ATI RN
ATI Community Health Proctored Exam 2019 Questions
Question 1 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 2 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 3 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.
Question 4 of 5
When caring for a first-time mom and baby, the community RN would focus on which of the following as the first priority when developing appropriate interventions?
Correct Answer: B
Rationale: The correct answer is B: Safety. The first priority when caring for a first-time mom and baby should be ensuring their safety. Safety is crucial to prevent harm and promote well-being. Prioritizing safety includes addressing physical, emotional, and environmental factors that may impact the mother and baby. Education (choice A) is important but comes after ensuring safety. Policy-making (choice C) and vaccination (choice D) are important but not immediate priorities when caring for a first-time mom and baby.
Question 5 of 5
The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:
Correct Answer: C
Rationale: The correct answer is C because public health nurses in the NFP model focus on collaborating with other healthcare professionals and community resources to address the social determinants of health. By collaborating with the social work services team when recognizing that a patient is unhoused, the nurse is delegating the appropriate intervention to address the patient's social needs, which is a key aspect of the public health nurse role. Choices A, B, and D are incorrect because they all involve direct patient care interventions that are typically within the scope of practice of the nurse themselves, rather than delegating to other professionals or resources. Option A involves administering IV antibiotics, which is a nursing task. Option B involves conducting a respiratory exam, which is also a nursing task. Option D involves teaching a patient about necessary vaccinations, which is an educational intervention within the nurse's scope of practice.