ATI Community Health Proctored Exam 2019

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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.

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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

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.

What factor most influences health disparities?

  • A. Genetic factors
  • B. Lifestyle choices
  • C. Access to health care services
  • D. Cultural beliefs
Correct Answer: C

Rationale: The correct answer is C: Access to health care services. Health disparities are largely influenced by unequal access to healthcare services, leading to disparities in health outcomes. Lack of access can result in delayed diagnosis, inadequate treatment, and poor management of health conditions. Genetic factors (A) play a role in health, but they do not solely determine health disparities. Lifestyle choices (B) can impact health but are often influenced by socio-economic factors, which tie back to access to healthcare. Cultural beliefs (D) can impact health behaviors, but without access to appropriate healthcare, disparities will persist.

What can be an equally effective medicinal alternative to relieve muscle and joint pains that is non-costly, especially in far-flung communities and provinces, apart from the muscle pain-relieving drug advertised by Manny Pacquiao in the Philippines market?

  • A. Sambong
  • B. Lagundi
  • C. Akapulko
  • D. Yerba Buena
Correct Answer: D

Rationale: Step 1: Yerba Buena is a traditional medicinal herb commonly used in the Philippines to relieve muscle and joint pains.
Step 2: Yerba Buena is easily accessible and can be grown in home gardens, making it a non-costly alternative.
Step 3: Unlike the muscle pain-relieving drug advertised by Manny Pacquiao, Yerba Buena is a natural remedy with minimal side effects.
Step 4: Sambong, Lagundi, and Akapulko are also traditional herbs, but they are more commonly used for other health conditions, not specifically for muscle and joint pains.
Summary: Yerba Buena is the correct choice as it is a readily available and cost-effective alternative for muscle and joint pain relief, while the other choices are not as suitable for this specific purpose.

When writing a community diagnosis, the community health nurse notes that the 'among' phrase:

  • A. Presents a synthesis of all assessment data.
  • B. Provides the supporting data.
  • C. Specifies the aggregate that will benefit from the nurse's plan.
  • D. Describes the cause of the health problem and directs focus of interventions.
Correct Answer: C

Rationale: The correct answer is C because specifying the aggregate that will benefit from the nurse's plan is a key component of a community diagnosis. This step helps in identifying the target population for interventions and ensures that resources are allocated effectively.

A: Presenting a synthesis of all assessment data is important but not specific to the 'among' phrase.
B: Providing supporting data is necessary but does not directly relate to the 'among' phrase.
D: Describing the cause of the health problem and directing focus of interventions is crucial but not the primary focus of the 'among' phrase.

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