ATI RN
ATI Community Health Proctored Exam 2019
1. While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:
- A. Discussing how the student is managing his overall academic studies since drinking has become a problem
- B. Explaining to the student the full range of harmful impacts binge drinking has on the body and mind
- C. Asking open-ended questions and actively listening to the student while trying to remove any judgement
- D. Asking the student to make a validated survey that reveals attitudes and knowledge about binge drinking
Correct answer: C
Rationale: Asking open-ended questions and actively listening without judgement is a key technique in motivational interviewing.
2. What is the primary advantage of having a target client list?
- A. Nurses do not need to go back to the Family Treatment Record to monitor treatment and services, thus saving time and effort
- B. Helps monitor services rendered to clients in general
- C. Facilitates monitoring and supervision of services
- D. Facilitates easier reporting
Correct answer: A
Rationale: The primary advantage of having a target client list is that nurses do not need to go back to the Family Treatment Record to monitor treatment and services, which saves them time and effort. By having a specific list, they can efficiently track and manage the care provided without the need for repeated references to the records.
3. Which of the following is not a therapeutic indication of bone marrow puncture?
- A. Analgesia
- B. Antibiotics
- C. Anaesthesia
- D. Inflammation
Correct answer: A
Rationale: Bone marrow puncture is not typically performed for analgesia purposes. It is primarily done for diagnostic or therapeutic reasons, such as obtaining a sample for testing, administering medications like antibiotics, providing anesthesia during the procedure, or treating conditions related to inflammation. Analgesia, which refers to pain relief, is not a direct therapeutic indication for bone marrow puncture.
4. Which is an example of a policy-level intervention in community health?
- A. Implementing new treatment protocols
- B. Educating individuals about healthy behaviors
- C. Establishing community health clinics
- D. Advocating for legislative changes
Correct answer: D
Rationale: Advocating for legislative changes is a policy-level intervention that can bring about significant improvements in community health. This involves influencing laws and regulations to create a healthier environment for the community as a whole, impacting a larger population than individual-level interventions. Implementing new treatment protocols, educating individuals about healthy behaviors, and establishing community health clinics are important interventions but are more focused on the individual or community level rather than policy-level changes.
5. Which level of care serves as a referral center for primary health facilities?
- A. Secondary level of care
- B. Tertiary level of care
- C. Primary level of care
- D. Intermediate level of care
Correct answer: B
Rationale: The correct answer is B - Tertiary level of care. Tertiary level of care is the highest level of care and serves as a referral center for primary health facilities, handling complex cases and providing specialized services that primary care facilities may not offer.
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