ATI RN
ATI Community Health Proctored Exam 2019
1. The Four M's framework for Age-Friendly Health Systems includes all of the following concepts except:
- A. medication
- B. mentation
- C. mobility
- D. managed care
Correct answer: D
Rationale: The Four M's framework for Age-Friendly Health Systems consists of medication, mentation, mobility, and what matters. Managed care is not part of this framework, making it the correct answer.
2. In evaluating the healthcare provided, which of the following vital statistics in the communities served will BEST indicate their health status?
- A. 0 crude death rate for the year 2012
- B. 50% (Swaroop's) index for the year 2011
- C. 0 infant mortality rate for the year 2011
- D. 0 crude birth rate for the year 2011
Correct answer: C
Rationale: The infant mortality rate is a critical indicator of a community's health status as it reflects the impact of economic and social conditions on the health of mothers and infants, as well as the effectiveness of healthcare systems. A low infant mortality rate signifies better overall health outcomes and healthcare access within a community.
3. When writing a community diagnosis, the community health nurse notes that the 'among' phrase:
- A. Presents a synthesis of all assessment data.
- B. Provides the supporting data.
- C. Specifies the aggregate that will benefit from the nurse's plan.
- D. Describes the cause of the health problem and directs focus of interventions.
Correct answer: C
Rationale: In community diagnosis, the 'among' phrase is used to specify the particular population group that will benefit from the nurse's plan. It helps in targeting interventions and tailoring healthcare activities to the identified group within the community.
4. When studying for an epidemiology quiz, what does public health nursing surveillance involve?
- A. Having all carriers transferred to one main facility for care
- B. Gathering data to work toward primary illness prevention
- C. Establishing the incubation period of a disease
- D. Determining the colonization rate of the disease
Correct answer: B
Rationale: Public health nursing surveillance involves the systematic collection, analysis, and interpretation of health-related data for the purpose of preventing and controlling diseases. By gathering data, public health nurses can identify trends, risks, and patterns to implement interventions aimed at preventing illnesses in communities. This process is essential for early detection, timely response, and effective prevention strategies.
5. Identifying that numerous factors influence chronic illnesses such as hypertension, which of the following would be an upstream factor to enhance health outcomes for adults with hypertension in the community?
- A. Nutritional classes featuring low-fat and low-carb choices.
- B. Motivational interviewing sessions for smoking cessation.
- C. Working with the public health department to restrict smoking in public.
- D. Initiating chair yoga classes for seniors in the community.
Correct answer: C
Rationale: Working with the public health department to restrict smoking in public is an upstream factor that focuses on implementing population-level interventions to prevent health issues such as hypertension. By creating policies to limit smoking in public spaces, it can help reduce the overall exposure to tobacco smoke, thereby positively impacting the health outcomes of adults with hypertension in the community.
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