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 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.
3. Which best describes a key goal of secondary prevention?
- A. Preventing the onset of disease
- B. Detecting diseases early
- C. Managing chronic conditions
- D. Improving quality of life
Correct answer: B
Rationale: The key goal of secondary prevention is to detect diseases early before they progress to advanced stages. By identifying diseases at an early stage, healthcare providers can intervene promptly, initiate treatment, and potentially improve patient outcomes. This approach aims to prevent complications and reduce the impact of the disease on an individual's health and well-being.
4. The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:
- A. Moving the teen to find a new friend group.
- B. Addressing the problem of teen awkwardness.
- C. Agreeing that awkwardness is hard.
- D. Using open-ended questioning.
Correct answer: D
Rationale: The RN's question, 'Please tell me more about this and how it feels awkward for you,' is an example of using open-ended questioning. Open-ended questions encourage clients to share more about their feelings and thoughts, allowing for a deeper exploration of their concerns and experiences. It helps in building rapport, understanding the client's perspective, and facilitating a client-centered conversation.
5. Which statement best describes a key aspect of sustainable community health programs?
- A. Ensuring continuous community involvement
- B. Allocating resources effectively
- C. Securing long-term funding
- D. Providing culturally relevant services
Correct answer: A
Rationale: Continuous community involvement is crucial for the sustainability of community health programs as it fosters ongoing engagement, support, and ownership within the community. This active participation can lead to better program outcomes, increased community trust, and long-term success by tailoring interventions to the community's specific needs and preferences.
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