while using technique of motivational interviewing with a college student engaged in binge drinking several times per week the public health rn should

ATI RN

ATI Community Health Proctored Exam 2019

1. 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.

2. The public health nurse is reading information from a study that states that hypertension may be associated with an odds ratio of 2.49, meaning the patient is approximately 2.5 times more likely to have a severe form of COVID-19 than those without hypertension. The nurse describes the odds ratio as:

A. a measure of association between an exposure and an outcome
B. an absolute risk increase
C. a measure of statistical significance
D. a measure of precision

Correct answer: A

Rationale: The odds ratio is a measure of association between an exposure and an outcome. In this context, an odds ratio of 2.49 indicates that individuals with hypertension are approximately 2.5 times more likely to develop severe COVID-19 compared to those without hypertension. Therefore, choice A is correct as it accurately defines the role of odds ratio in assessing the relationship between an exposure (hypertension) and an outcome (severe COVID-19). Choices B, C, and D are incorrect as they do not describe the nature of odds ratio.

3. 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.

4. Which of the following is an example of a health disparity?

A. Differences in health outcomes based on geographic location
B. Differences in health outcomes based on socioeconomic status
C. Differences in health outcomes based on age
D. Differences in health outcomes based on genetic factors

Correct answer: B

Rationale: A health disparity refers to differences in health outcomes based on socioeconomic status, indicating unequal access to healthcare services and variations in health outcomes due to economic factors.

5. Which action demonstrates primary prevention?

A. Administering immunizations
B. Teaching healthy lifestyle behaviors
C. Educating about the importance of regular check-ups
D. Screening for early signs of disease

Correct answer: A

Rationale: Administering immunizations is a primary prevention strategy aimed at preventing diseases before they occur. By administering immunizations, the nurse helps individuals develop immunity against specific diseases, reducing the likelihood of them getting sick in the first place. This proactive approach aligns with primary prevention efforts to promote health and prevent illnesses.