ATI RN
ATI NURS 340 Leadership and Public Health Exam Questions
Question 1 of 5
Which of the following public health actions has been particularly instrumental in reducing childhood infectious diseases in the United States?
Correct Answer: D
Rationale: The correct answer is D: 'No shots, no school' legislation, which legally requires children be immunized before school. This legislation has been particularly instrumental in reducing childhood infectious diseases in the United States by ensuring a high vaccination rate among school children. By mandating immunizations for school entry, it helps create herd immunity, reducing the risk of outbreaks. This approach is effective because it ensures a large portion of the population is vaccinated, protecting those who cannot be vaccinated due to medical reasons. It also helps prevent the spread of diseases within school settings.
Choice A is incorrect as simply answering parents' questions may not lead to high vaccination rates.
Choice B is incorrect as offering immunizations for a fee may create barriers for some families.
Choice C is incorrect as educating healthcare providers alone may not ensure high vaccination rates among children.
Question 2 of 5
A nurse wishes to develop cultural competence. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C. Considering how the nurse's own beliefs and decisions reflect their culture is the first step in developing cultural competence. Understanding one's biases and cultural background is crucial in providing culturally sensitive care. This self-awareness helps in recognizing potential conflicts and adapting communication and care appropriately.
A: Studying beliefs and traditions of other cultures is important but should come after self-reflection.
B: Completing a survey of ethnicities in the community is informative but doesn't address personal biases.
D: Inviting a family from another culture is a good step, but self-reflection should precede interactions.
Question 3 of 5
For a bedridden Muslim patient, the nurse rearranges the room and moves the bed so that it faces toward Mecca for the patient's daily prayers. Which of the following is the nurse demonstrating through these actions?
Correct Answer: D
Rationale: The correct answer is D: Accommodation. By rearranging the room and positioning the bed to face Mecca for the patient's prayers, the nurse is accommodating the patient's religious beliefs and practices. This demonstrates respect for the patient's cultural and religious preferences, promoting a sense of comfort and well-being. Imposition (choice
A) would involve forcing the patient to adhere to the nurse's beliefs, which is not the case here. Brokering (choice
B) involves negotiating between different parties, which is not applicable in this scenario. Awareness (choice
C) refers to understanding and knowledge, but it does not capture the nurse's active adjustment of the environment.
Question 4 of 5
Which formula should be used to calculate an incidence rate?
Correct Answer: B
Rationale: The correct formula to calculate an incidence rate is B: Number of new cases in a period of time divided by the total population multiplied by a base multiple of 10. This formula is used because it calculates the rate of occurrence of new cases within a specified time frame relative to the total population, providing a measure of risk. By dividing the number of new cases by the total population, we obtain a rate that standardizes the incidence for comparison across different populations. The inclusion of a base multiple of 10 helps in expressing the rate per a specific unit (e.g., per 1000 population).
Incorrect choices:
A: This formula calculates the specificity of a diagnostic test, not the incidence rate.
C: This formula calculates the sensitivity of a diagnostic test, not the incidence rate.
D: This formula incorrectly adds old cases with new cases, which distorts the calculation of the incidence rate.
Extract:
Complete the following sentence by using the list of options for the epidemiological triangle.
Question 5 of 5
The nurse is completing the epidemiological triangle and understands that ___ is an example of an agent, ___ could represent a host, and ___ is an example of environment.
Correct Answer: A,B,C
Rationale: Action to Take: A, B; Potential Condition: C; Parameter to Monitor: D, E.
Rationale:
1. Action to Take (A,
B): Plasmodium is an example of an agent as it causes malaria, and Human could be a host as humans can be infected by Plasmodium.
2. Potential Condition (
C): Stagnant water can be an example of an environment where mosquitoes breed, which can spread malaria.
3. Parameters to Monitor (D, E): Borrelia burgdorferi is not relevant to the epidemiological triangle, and while Mosquito can be a vector for Plasmodium, it is not an example of the environment. Bushes are also not directly related to the triangle.