ATI RN
ATI Community Health Nursing Ch 9
1. Which statement best describes a key aspect of sustainable community health programs?
- A. Ensuring continuous community involvement
- B. Allocating resources effectively
- C. Securing long-term funding
- D. Providing culturally relevant services
Correct answer: A
Rationale: Continuous community involvement is crucial for the sustainability of community health programs as it fosters ongoing engagement, support, and ownership within the community. This active participation can lead to better program outcomes, increased community trust, and long-term success by tailoring interventions to the community's specific needs and preferences.
2. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT
- A. Chest indrawing should be present at all times
- B. The lower chest wall does not move in when the child breathes in
- C. The lower chest moves in when the child breathes in
- D. The child should be calm
Correct answer: A
Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.
3. In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?
- A. Proactively assessing the health needs of the entire panel and planning accordingly
- B. Focusing on providing care to young and seemingly vulnerable patients
- C. Spending most time with patients who regularly attend their visits
- D. Prioritizing care by responding to the oldest patients first
Correct answer: A
Rationale: In population health management, a nurse overseeing a large panel of patients needs to proactively assess the health needs of the entire panel to plan and provide appropriate care effectively. This approach ensures that all patients receive necessary attention and interventions, contributing to better health outcomes for the population as a whole.
4. Which best describes an outcome of successful health promotion?
- A. Reduced incidence of chronic diseases
- B. Increased health care costs
- C. Improved patient compliance
- D. Decreased use of emergency services
Correct answer: A
Rationale: The correct answer is A: Reduced incidence of chronic diseases. Successful health promotion aims to prevent diseases and improve health outcomes, leading to a decrease in the occurrence of chronic conditions. This outcome reflects positive changes in health behaviors and conditions, ultimately contributing to better overall health in populations.
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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