationale: Paraplegia is the paralysis of the lower half of the body, including both legs and often the trunk and pelvic organs. Hemiplegia refers to paralysis affecting one side of the body, while tetraplegia involves paralysis of all four limbs and the trunk. Hemiparesis is a partial weakness affecting one side of the body.
5. 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.
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