the public health nurse partners with the american heart association to develop nys public policy priority statements to promote the expansion of the

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 is a key component of program evaluation in community health?

A. Identifying program goals and objectives
B. Ensuring program sustainability
C. Monitoring program implementation
D. Evaluating health outcomes

Correct answer: D

Rationale: Evaluating health outcomes is a crucial component of program evaluation in community health. It allows for assessing the effectiveness of the program and identifying areas that require improvement. By analyzing health outcomes, organizations can determine the impact of their interventions and make data-driven decisions to enhance community health initiatives.

3. All of the following are objectives of FHSIS except:

A. To complete the clinical picture of chronic diseases and describe their natural history
B. To provide a standardized, facility-level database that can be accessed for more in-depth studies
C. To minimize recording and reporting burden, allowing more time for patient care and promotive activities
D. To ensure that reported data are useful, accurate, and disseminated in a timely and easy-to-use fashion

Correct answer: A

Rationale: The objective of FHSIS is not to complete the clinical picture of chronic diseases and describe their natural history. Instead, it focuses on providing standardized facility-level data, minimizing reporting burden to allow more time for patient care, and ensuring that reported data are useful, accurate, and disseminated effectively.

4. 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.

5. Which action exemplifies secondary prevention?

A. Administering vaccines
B. Providing treatment for acute illnesses
C. Teaching safe health practices
D. Developing health policies

Correct answer: B

Rationale: The correct answer is B: Providing treatment for acute illnesses. Secondary prevention focuses on early detection and treatment of a disease to prevent its progression and complications. Administering vaccines (choice A) is an example of primary prevention aimed at preventing the onset of a disease. Teaching safe health practices (choice C) falls under health promotion and education, which is a form of primary prevention. Developing health policies (choice D) is more aligned with public health initiatives and may impact primary, secondary, or tertiary prevention strategies, depending on the specific policies enacted.