ATI Community Health Proctored Exam 2019

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In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?

  • A. Proactively assessing the health needs of the entire panel and planning accordingly
  • B. Focusing on providing care to young and seemingly vulnerable patients
  • C. Spending most time with patients who regularly attend their visits
  • D. Prioritizing care by responding to the oldest patients first
Correct Answer: A

Rationale: The correct answer is A: Proactively assessing the health needs of the entire panel and planning accordingly. This is because in population health management, the primary goal is to improve the health outcomes of a large group of individuals. By proactively assessing the health needs of the entire panel, the nurse can identify trends and patterns, prioritize interventions, and allocate resources effectively. This approach allows for early identification of health issues, implementation of preventive measures, and tailored care plans.

Choices B, C, and D are incorrect because they focus on specific subgroups or individuals within the panel rather than the entire population. Focusing only on young or seemingly vulnerable patients (B) may neglect the health needs of other demographic groups. Spending most time with patients who regularly attend their visits (C) may result in overlooking those who do not attend regularly. Prioritizing care by responding to the oldest patients first (D) does not consider the diverse health needs present across the entire panel.

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Which of the following is NOT a part of the community assessment process?

  • A. Identifying available resources such as time, money, and team skills
  • B. Setting action priorities based on the needs of the community and available resources
  • C. Withholding results from the community until they can be statistically confirmed to avoid alarming people
  • D. Collecting and analyzing information
Correct Answer: C

Rationale: The correct answer is C because withholding results from the community until they can be statistically confirmed goes against the principles of community assessment. Here's why:
1. Transparency is key in community assessment to build trust and collaboration.
2. Sharing preliminary findings can engage the community in the process.
3. Waiting for statistical confirmation unnecessarily delays action and may lead to missed opportunities for intervention.
4. While ensuring accuracy is important, it should not come at the cost of excluding the community from the process.

The C/PHN reviews the process of how a bill becomes a federal law. They note that which of the following statements is true?

  • A. The bill will go to the appropriate committee to be discussed, research, and expert testimony heard.
  • B. The bill will first be reviewed by the President to see if it aligns with the country's goals.
  • C. The bill must have a complete consensus in both houses of the legislature.
  • D. A bill cannot be vetoed by the President if the Senate supports it 100%.
Correct Answer: A

Rationale: The correct answer is A because it accurately describes the process of how a bill becomes a federal law. Initially, a bill is sent to the appropriate committee where it is discussed, researched, and expert testimonies are heard. This step allows for thorough examination and evaluation of the bill's content and implications. This committee review is essential in shaping the bill before it moves to the full legislative body for further debate and voting.

Choices B, C, and D are incorrect:
B: The bill is not first reviewed by the President in the legislative process. The President's involvement typically occurs at a later stage, after the bill has been passed by both houses of the legislature.
C: Complete consensus in both houses of the legislature is not required for a bill to become a law. It needs a majority vote in each house.
D: The President has the power to veto a bill, regardless of the level of support it receives in the Senate. The veto can be overridden by a two-thirds majority vote in

What are the major risk factors common to the above mentioned 4 major NCDs?

  • A. Unhealthy diet, physical inactivity, and smoking
  • B. Hypertension, sedentary lifestyle, and poor stress management
  • C. Obesity, sedentary lifestyle, and smoking
  • D. Unhealthy diet, alcoholism, and sedentary lifestyle
Correct Answer: A

Rationale: Step 1: Unhealthy diet contributes to conditions like heart disease, diabetes, cancer, and respiratory diseases.
Step 2: Physical inactivity is a risk factor for heart disease, stroke, diabetes, and some cancers.
Step 3: Smoking is a major risk factor for heart disease, cancer, and respiratory diseases.
Summary: B is incorrect as it mentions hypertension and poor stress management, which are not common to all 4 NCDs. C is incorrect as it includes obesity, not common to all 4 NCDs. D is incorrect as it includes alcoholism, which is not common to all 4 NCDs.

The public health nurse is working with a client who desires to move away from eating take-out and fatty foods to maintain a healthier lifestyle. The client mentions eliminating processed foods from her diet most days of the week but still struggles to consistently add fruits and vegetables to her meals. According to the Transtheoretical Model of health behavior change, this client is in which stage:

  • A. Pre-contemplation
  • B. Contemplation
  • C. Preparation
  • D. Action
Correct Answer: C

Rationale: The correct answer is C: Preparation. In the Transtheoretical Model of health behavior change, the Preparation stage signifies that the individual is actively preparing to make a change within the next month. In this case, the client has already taken steps to eliminate processed foods most days of the week, indicating a readiness to change. However, the struggle to consistently add fruits and vegetables shows that the change is not fully implemented yet, placing the client in the Preparation stage.

Choice A: Pre-contemplation is incorrect because the client is already taking action to change her eating habits.
Choice B: Contemplation is incorrect as the client has moved past just thinking about changing her behavior.
Choice D: Action is incorrect because the client has not fully implemented the desired change yet, but is actively preparing for it.

Which group is an example of a community of solution?

  • A. That lives within a specific geographic location.
  • B. Concerned with reducing teenage suicides.
  • C. With the same ethnic background.
  • D. In which all members enjoy hiking.
Correct Answer: B

Rationale: The correct answer is B because a community of solution is a group focused on addressing a specific issue or problem, in this case, reducing teenage suicides. This group works together to find solutions and support individuals affected by this issue. Choice A is incorrect because it refers to a geographic community, not a community of solution. Choice C is incorrect as it focuses on ethnic background, not a common goal or problem-solving. Choice D is incorrect as enjoying hiking is a shared interest, not a shared purpose of solving a particular issue.

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