ATI RN
ATI Community Health Proctored Exam 2023
1. Which of the following are core functions of public health?
- A. Assessment
- B. Policy development
- C. Assurance
- D. All of the above
Correct answer: D
Rationale: All the options listed - Assessment, Policy development, and Assurance - are core functions of public health. Assessment involves collecting and analyzing data to identify health problems, Policy development focuses on creating and implementing policies to address those problems, and Assurance ensures that necessary health services are provided to the community.
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. Which factor is most critical for the sustainability of health programs?
- A. Continuous community involvement
- B. Support from local government
- C. Availability of funding
- D. Regular program evaluation
Correct answer: A
Rationale: Continuous community involvement is the most critical factor for the sustainability of health programs. When the community is actively engaged and involved in health initiatives, there is a higher likelihood of long-term support and success. Community involvement fosters ownership, collaboration, and ensures that health programs are tailored to meet the specific needs of the community, leading to better outcomes and sustainability over time.
4. The classic definition of public health is:
- A. It is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
- B. It is the health of individuals and communities that are, to a large extent, affected by a combination of many factors.
- C. It refers to the overall health of individuals, families, and communities being influenced by various factors in the ecosystem.
- D. It is the science and art of preventing disease, prolonging life, and promoting health through organized community efforts for sanitation, disease control, and health education.
Correct answer: D
Rationale: The classic definition of public health is focused on the science and art of preventing disease, prolonging life, and promoting health through organized community efforts. This definition emphasizes the importance of community-based interventions to improve public health outcomes such as sanitation, disease control, and health education. Public health aims to address the health needs of populations rather than just individuals, highlighting the collective approach to enhancing the well-being of communities.
5. 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.
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