ATI RN
ATI Community Health Nursing Ch 7
1. Which of the following is an example of a health disparity?
- A. Differences in health outcomes based on geographic location
- B. Differences in health outcomes based on socioeconomic status
- C. Differences in health outcomes based on age
- D. Differences in health outcomes based on genetic factors
Correct answer: B
Rationale: A health disparity refers to differences in health outcomes based on socioeconomic status, indicating unequal access to healthcare services and variations in health outcomes due to economic factors.
2. Donna needs further teaching about the use of partograph if she said to her CI that:
- A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
- B. I can use the partograph in all pregnant women.
- C. I will plot the cervical dilatation using 'x'.
- D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.
Correct answer: B
Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.
3. Fee-for-service care is best characterized by which statement:
- A. Fees are scaled based on the patient’s ability to pay and are capped.
- B. Fees reflect the fair market value of health care services being provided.
- C. Adequate fee schedules enable hospitals and clinics to function properly.
- D. Fees are not uniform throughout most states as they are fairly unregulated.
Correct answer: D
Rationale: Fee-for-service care is a payment model where providers are paid for each service performed, leading to non-uniform fees that vary by service and provider. This system is not highly regulated, resulting in differing fee structures across states and regions. Therefore, the statement that 'Fees are not uniform throughout most states as they are fairly unregulated' best characterizes fee-for-service care.
4. Which best describes a key principle of public health?
- A. Focusing on individual health behaviors
- B. Addressing the social determinants of health
- C. Reducing health care costs
- D. Increasing access to health services
Correct answer: B
Rationale: A key principle of public health is addressing the social determinants of health, which include factors like socioeconomic status, education, and environment. By focusing on these determinants, public health initiatives aim to improve overall health outcomes for entire populations, rather than just individual health behaviors. This approach helps in creating a healthier society and preventing diseases at a broader level.
5. What is the FIRST STEP for thermal protection of a newborn?
- A. Drying the baby thoroughly immediately after birth
- B. Covering the baby with a clean, dry cloth after the cord has been cut
- C. Drying the baby thoroughly after the cord has been cut
- D. Covering the baby with a clean, dry cloth immediately after birth
Correct answer: A
Rationale: The first step in thermal protection of a newborn is to dry the baby thoroughly immediately after birth. This helps prevent heat loss and maintain the newborn's body temperature, which is crucial for their well-being. By drying the baby promptly, you can reduce the risk of hypothermia and provide a comfortable environment for the newborn.
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