ATI RN
ATI Community Health Proctored Exam 2019
1. Why is environmental health more challenging than other variables related to an individual’s health?
- A. Environmental health affects susceptible individuals more than groups.
- B. Environmental health demands that individuals be willing to change their beliefs.
- C. Environmental health is dependent on social neighborhoods and geography.
- D. Environmental health requires social, economic, and political changes to improve.
Correct answer: D
Rationale: Improving environmental health necessitates broader changes beyond individual actions, including social, economic, and political transformations to address root causes of environmental issues. These changes are crucial for sustainable improvements in environmental health outcomes.
2. 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.
3. How can health professionals address social determinants of health?
- A. Providing direct care to underserved populations
- B. Advocating for policy changes
- C. Conducting health screenings
- D. Educating about healthy lifestyle behaviors
Correct answer: B
Rationale: Advocating for policy changes is an effective way for health professionals to address social determinants of health. By influencing policies related to housing, education, employment, and healthcare access, health professionals can create systemic changes that benefit entire communities and address the root causes of health disparities.
4. All of the following are characteristics of the Patient Centered Medical Home (PCMH) except:
- A. Comprehensive in scope of care
- B. Guarantees safety at home
- C. Patient needs come first
- D. Providers work together
Correct answer: B
Rationale: The Patient Centered Medical Home (PCMH) model is designed to provide comprehensive care, prioritize patient needs, and ensure that healthcare providers work together to coordinate care effectively. However, guaranteeing safety at home is not a specific characteristic of the PCMH model. Home safety is an important aspect of patient care but is not explicitly part of the PCMH model's core principles.
5. The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:
- A. Susceptibility
- B. Self-efficacy
- C. Severity
- D. Cue to action
Correct answer: B
Rationale: The correct answer is B, 'Self-efficacy.' In the Health Belief Model, self-efficacy refers to a person's belief in their capacity to execute behaviors necessary to achieve specific goals or outcomes. In this scenario, the client's statement reflects a lack of confidence in their ability to successfully quit smoking, indicating low self-efficacy. By addressing and enhancing the client's self-efficacy, the public health RN can help empower the client to take steps towards successful smoking cessation.
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