ATI RN
Health Care Delivery in the United States Questions
Question 1 of 5
Health Care Delivery in the United States After performing a community assessment, a nurse determines that a neighborhood with a higher
Correct Answer: B
Rationale: Step-by-step rationale: 1. Structural racism refers to the system-level policies and practices that create and perpetuate racial inequalities. 2. In this case, the nurse likely found disparities in health care access and outcomes due to systemic barriers. 3. Personally mediated racism (individual acts of racism) and internalized racism (internal acceptance of racist beliefs) are not system-level factors. 4. Structural racism is the most appropriate choice to explain the disparities in health care delivery based on the community assessment.
Question 2 of 5
Which of the following is an example of racial profiling?
Correct Answer: A
Rationale: The correct answer is A because racial profiling involves targeting individuals for suspicion or investigation based on their race. Suspecting someone of criminal behavior solely based on race is a clear example of racial profiling. This practice is discriminatory, unjust, and perpetuates stereotypes. B: Segregating communities based on race is an example of systemic racism rather than racial profiling. C: Assuming all men of a certain racial group are dangerous is a form of racial bias but not necessarily profiling. D: Community-wide disinvestment based on race is a manifestation of institutional racism, not racial profiling.
Question 3 of 5
Which statement best highlights the continuing prevalence of racism in the U.S. health care system?
Correct Answer: B
Rationale: The correct answer is B because work-reporting requirements for Medicaid disproportionately affect minority populations, perpetuating racial disparities in access to healthcare. Choice A is about community engagement, not racism in healthcare. Choice C is about youth employment, not relevant to healthcare racism. Choice D is about community policing, not related to healthcare disparities.
Question 4 of 5
Which client being seen in the community health clinic does the nurse anticipate is most affected by allostatic load?
Correct Answer: B
Rationale: The correct answer is B because allostatic load refers to the cumulative physiological toll on the body due to chronic stress. In this case, persistent hypertension in a young Black man indicates long-term stress, leading to increased wear and tear on the body. The other choices do not directly suggest chronic stress or its physiological consequences. Choice A involves a specific joint condition, choice C is a newly diagnosed condition, and choice D relates to a specific skin concern, none of which necessarily indicate prolonged stress affecting multiple body systems.
Question 5 of 5
Which environmental condition is a consequence of the redlining of neighborhoods that has negatively affected health outcomes of BIPOC individuals?
Correct Answer: B
Rationale: The correct answer is B: Less green space. Redlining historically segregated neighborhoods, leading to disparities in access to resources. Less green space in redlined areas means limited opportunities for physical activity, increased exposure to pollutants, and higher stress levels, all of which contribute to negative health outcomes for BIPOC individuals. A: Decreased urban heat - While redlined neighborhoods may have less vegetation contributing to urban heat island effect, this is not a direct consequence of redlining affecting health outcomes of BIPOC individuals. C: Improved air quality - Redlined areas often experience poorer air quality due to industrial facilities and traffic congestion, which negatively impact health outcomes. Therefore, improved air quality is not a consequence of redlining. D: Increased access to clean water - Redlining does not directly impact access to clean water. This choice is unrelated to the consequences of redlining on health outcomes of BIPOC individuals.