ATI Community Health Proctored Exam 2019

ATI Community Health Proctored Exam 2019 Related

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How does critical theory differ from other nursing theories such as the Health Belief Model or Orem's self-care deficit theory?

  • A. Critical theory can be utilized by professionals other than nurses.
  • B. Critical theory focuses on oppression and enables group action.
  • C. Critical theory is indirectly associated with health promotion.
  • D. Critical theory addresses challenging an individual's beliefs.
Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct:
1. Critical theory focuses on analyzing power dynamics and social structures that lead to oppression within society.
2. It emphasizes enabling group action to challenge and transform these oppressive structures.
3. In nursing, critical theory promotes advocacy for marginalized populations and addressing social determinants of health.
4. Health Belief Model and Orem's theory focus more on individual behavior and self-care, whereas critical theory looks beyond individual actions to systemic issues.
Summary:
A - Incorrect. Critical theory is not exclusive to nurses; it can be utilized by professionals in various fields to address social injustices.
C - Incorrect. Critical theory is directly associated with health promotion through addressing social inequalities and advocating for social change.
D - Incorrect. While critical theory may challenge individual beliefs as part of addressing systemic issues, its primary focus is on social structures and group action.

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The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:

  • A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
  • B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
  • C. I collaborated with the social work services team when I noted that my patient was unhoused.
  • D. I taught the newly pregnant mom about necessary vaccinations to have at this time.
Correct Answer: C

Rationale: The correct answer is C because public health nurses in the NFP model focus on collaborating with other healthcare professionals and community resources to address the social determinants of health. By collaborating with the social work services team when recognizing that a patient is unhoused, the nurse is delegating the appropriate intervention to address the patient's social needs, which is a key aspect of the public health nurse role.

Choices A, B, and D are incorrect because they all involve direct patient care interventions that are typically within the scope of practice of the nurse themselves, rather than delegating to other professionals or resources. Option A involves administering IV antibiotics, which is a nursing task. Option B involves conducting a respiratory exam, which is also a nursing task. Option D involves teaching a patient about necessary vaccinations, which is an educational intervention within the nurse's scope of practice.

Which method of gathering data is most effective for remote and vulnerable segments of a community and for those communities with underdeveloped opinions?

  • A. Interviewing community informants
  • B. Community forum
  • C. Focus groups
  • D. Telephone surveys
Correct Answer: A

Rationale: The correct answer is A: Interviewing community informants. This method is most effective for remote and vulnerable segments and underdeveloped opinions because informants have insider knowledge and can provide valuable insights. They can bridge communication gaps, build trust, and gather accurate data. Community forums (B) may not reach remote areas, focus groups (C) may not include diverse perspectives, and telephone surveys (D) may not be accessible to all community members. Overall, interviewing informants is the most personalized and reliable approach for obtaining data in these contexts.

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.

Barriers to a patient's engagement in self-care include all of the following except:

  • A. Mental health issues
  • B. Lack of knowledge
  • C. High health literacy
  • D. Financial issues
Correct Answer: C

Rationale: The correct answer is C: High health literacy. High health literacy actually facilitates a patient's engagement in self-care by enabling them to understand health information and make informed decisions. Mental health issues, lack of knowledge, and financial issues are barriers as they can affect a patient's ability to effectively manage their own care. Mental health issues may result in poor motivation or cognitive impairment, lack of knowledge can lead to incorrect practices, and financial issues can limit access to necessary resources.

Which of the following nursing interventions are appropriate to address parasitism issues?

  • A. Administering broad-spectrum antihelminthic treatment to patients
  • B. Emphasizing the importance of thoroughly washing vegetables, especially if consumed raw
  • C. Instructing on proper stool disposal and emphasizing not to use it as fertilizer
  • D. Promoting hand washing before and after meals
Correct Answer: C

Rationale: The correct answer is C because proper stool disposal and advising against using it as fertilizer are crucial in preventing the spread of parasites. This intervention targets the source of parasitic infections. Choice A is incorrect as administering antihelminthic treatment is reactive, not preventive. Choice B is important for preventing bacterial contamination, not specifically for parasitism. Choice D is a general hygiene measure and does not directly address parasitism issues. Thus, choice C is the most appropriate nursing intervention for addressing parasitism.

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