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 discharg

ATI RN

ATI Community Health Proctored Exam 2019

1. 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.

2. What is the learning process aimed at improving health status through changes in knowledge, attitudes, and practices?

A. Motivating
B. Counseling
C. Disease prevention
D. Health education

Correct answer: D

Rationale: Health education is a structured process that focuses on enhancing health outcomes by modifying individuals' knowledge, attitudes, and behaviors. It aims to empower individuals, families, or communities to make informed decisions and adopt healthy practices, thereby improving overall health status.

3. Which factor is critical to the success of community health programs?

A. Adequate funding
B. Community involvement
C. Strong leadership
D. Comprehensive planning

Correct answer: B

Rationale: Community involvement plays a critical role in the success of community health programs. It ensures that programs are tailored to meet the specific needs of the community, fostering ownership and sustainability.

4. Why is it difficult to get others interested in environmental health?

A. Environmental problems are not perceived as interesting or dramatic.
B. It is difficult to get the media interested.
C. People respond more to an acute crisis than chronic environmental problems.
D. People respond more to an individual asking for help than a community asking for help.

Correct answer: C

Rationale: The difficulty in getting others interested in environmental health is due to the fact that people tend to respond more to acute crises that receive dramatic media coverage, as opposed to chronic environmental problems that require sustained attention and action. Immediate and dramatic events capture attention more effectively than ongoing, less visible issues.

5. Which statement is incorrect regarding an informed consent signed by a patient?

A. The nurse is responsible for obtaining the consent for surgery
B. Patients under 18 years of age may need a parent or legal guardian to sign a consent form
C. The nurse can witness the client signing the consent form
D. It is the nurse's responsibility to ensure the patient has been educated by the physician about the procedure before informed consent is obtained

Correct answer: A

Rationale: The statement 'The nurse is responsible for obtaining the consent for surgery' is incorrect. The responsibility of obtaining informed consent for surgery lies with the physician or surgeon performing the procedure. Nurses can assist in the process by witnessing the client signing the consent form, ensuring the patient is educated about the procedure by the physician, and verifying that the consent process is voluntary and informed. For patients under 18 years of age, a parent or legal guardian typically needs to sign the consent form on behalf of the minor, as they are not legally able to provide consent themselves.