ATI RN
ATI Community Health Proctored Exam 2019
1. In a community with competencies, what characteristic demonstrates their ability effectively?
- A. Identify their needs, achieve consensus, and plan and implement goals
- B. Delegate community processes to an outside expert
- C. Conduct their own cross-sectional epidemiological studies
- D. Predict morbidity and mortality rates
Correct answer: A
Rationale: A community with competencies can identify its needs, achieve consensus, and effectively plan and implement goals. This showcases their self-sufficiency and collaborative problem-solving skills, enabling them to address community issues efficiently.
2. Which of the following mechanisms can facilitate the development of diverticulosis into diverticulitis?
- A. Treating constipation with chronic laxative use, leading to dependence on laxatives
- B. Chronic constipation causing an obstruction, reducing forward flow of intestinal contents
- C. Herniation of the intestinal mucosa, rupturing the wall of the intestine
- D. Undigested food blocking the diverticulum, predisposing the area to bacterial invasion
Correct answer: D
Rationale: The correct answer is D. Undigested food blocking the diverticulum can lead to bacterial invasion, causing inflammation and turning diverticulosis into diverticulitis. Choices A, B, and C do not directly facilitate the development of diverticulitis. Choice A involves a different mechanism related to laxative use, choice B describes a complication of chronic constipation but does not necessarily lead to diverticulitis, and choice C refers to a different condition involving herniation of the intestinal mucosa.
3. What should you assess for in a patient who is on Valproate?
- A. Suicidal thoughts
- B. Monitor for seizures
- C. Bipolar disorder
- D. Migraines
Correct answer: A
Rationale: The correct answer is A: Suicidal thoughts. When a patient is prescribed Valproate, it is crucial to assess for suicidal thoughts as it is a serious side effect associated with this medication. Valproate has been linked to an increased risk of suicidal ideation and behavior, particularly in patients with epilepsy or bipolar disorder. Monitoring for signs of depression or changes in behavior is essential to ensure patient safety and well-being. Choices B, C, and D are incorrect because while monitoring for seizures, managing bipolar disorder, and treating migraines are also important considerations when a patient is on Valproate, assessing for suicidal thoughts takes priority due to the serious nature of this potential side effect.
4. Central to Piaget's theory is the concept of __________.
- A. imitation
- B. adaptation
- C. self-efficacy
- D. scaffolding
Correct answer: B
Rationale: Central to Piaget's theory is the concept of adaptation, which refers to the process by which individuals adjust to new information and experiences by modifying their existing cognitive structures. Piaget believed that this process of adaptation involved two key components: assimilation, where individuals incorporate new information into their existing schemas, and accommodation, where individuals adjust their schemas to fit new information. This concept highlights the dynamic nature of cognitive development and the importance of interaction between individuals and their environment in shaping intellectual growth. Choice A, 'imitation,' is incorrect as Piaget's theory focuses on how individuals actively construct their understanding of the world through their interactions with it, rather than simply imitating others. Choice C, 'self-efficacy,' is not the central concept in Piaget's theory; self-efficacy is a concept from Bandura's social cognitive theory. Choice D, 'scaffolding,' is associated with Vygotsky's sociocultural theory, not Piaget's theory.
5. What do positive feedback mechanisms do?
- A. Cause long-term changes.
- B. Move conditions away from the normal state.
- C. Bring conditions back to the normal state.
- D. Usually produce stable conditions.
Correct answer: Move conditions away from the normal state.
Rationale: Positive feedback mechanisms amplify or increase changes in a system, moving conditions away from the normal state. This makes choice B the correct answer. Choice A is incorrect as positive feedback does not cause long-term changes but rather accelerates deviations from the norm. Choice C is incorrect because positive feedback does not bring conditions back to normal; instead, it amplifies deviations. Choice D is incorrect as positive feedback does not usually lead to stable conditions but rather to further deviations from the normal state.
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