ATI RN
Foundational Public Health Services Questions
Question 1 of 5
How does managed care (MC) attempt to control costs of care?
Correct Answer: B
Rationale: The correct answer is B because managed care controls costs by requiring families to choose a care provider from the MC network. This allows the MC to negotiate discounted rates with specific providers, ensuring cost-effective care delivery. By restricting access to other services without provider permission, MC can manage utilization and reduce unnecessary costs. Choice A is incorrect because encouraging the use of specific practice associates does not directly control costs. Choice C is incorrect as moving Medicaid-eligible families to state Medicare enrollment does not necessarily reduce costs. Choice D is incorrect as denying access to urgent care or emergency services can compromise patient safety and is not a cost-effective strategy for managing care expenses.
Question 2 of 5
Which of the following statements by a client indicates a lack of understanding regarding an appropriate reason to sue for professional negligence?
Correct Answer: C
Rationale: The correct answer is C because the client's statement does not indicate a professional negligence claim. Negligence in healthcare is based on a breach of the standard of care resulting in harm. In this case, the lack of a call light and monitoring does not directly connect to a breach of the standard of care. Choices A, B, and D all involve clear instances of potential negligence resulting in harm, such as failure to follow turning protocols, failure to remove a tight cast leading to nerve damage, and performing surgery on the wrong limb. These scenarios demonstrate a direct link between the healthcare provider's actions and the resulting harm, making them more appropriate grounds for a professional negligence claim.
Question 3 of 5
A nurse is considering applying for a position as a public health nurse. Which of the following would be a reason this position would be appealing?
Correct Answer: A
Rationale: The correct answer is A because public health nursing often provides autonomy and independence in decision-making, allowing nurses to implement strategies and interventions independently. This role focuses on preventive care and community health promotion, which aligns with the principles of public health. Choice B is incorrect as public health nursing typically focuses on preventive care rather than acute care. Choice C is incorrect as collaboration with other health care professionals is important in all nursing roles, not exclusive to public health nursing. Choice D is incorrect as public health nursing may not always offer higher wages compared to other nursing specialties.
Question 4 of 5
Which of the following activities is completed by the executive branch of the federal government?
Correct Answer: A
Rationale: The correct answer is A: Administration of policy. The executive branch implements and administers policies passed by the legislative branch. They are responsible for carrying out laws and executing policies. This includes overseeing government agencies, managing programs, and enforcing regulations. Choice B, interpretation of policy, is typically done by the judicial branch. Choice C, proposal of policy, is the responsibility of the legislative branch. Choice D, passage of policy, is also done by the legislative branch through the process of creating and passing laws.
Question 5 of 5
Using the Neuman Systems Model, which of the following questions would the nurse ask a client to assess physiological health?
Correct Answer: C
Rationale: The Neuman Systems Model focuses on stressors and client responses. Asking about physiological health would involve direct questions about the client’s physical condition, but the provided option about family illnesses is closest to assessing health influences, though not ideal. Correct answer adjusted to available choices; typically, a direct physiological question would be expected.