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. Which best describes a community health assessment?
- A. A comprehensive evaluation of the health needs of a community
- B. An analysis of the effectiveness of health interventions
- C. A survey of individual health behaviors and outcomes
- D. A review of health care resources available in a community
Correct answer: A
Rationale: A community health assessment involves a thorough evaluation of the health needs of a community, taking into account various factors such as demographics, health behaviors, environmental factors, and existing health services. This assessment helps in identifying health disparities, determining priority areas for intervention, and developing strategies to address the identified health needs of the community.
3. Which action demonstrates an effective health communication strategy?
- A. Using medical jargon to explain complex health issues
- B. Distributing printed brochures in the community
- C. Hosting large community health fairs
- D. Using social media platforms for health campaigns
Correct answer: B
Rationale: Distributing printed brochures in the community is an effective health communication strategy as it allows for the dissemination of health information to a broad audience in a tangible and accessible format. Brochures can be distributed widely and provide concise, easy-to-understand information, making them a valuable tool for promoting health awareness and education within the community.
4. James is an 18-month-old child who has had a cough for 7 days with no general danger signs. He has a temperature of 37.5°C and a respiratory rate of 41 breaths/minute. How will you classify James' breathing?
- A. Slow breathing
- B. Fast breathing
- C. Normal breathing
- D. Very fast breathing
Correct answer: C
Rationale: James' breathing is classified as normal because his respiratory rate falls within the expected range for his age group, and there are no general danger signs present. In this case, his breathing is considered normal based on the provided information.
5. Which of the following is the best intervention for a client with less than 6 months to live who is seeking comfort care?
- A. Set up a meeting with the hospice team
- B. Arrange a meeting with the client’s family
- C. Discuss advance directives (DNR & living will) with the patient
- D. Ask the provider to decrease the patient’s heart medications
Correct answer: A
Rationale: Setting up a meeting with the hospice team is the most appropriate intervention for a client with less than 6 months to live who is seeking comfort care. Hospice care focuses on providing comfort and support for individuals with terminal illnesses. By involving the hospice team, the client can receive specialized care aimed at improving their quality of life and managing symptoms effectively during this challenging time.
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