ATI RN
RN Evidence-Based Practice in Community and Public Health Assessment Questions
Question 1 of 5
A health care team is using TeamSTEPPS® to plan and implement community health programs. Which action will the team take using this framework?
Correct Answer: D
Rationale: The correct answer is D: Employ an interdisciplinary approach. In TeamSTEPPS, utilizing an interdisciplinary approach involves involving individuals from different disciplines to collaborate and contribute their expertise to achieve common goals. This is crucial in community health programs as it ensures a comprehensive and holistic approach to address complex health issues. Sharing leadership responsibilities (choice A) can be important, but it is not the primary focus of TeamSTEPPS. Distributing information as needed (choice B) is important but does not encompass the full scope of TeamSTEPPS. Utilizing an informal communication format (choice C) is not recommended in TeamSTEPPS as it may lead to miscommunication and inefficiencies.
Question 2 of 5
The nurse knows which instruction method is most effective for adolescents?
Correct Answer: D
Rationale: The correct answer is D: Incorporating peer activities into the learning process. Adolescents often learn best through social interactions with their peers. This method encourages engagement, collaboration, and active participation, which can enhance learning retention and motivation. By interacting with peers, adolescents can share experiences, perspectives, and knowledge, leading to a deeper understanding of the material. In contrast, providing information in small segments (A) may not be as engaging, involving family members (B) may not resonate with adolescents' preference for peer interactions, and connecting material to past experiences (C) may not always be relevant or engaging for all adolescents.
Question 3 of 5
Which condition does the nurse recognize as increasing the risk of a poor outcome during a transition of care?
Correct Answer: C
Rationale: The correct answer is C: A client with limited health literacy. Limited health literacy can lead to misunderstandings about medications, treatment plans, and follow-up care, increasing the risk of poor outcomes during transitions of care. Patients may struggle to comprehend complex medical information, leading to non-adherence or errors. Incorrect answers: A: A client being discharged from hospital to home - This alone does not necessarily increase the risk of poor outcomes; it depends on various factors. B: A client with an identified social support system - While social support can be beneficial, it may not directly impact the risk of poor outcomes during transitions of care. D: A client with one provider - Having one provider may not necessarily increase the risk of poor outcomes; continuity of care can be positive.
Question 4 of 5
The nurse, caring for a client who will be transferred from the hospital to a rehabilitation facility following a stroke, is using a care transition model to facilitate the transfer. Which explanation for the use of a care transition model will the nurse provide to the nursing student working the client?
Correct Answer: C
Rationale: The correct answer is C: "Care transition models support the coordination of care between health care settings." Care transition models are designed to ensure a smooth transfer of care for patients moving between different healthcare settings, such as from a hospital to a rehabilitation facility. This includes coordinating communication between healthcare providers, ensuring continuity of care, and preventing gaps in treatment. Option A is incorrect as care transition models do not predict client outcomes but rather facilitate the process of transition. Option B is incorrect as care transition models focus on the process of care transition, not on guiding decision-making in general. Option D is incorrect as while client education may be a component of care transition models, the primary focus is on coordination of care.
Question 5 of 5
Using the Transitional Care Model (TCM), which action would the nurse take when preparing an 81- year-old client with diabetes, hypertension, and heart failure for discharge home from the hospital following an exacerbation of heart failure?
Correct Answer: B
Rationale: The correct answer is B: Identify risk factors for readmission and develop an individualized discharge plan. In the Transitional Care Model (TCM), individualized care plans are crucial for optimizing patient outcomes. By identifying the specific risk factors for readmission for this complex patient with multiple comorbidities, the nurse can tailor interventions to address these factors, such as medication management, follow-up appointments, and lifestyle modifications. Providing a standardized plan (choice A) may not address the unique needs of this patient. Referring to a discharge coach (choice C) may be helpful but does not address the specific risk factors identified. Contacting the advanced practice nurse (choice D) may be appropriate for consultation but does not directly address the discharge planning process.