ATI RN
History of Public Health Nursing Questions
Question 1 of 5
A nurse is using Milio's approach when caring for a client. Which advantage will the nurse experience?
Correct Answer: C
Rationale: As the model focuses on sociopolitical and environmental constraints to a client's free choice, it also encourages assessment of such constraints, as well as suggesting alternative avenues to helping the patient obtain needed care. Milio encourages the practice of nursing from a broad understanding of health and illness.
Question 2 of 5
Which is most closely associated with morbidity and mortality outcomes?
Correct Answer: B
Rationale: Tremendous disparities for access exist between insured and uninsured people in the United States. Access to care is associated with economic, social, and political factors, and depending on individual and population needs, it can be a primary determinant of health status and survival. Structural variables such as race-ethnicity, educational status, gender, and income are highly predictive of health status.
Question 3 of 5
A nurse is using a macroscopic approach when providing care. Which would the nurse most likely demonstrate?
Correct Answer: D
Rationale: All the choices focus on individual client care (microscopic) except for the nurse who is politically involved as demonstrated by providing testimony relevant to proposed legislation (macroscopic).
Question 4 of 5
A nurse has a broad, aggregate focus when providing care to clients. Which best describes how this approach will help improve client outcomes? (Select all that apply.)
Correct Answer: C
Rationale: Having a broader focus will help both nurse and patient make appropriate decisions. Unfortunately, it cannot ensure that others will help. Ideally, it will help both parties recognize that health problems are not just an individual's responsibility but often a result of environmental, sociopolitical, and economic factors as well. Encouraging the nurse to allocate time for population-focused health promotion efforts will also help the nurse's individual clients over the long term.
Question 5 of 5
A nurse is using the critical theoretical perspective in practice. Which best describes how the nurse would respond when a client suggests that the physician prescribe a widely advertised medication for tension and anxiety? (Select all that apply.)
Correct Answer: A
Rationale: The best answer is to ask what is going on in the client's life at that moment because situational stresses often occur to everyone. Next, asking what previously has been effective in relieving the symptoms may suggest more appropriate actions than medication. Although generics would be less expensive than brand-name medication, medication should not be the first approach to resolving a symptom before even examining why the symptom is occurring.