ATI RN
History of Public Health Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is using Milio's framework to promote healthy eating choices among members of the community. Which intervention would the nurse most likely implement?
Correct Answer: B
Rationale: One of the propositions of Milio's framework is that alteration in patterns of behavior resulting from decision-making of a significant number of people in a population can result in social change. Some behaviors, such as tobacco use, have become difficult to maintain in many settings or situations in response to organizational and public policy mandates. Increasing taxation on unhealthy food choices may make it more difficult for community members to make these unhealthy choices.
Question 5 of 5
A community health nurse is using the Health Belief Model (HBM) as a basis for providing client care. Which best describes the problems associated with using the HBM? (Select all that apply.)
Correct Answer: A
Rationale: A major problem with this model is that the burden for taking action is totally with the client. The model requires health professionals to assume responsibility for modifying the client's perceptions so they recognize the need to act. Although the line between persuading and educating is a fine one, nurses are responsible for education. Persuasion may border on coercion. Further, the model assumes that all responsibility is personal, ignoring barriers in the health care system, which may make it difficult for an individual to take appropriate action.