ATI RN
ATI Community Health Proctored Exam 2019 Questions
Question 1 of 5
Barriers to a patient's engagement in self-care include all of the following except:
Correct Answer: C
Rationale: The correct answer is C: High health literacy. High health literacy actually facilitates a patient's engagement in self-care by enabling them to understand health information and make informed decisions. Mental health issues, lack of knowledge, and financial issues are barriers as they can affect a patient's ability to effectively manage their own care. Mental health issues may result in poor motivation or cognitive impairment, lack of knowledge can lead to incorrect practices, and financial issues can limit access to necessary resources.
Question 2 of 5
While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:
Correct Answer: C
Rationale: The correct answer is C because in motivational interviewing, it is crucial to establish a non-judgmental, empathetic, and supportive environment. By asking open-ended questions and actively listening, the RN can understand the student's perspective, build rapport, and help the student explore ambivalence about their behavior. This approach aligns with the spirit of motivational interviewing, which aims to evoke the student's intrinsic motivation for change. Choice A is incorrect because focusing on academic performance may not be the student's priority at the moment. Choice B is incorrect as providing information on harmful impacts may trigger resistance or defensiveness in the student. Choice D is incorrect as starting with a survey may feel impersonal and does not prioritize building a therapeutic alliance.
Question 3 of 5
In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?
Correct Answer: A
Rationale: The correct answer is A: Proactively assessing the health needs of the entire panel and planning accordingly. This is because in population health management, the primary goal is to improve the health outcomes of a large group of individuals. By proactively assessing the health needs of the entire panel, the nurse can identify trends and patterns, prioritize interventions, and allocate resources effectively. This approach allows for early identification of health issues, implementation of preventive measures, and tailored care plans. Choices B, C, and D are incorrect because they focus on specific subgroups or individuals within the panel rather than the entire population. Focusing only on young or seemingly vulnerable patients (B) may neglect the health needs of other demographic groups. Spending most time with patients who regularly attend their visits (C) may result in overlooking those who do not attend regularly. Prioritizing care by responding to the oldest patients first (D) does not consider the diverse health needs present across the entire panel.
Question 4 of 5
A patient who has multiple health issues is discharged after a recent hospitalization. Which of the following comprehensive programs would a community health nurse refer the patient to if the patient is not under medical supervision but does have insurance?
Correct Answer: B
Rationale: The correct answer is B: a patient-centered medical home. A patient-centered medical home provides comprehensive, coordinated care for patients with multiple health issues. It offers a team-based approach to managing care, including primary care, specialists, and other services. The patient does not need to be under medical supervision, but having insurance is beneficial for accessing the services offered. Referring the patient to a private health care practitioner (A) may not provide the level of coordination needed. Hospital clinics (C) typically focus on acute care, not comprehensive management. Subacute facilities (D) are for patients who need ongoing medical supervision and rehabilitation, which may not be necessary in this case.
Question 5 of 5
Which of the following is the best intervention for a client with less than 6 months to live who is seeking comfort care?
Correct Answer: A
Rationale: The correct answer is A: Set up a meeting with the hospice team. This is the best intervention because hospice care focuses on providing comfort and support for terminally ill patients. By involving the hospice team, the client can receive specialized care tailored to their needs, including pain management and emotional support. Arranging a meeting with the family (B) may be important but not the immediate priority. Discussing advance directives (C) is important but can be done after ensuring the client's comfort care needs are addressed. Asking the provider to decrease heart medications (D) should only be done after consulting with the hospice team.