RN ATI Community Health Proctored Exam 2023 -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Encourage group reflection on the ideals and expectations of nursing care. This strategy promotes a collaborative approach to understanding and implementing EBP. Group reflection fosters critical thinking, stimulates discussion, and encourages shared decision-making, leading to a deeper understanding and acceptance of EBP within the team. It also promotes a culture of continuous learning and improvement.
Eliminating all protocols not evidence-based (option
A) may hinder current practice and create resistance. Without alternatives listed for other choices, it is challenging to provide detailed explanations for their incorrectness.

Correct Answer: A

Rationale: The nurse would use a qualitative study to understand the experiences of an immigrant group because qualitative research focuses on exploring and understanding individuals' experiences, perspectives, and behaviors in-depth. This type of study allows for gathering rich, detailed data through methods like interviews, observations, and focus groups, which are well-suited for capturing the complexities and nuances of immigrant experiences. A randomized control study (
B) involves intervention and control groups for causality, not suitable for exploring experiences. Needs assessment (
C) focuses on identifying needs and gaps in services. Quality improvement (
D) aims to enhance processes and outcomes within a specific setting.

Correct Answer: C

Rationale: During the evaluation phase of evidence-based decision-making, the nurse would determine the effectiveness of the plan implemented based on the evidence gathered. This involves assessing whether the desired outcomes are achieved and if the intervention is successful. This step is crucial in determining the impact of the plan on the patient's health and well-being. The other choices are incorrect because: A is part of the implementation phase, B is more related to the appraisal phase, and D is part of the data collection phase. Thus, choice C is the most appropriate activity during the evaluation phase.

Correct Answer: C

Rationale: The primary goal of integrating environmental health into nursing practice is to promote environmental justice. This involves addressing health disparities caused by environmental factors impacting vulnerable populations. By advocating for fair treatment and equal access to a healthy environment, nurses can contribute to improving overall health outcomes. Improving health care infrastructure (
A) focuses on facilities and resources, not specifically on environmental justice. Enhancing patient satisfaction (
B) and reducing health care costs (
D) are important but not the primary goal of environmental health integration in nursing practice.

Correct Answer: C

Rationale: During the Exposure Assessment stage, the public health team will quantify the extent, frequency, and length of contact of the community with the toxic chemicals. This is crucial for determining the level of risk posed by the exposure. Identifying potential negative outcomes (
Choice
A) is important but falls under the Hazard Identification stage. Understanding the relationship between exposure amount and health outcomes (
Choice
B) is part of the Dose-Response Assessment stage. Determining how chemicals interact with the body (
Choice
D) is covered in the
Toxicokinetics stage.
Therefore, choice C is correct as it directly addresses the primary focus of the Exposure Assessment stage.