ATI Community Health Proctored Exam 2019

ATI Community Health Proctored Exam 2019 Related

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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: The correct answer is D: Windshield survey. This is because a windshield survey involves physically driving or walking through a community to observe its environmental layout, location of agencies, hospitals, industries, and other key features. This step helps the community health nurse to gain an initial understanding of the community's resources, strengths, and potential health issues.

A: Census survey involves collecting demographic data, not direct observation.
B: Needs survey focuses on identifying community health needs through specific data collection methods.
C: Informant survey involves gathering information from key community members, not direct observation.

In summary, the windshield survey is the appropriate choice as it aligns with the description of physically observing the community to gather initial information.

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The public health nurse partners with the American Heart Association to develop NYS public policy priority statements to promote the expansion of the Double Up Food Bucks program. Which area and intervention on the Minnesota Public Health Wheel do these actions most closely align?

  • A. Counseling - Blue wedge
  • B. Advocacy - Yellow wedge
  • C. Outreach - Red wedge
  • D. Screening - Red wedge
Correct Answer: B

Rationale: The correct answer is B: Advocacy - Yellow wedge. Advocacy involves working to influence policies, laws, and regulations to improve health outcomes for communities. In this scenario, partnering with the American Heart Association to develop public policy statements aligns with advocacy as it aims to promote the expansion of the Double Up Food Bucks program through policy change. This action directly impacts the social and economic factors affecting health, making it an advocacy intervention. Choices A, C, and D do not involve influencing policies or advocating for systemic changes, making them incorrect in this context.

The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:

  • A. Susceptibility
  • B. Self-efficacy
  • C. Severity
  • D. Cue to action
Correct Answer: B

Rationale: The correct answer is B: Self-efficacy. Self-efficacy in the Health Belief Model refers to an individual's belief in their ability to successfully perform a behavior, such as quitting smoking. In this scenario, the client expressing doubt in their ability to quit indicates a lack of self-efficacy. This belief can greatly impact their motivation and likelihood of success in behavior change.

Summary:
A: Susceptibility relates to the individual's belief in their vulnerability to a health condition, not their confidence in behavior change.
C: Severity pertains to the individual's perception of the seriousness of the health condition, not their belief in their ability to make a change.
D: Cue to action refers to external stimuli triggering behavior change, not the individual's confidence in their ability to perform the behavior.

The Filipino Food Guide Pyramid strongly emphasizes which of the following?

  • A. Ensuring a variety of foods every day
  • B. Eating a diet low in fats and sugar
  • C. Maintaining specific daily servings of food groups
  • D. Avoiding poor eating habits
Correct Answer: C

Rationale: The correct answer is C: Maintaining specific daily servings of food groups. The Filipino Food Guide Pyramid emphasizes this to ensure a balanced and nutritious diet. By following specific daily servings of food groups, individuals can meet their nutritional needs and maintain overall health. Choice A is too general and does not address the importance of specific food group servings. Choice B focuses only on fats and sugar, neglecting other essential nutrients. Choice D is vague and does not provide actionable guidance for healthy eating.

How should a healthcare provider determine a client's reading level?

  • A. Ask the client how they would rate their ability to read.
  • B. Have the client assess their own health literacy and provide examples.
  • C. Determine the client's completed years of formal education.
  • D. Utilize literacy assessment tools available in the literature.
Correct Answer: A

Rationale: The correct answer is A because directly asking the client about their reading level allows for self-assessment, which is crucial in understanding their actual ability. This approach respects client autonomy and provides an opportunity for open communication.
Option B is incorrect as it focuses on health literacy rather than overall reading level. Option C is incorrect because completed years of education may not necessarily reflect reading ability accurately. Option D is incorrect as it assumes a standardized literacy tool can accurately capture an individual's reading level without considering personal context.

As a community health nurse engaged in the process of community empowerment, what is essential for you to do?

  • A. Gather data from the community
  • B. Make decisions for people in the community
  • C. Form partnerships with people in the community
  • D. Accept responsibility for people's actions
Correct Answer: C

Rationale: The correct answer is C: Form partnerships with people in the community. As a community health nurse, forming partnerships is essential for community empowerment as it involves collaboration, sharing of resources, and building trust. This approach ensures that the community members are actively involved in decision-making processes, leading to sustainable improvements in health outcomes. Gathering data (A) is important, but forming partnerships is crucial for effective collaboration. Making decisions for people (B) goes against empowerment principles as it disempowers the community. Accepting responsibility for people's actions (D) is not the role of a nurse in community empowerment, as it focuses on supporting individuals to take responsibility for their own health.

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