ATI RN
ATI Community Health Proctored Exam 2019 Questions
Question 1 of 5
A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?
Correct Answer: B
Rationale: The correct answer is B: Community-based nursing. In this scenario, the nurse is providing follow-up care to a patient at home, which falls under community-based nursing. This type of nursing focuses on providing care outside of the hospital setting, in the community where the patient resides. It involves assessing the patient's home environment, educating the patient and family, and promoting health and wellness in the community. Incorrect choices: A: Acute care hospital nursing - This choice is incorrect because the nurse is not providing care in the hospital setting but rather in the patient's home. C: Community health nursing - While similar to community-based nursing, community health nursing typically involves broader population-based health promotion and disease prevention efforts rather than individual patient care. D: Public health nursing - Public health nursing focuses on promoting health at the population level through programs and policies, not individual patient care in the home setting.
Question 2 of 5
The community health nurse is involved in public health work. Which of these statements by the nurse reflects an understanding of upstream interventions?
Correct Answer: A
Rationale: Rationale: Option A is correct as it involves engaging in policy initiatives which are considered upstream interventions in public health. Upstream interventions target the root causes of health issues at a population level. Policy initiatives can lead to systemic changes that impact the health of entire communities. Options B, C, and D are more focused on individual or downstream interventions, which address health issues after they have already occurred and do not target the underlying causes on a larger scale.
Question 3 of 5
The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:
Correct Answer: B
Rationale: The correct answer is B: Self-efficacy. Self-efficacy in the Health Belief Model refers to an individual's belief in their ability to successfully perform a behavior, such as quitting smoking. In this scenario, the client expressing doubt in their ability to quit indicates a lack of self-efficacy. This belief can greatly impact their motivation and likelihood of success in behavior change. Summary: A: Susceptibility relates to the individual's belief in their vulnerability to a health condition, not their confidence in behavior change. C: Severity pertains to the individual's perception of the seriousness of the health condition, not their belief in their ability to make a change. D: Cue to action refers to external stimuli triggering behavior change, not the individual's confidence in their ability to perform the behavior.
Question 4 of 5
The public health nurse is working with a client who desires to move away from eating take-out and fatty foods to maintain a healthier lifestyle. The client mentions eliminating processed foods from her diet most days of the week but still struggles to consistently add fruits and vegetables to her meals. According to the Transtheoretical Model of health behavior change, this client is in which stage:
Correct Answer: C
Rationale: The correct answer is C: Preparation. In the Transtheoretical Model of health behavior change, the Preparation stage signifies that the individual is actively preparing to make a change within the next month. In this case, the client has already taken steps to eliminate processed foods most days of the week, indicating a readiness to change. However, the struggle to consistently add fruits and vegetables shows that the change is not fully implemented yet, placing the client in the Preparation stage. Choice A: Pre-contemplation is incorrect because the client is already taking action to change her eating habits. Choice B: Contemplation is incorrect as the client has moved past just thinking about changing her behavior. Choice D: Action is incorrect because the client has not fully implemented the desired change yet, but is actively preparing for it.
Question 5 of 5
The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:
Correct Answer: D
Rationale: The correct answer is D: Using open-ended questioning. The RN's question is open-ended, allowing the teen to express thoughts and feelings freely. This technique helps the client explore their concerns and motivations, fostering self-reflection and problem-solving. This approach aligns with motivational interviewing principles, aiming to evoke the client's own reasons for change. Choices A, B, and C are incorrect: A: Moving the teen to find a new friend group - This option involves a directive approach, which is contrary to motivational interviewing's collaborative and client-centered nature. B: Addressing the problem of teen awkwardness - While acknowledging the teen's feelings, this choice focuses on the issue rather than facilitating the client's exploration of their own perspective. C: Agreeing that awkwardness is hard - This choice reflects empathy, but it does not encourage the client to elaborate on their feelings and thoughts, limiting the depth of the conversation.