ATI RN
ATI Community Health Proctored Exam 2023
1. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT
- A. Chest indrawing should be present at all times
- B. The lower chest wall does not move in when the child breathes in
- C. The lower chest moves in when the child breathes in
- D. The child should be calm
Correct answer: A
Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.
2. 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.
3. What is the most critical factor for the success of a community health intervention?
- A. Availability of funding
- B. Community involvement
- C. Support from local government
- D. Strong leadership
Correct answer: B
Rationale: Community involvement is the most critical factor for the success of a community health intervention. When the community actively participates, it ensures that the intervention aligns with their needs, values, and preferences. This involvement fosters ownership and sustainability, leading to better outcomes and long-term success. Without community involvement, interventions may lack acceptance, relevance, and support, hindering their effectiveness.
4. Which best describes a benefit of using electronic health records in community health?
- A. Improving coordination of care among providers
- B. Reducing the risk of medical errors
- C. Facilitating patient access to their health information
- D. Increasing patient satisfaction with care
Correct answer: A
Rationale: The correct answer is A: Improving coordination of care among providers. Electronic health records enhance coordination of care by providing accurate and up-to-date patient information to all involved healthcare providers, leading to better communication, collaboration, and ultimately improving the quality of care delivered to patients in a community health setting.
5. Community organizing is an important part of the community nursing function. Given the following elements - choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, clarifying roles and responsibilities - at which stage do these elements belong?
- A. Program maintenance-consolidation
- B. Dissemination-Reassessment
- C. Community Analysis/diagnosis
- D. Design and initiation
Correct answer: D
Rationale: These elements of choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, and clarifying roles and responsibilities are part of the initial stage of community organizing, which is the design and initiation stage. During this phase, the framework and groundwork for the community organizing efforts are established, setting the direction and structure for the subsequent implementation and maintenance of the program.
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