ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
Which environmental health activity would the nurse perform while engaged in the core public health function of assurance?
Correct Answer: D
Rationale: The correct answer is D: Assessing measures to reduce exposure to contaminated water. This activity falls under the assurance function as it involves ensuring that appropriate measures are in place to protect the community from health risks associated with contaminated water. By assessing these measures, the nurse is actively working to reduce the community's exposure to harmful contaminants, thereby fulfilling the role of assuring the public's health.
A: Educating the community about the need to boil contaminated drinking water falls under the core function of education rather than assurance.
B: Collecting data about health issues related to contaminated drinking water is a part of the assessment function, not assurance.
C: Developing policies to regulate the discharge of pollutants into the waterways is more aligned with the policy development function rather than assurance.
In summary, the correct answer focuses on actively evaluating and implementing measures to reduce exposure to contaminated water, which directly contributes to the assurance function of environmental health.
Question 2 of 5
Which intervention by the nurse is an example of a tertiary prevention strategy to improve environmental health?
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.
Question 3 of 5
A nurse is striving to practice patient-centered care at a hospital. Which action best exemplifies providing patient-centered care?
Correct Answer: A
Rationale: The correct answer is A because it involves actively engaging the client in their care by having them complete a self-reported functional status indicator and then reviewing it together. This approach empowers the client to participate in decision-making regarding their health, promotes open communication, and fosters a collaborative relationship between the nurse and the client.
Choices B, C, and D do not directly involve the client in their care or prioritize their perspective. B focuses on technology rather than the client's needs, C involves documentation rather than active involvement, and D focuses on monitoring without involving the client in the process.
Question 4 of 5
A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The nurse should recognize which social determinants of this client's health? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Household income of $23,000 per year. This is a social determinant of health because low income can impact access to healthy foods, medications, and healthcare services, affecting diabetes management.
Choice B, reading level, is related to health literacy but not specifically a social determinant in this scenario.
Choice C, medication error, is a healthcare system issue.
Choice D, origin from Sudan, is related to cultural background but not directly a social determinant affecting diabetes management.
Question 5 of 5
A nurse successfully persuades an obese client to perform a weekly weigh-in at homeusing a digital scale and record the weight in a log. This strategy is an example of:
Correct Answer: C
Rationale: The correct answer is C, "Personal responsibility for health." This is because by persuading the client to monitor and record their weight at home, the nurse is empowering the client to take ownership of their health and actively participate in managing their weight. This strategy encourages the client to be accountable for their health outcomes and promotes self-care. Option A, "Telehealth," is incorrect because it refers to the delivery of healthcare services through technology, not necessarily personal responsibility. Option B, "Health information technology," is also incorrect as it pertains to the use of technology to manage health information, not about individual responsibility. Option D is cut off, but if it were "Evidence-based practice," it would be incorrect as it does not directly relate to the client's responsibility for their health.