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. 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.
3. 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.
4. Which type of facilities are capable of performing minor surgeries and simple laboratory examinations?
- A. Secondary level health care
- B. Tertiary level of care
- C. Intermediate level of care
- D. Primary health care
Correct answer: C
Rationale: Intermediate level of care facilities are equipped to perform minor surgeries and conduct basic laboratory tests. These facilities bridge the gap between primary health care centers and hospitals offering specialized tertiary care services.
5. In value-based care, which equation represents the focus on achieving the best outcomes relative to cost?
- A. Cost X Quality
- B. Cost X Quality/Consumer satisfaction
- C. Quality/Cost
- D. Fee for service/discount rate
Correct answer: C
Rationale: Value-based care aims to deliver the highest quality of care while efficiently managing costs. The equation Quality/Cost represents this focus by emphasizing achieving superior outcomes relative to the resources invested.
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