one of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about

ATI RN

ATI Community Health Proctored Exam 2019

1. One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):

A. Census survey.
B. Needs survey.
C. Informant survey.
D. Windshield survey.

Correct answer: D

Rationale: A windshield survey involves observations made from a moving vehicle, allowing the community health nurse to gather information about the community's physical and social environment without direct interaction. This method helps in understanding the community's resources, potential hazards, and overall characteristics, which are essential for planning and implementing effective community health interventions.

2. 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.

3. Which action exemplifies primary prevention in a community setting?

A. Administering vaccines to children
B. Screening for early signs of disease
C. Offering support groups for chronic illness management
D. Providing treatment for infectious diseases

Correct answer: A

Rationale: Administering vaccines to children is a primary prevention strategy that focuses on preventing the development of diseases before they occur. By administering vaccines, the aim is to protect individuals and the community from infectious diseases by building immunity against them. This proactive approach targets the root causes of illnesses, contributing to overall community health and well-being.

4. When assisting clients in changing their behavior, what would be the most effective approach?

A. Counseling through the Ask, Advise, Assess, Assist, and Arrange approach
B. Encouraging them to interact with others who also need to change their behavior
C. Showing them how the inappropriate behavior is hurting their friends and family
D. Using subtle rewards when small steps are taken toward the appropriate behavior

Correct answer: A

Rationale: The most effective approach in helping clients to change their behavior is to utilize the Ask, Advise, Assess, Assist, and Arrange approach. This comprehensive counseling strategy is commonly employed in various programs, such as smoking cessation, to guide individuals through behavior change by systematically addressing their needs and providing support at each stage of the process.

5. A community hospital is an example of which level of health care?

A. Secondary level of care
B. Tertiary level of care
C. Primary level of care
D. Intermediate level of care

Correct answer: A

Rationale: Community hospitals are considered part of the secondary level of health care. They provide acute care services, including emergency care, surgeries, and specialized diagnostic services. Primary care is typically provided in outpatient settings such as clinics and doctor's offices, while tertiary care involves highly specialized services like organ transplants and neurosurgery. Intermediate care usually refers to services that are more intensive than what is provided at the primary care level but less specialized than tertiary care.