RN ATI Community Health Proctored Exam 2023

RN ATI Community Health Proctored Exam 2023 Related

Review RN ATI Community Health Proctored Exam 2023 related questions and content

Which intervention by the nurse is an example of a tertiary prevention strategy to improve environmental health?

  • A. Conducting risk assessments for environmental contaminants
  • B. Developing emergency response plans for environmental hazards
  • C. Performing regular community environmental health assessments
  • D. Implementing pollution prevention strategies
Correct Answer: D

Rationale: Correct Answer: D - Implementing pollution prevention strategies

Rationale: Tertiary prevention aims to reduce the impact of disease or injury by minimizing disability and promoting rehabilitation. Implementing pollution prevention strategies falls under tertiary prevention as it focuses on reducing exposure to harmful environmental factors, thereby preventing further health complications. This intervention directly addresses the root cause of environmental health issues by mitigating pollution, which can lead to improved health outcomes for individuals and communities.

Summary of other choices:
A: Conducting risk assessments for environmental contaminants - This falls under primary prevention as it aims to identify and prevent exposure to environmental hazards before they occur.
B: Developing emergency response plans for environmental hazards - This falls under secondary prevention as it focuses on early detection and prompt intervention during environmental emergencies.
C: Performing regular community environmental health assessments - This falls under primary prevention as it aims to identify potential environmental health risks and prevent them from occurring in the first place.

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Which of the following groups is pressuring clinicians the most to use evidence-based practice (EBP)?

  • A. Administrators
  • B. Insurance companies
  • C. Nurses
  • D. Physicians
Correct Answer: A

Rationale: The correct answer is A: Administrators. Administrators are pressuring clinicians the most to use evidence-based practice (EBP) as they are responsible for ensuring quality care, cost-effectiveness, and adherence to standards. They implement policies mandating EBP to improve patient outcomes and reduce healthcare costs. Nurses and physicians may advocate for EBP, but administrators hold the most influence due to their oversight of healthcare operations. Insurance companies focus more on reimbursement criteria rather than direct pressure for EBP implementation.

Which is a Healthy People 2020 goal?

  • A. Decrease the incidence of preventable disease, disability, injury, and premature death
  • B. Reduce health inequity, decrease disparities, and improve the health of certain groups
  • C. Create social and physical environments that promote good health for all
  • D. Promote healthy development and healthy behaviors for the geriatric stage of life
Correct Answer: B

Rationale: The correct answer is B because reducing health inequity, decreasing disparities, and improving the health of certain groups aligns with the overarching goal of achieving health equity for all in Healthy People 2020. This goal focuses on addressing the social determinants of health to ensure that everyone has the opportunity to achieve their highest level of health. Choices A, C, and D are important aspects of public health but do not specifically address health equity and disparities among different population groups. Therefore, B is the most appropriate choice for a Healthy People 2020 goal.

A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse breaks in surgical aseptic technique?

  • A. Balancing the bottle on the sterile basin while pouring the liquid
  • B. Clarify the reason for the referral
  • C. Identify family needs and interventions
  • D. Provide discharge teaching
Correct Answer: A

Rationale: The correct answer is A because balancing the bottle on the sterile basin contaminates the sterile field. Sterile technique requires keeping all items above waist level, avoiding leaning over the sterile field, and maintaining a safe distance to prevent contamination. Choices B, C, and D are unrelated to sterile technique and do not involve direct contact with the sterile field. Clarifying the reason for referral, identifying family needs, and providing discharge teaching are important aspects of nursing care but do not pertain to maintaining a sterile field during wound irrigation and dressing change.

A nurse on a medical surgical unit is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?

  • A. Compare the client's list of home medications to the admission prescriptions written for the client
  • B. Working with community groups to create policies to improve the environment
  • C. Recognizing the reasons why 30 minutes of walking each day is one of the best health promotion activities
  • D. Asking community leaders what interventions should be chosen
Correct Answer: A

Rationale: The correct answer is A because medication reconciliation involves comparing the client's list of home medications with the admission prescriptions to ensure accuracy and prevent medication errors. This step is crucial in identifying any discrepancies or omissions in the client's medication regimen. Choice B is incorrect as it pertains to community policy development, unrelated to medication reconciliation. Choice C is incorrect as it focuses on health promotion activities, not medication reconciliation. Choice D is incorrect as it involves seeking community leaders' input, not relevant to medication reconciliation.

Which of the following is the best way to increase the number of persons who come to their screening test appointments?

  • A. Reminding clients via telephone, e-mail, or mail
  • B. Emphasizing long life and happy family when conditions are caught early and treated successfully
  • C. Pointing out how inexpensive and convenient screening tests are
  • D. Stressing the dangerousness of the condition if not caught early
Correct Answer: A

Rationale: The correct answer is A: Reminding clients via telephone, e-mail, or mail. This is the best way to increase attendance as it utilizes multiple communication channels to ensure clients are aware of their appointments. Reminders help reduce no-show rates by keeping the appointment fresh in their minds. Option B focuses on the benefits of early detection but does not address the issue of attendance directly. Option C emphasizes cost and convenience, but these factors may not be the primary motivators for attending appointments. Option D uses fear tactics, which may not be effective for all individuals and could lead to avoidance. Overall, option A is the most practical and effective method to increase attendance at screening test appointments.

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