ATI RN
ATI Community Health Proctored Exam 2023
1. Which of the following best describes epidemiology?
- A. The study of the distribution and determinants of health-related states or events in specified populations.
- B. The study of the distribution and determinants of health-related states or events in specified populations and the application of this study to control health problems.
- C. The study of how social factors influence health outcomes.
- D. The study of how health systems and services impact population health.
Correct answer: B
Rationale: Epidemiology is defined as the study of the distribution and determinants of health-related states or events in specified populations, as well as the application of this study to control health problems. This field focuses on identifying patterns and causes of health and disease in order to develop strategies for prevention and control.
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. What best describes the role of advocacy in community health nursing?
- A. Educating the community about health issues
- B. Providing direct patient care
- C. Developing new health technologies
- D. Securing funding for health programs
Correct answer: A
Rationale: Advocacy in community health nursing involves educating the community about health issues to raise awareness, promote health literacy, and empower individuals to make informed decisions. By educating the community, nurses can advocate for policies and interventions that address health disparities, promote preventive care, and improve overall health outcomes.
4. Which of the following is an example of a social determinant of health?
- A. Genetic predisposition
- B. Personal health behaviors
- C. Biological factors
- D. Economic stability
Correct answer: D
Rationale: Economic stability, like having a stable income, is a crucial social determinant of health that can significantly influence an individual's overall well-being. Access to economic resources can affect a person's ability to afford healthcare, nutritious food, safe housing, and other essentials that are vital for good health outcomes.
5. A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?
- A. Acute care hospital nursing
- B. Community-based nursing
- C. Community health nursing
- D. Public health nursing
Correct answer: B
Rationale: The nurse is providing care to a patient at home, which falls under the realm of community-based nursing. Community-based nursing involves providing healthcare services outside of traditional healthcare facilities, such as in patients' homes or community settings, to promote health and wellness and prevent hospital readmissions.
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