ATI RN
History of Public Health Questions
Question 1 of 5
A client did not attend the clinic for required follow-up care after his extensive surgery. Using the Health Belief Model, which would be the most appropriate conclusion for the nurse to make?
Correct Answer: C
Rationale: Although it is easy to blame the patient for being noncompliant or neglecting himself or herself, or to blame the nurse for not 'educating' the patient appropriately, it is equally plausible that the health care system is not meeting the client's perceived needs. Clients can have many reasons for not keeping an appointment, such as family emergencies, lack of funds, or lack of transportation. Sociocultural and ethnic barriers can also be factors. This is part of the Health Belief Model where the premise is that the world of the perceiver determines the action.
Question 2 of 5
A nurse is using Milio's framework for prevention to improve the health of clients. Which would the nurse most likely implement?
Correct Answer: A
Rationale: The range of available choices is critical in shaping a society's overall health status. Policy decisions in governmental and private organizations shape these choices. Hence, national-level policy making is the best way to impact the health of most Americans rather than continue to concentrate on imparting information in an effort to change individual behaviors. Milo challenged the notion that the main determinant for unhealthful behavior choice is lack of knowledge.
Question 3 of 5
Which health-related variable is examined by the critical theoretical perspective?
Correct Answer: D
Rationale: Critical theoretical perspective examines social inequalities within the broader political, economic, and social systems of society that keep people from reaching their full potential. Cultural beliefs, the effect of history and tradition, and ethnic and racial differences are not examined by the critical theoretical perspective.
Question 4 of 5
A nurse is using Healthy People 2020 as a guide to improve the health and well-being of the community. Which strategy would the nurse most likely implement?
Correct Answer: A
Rationale: The chapter emphasizes the need to go beyond individual lifestyle behaviors to the social, economic, political, and value-laden processes of daily life that affect health (social determinants of health). Based on Healthy People 2020, advances are needed in these areas in order to improve health.
Question 5 of 5
A nurse has accepted a new position in a public health department. Which characteristic is crucial to the nurse's success?
Correct Answer: C
Rationale: Rather than nursing to the community, the nurse must work with the community to be successful. Listening, being patient, providing accurate information, and respecting the experiences of community members are essential for success.