ATI RN
Environmental and Occupational Health Questions
Question 1 of 5
The nurse is examining blood lead levels in school-age children 1 year after a community-wide education intervention. Which of the following phases of the nursing process is being implemented?
Correct Answer: D
Rationale: The correct answer is D: Evaluation. In this scenario, the nurse is assessing the effectiveness of the community-wide education intervention by examining blood lead levels in school-age children after 1 year. Evaluation involves determining the outcomes of nursing interventions to see if the desired goals have been achieved. This phase focuses on measuring the effectiveness of the intervention and making decisions based on the results. A: Assessment is the phase where data is collected and analyzed to identify health problems. B: Diagnosis involves identifying the health problems based on the assessment data. C: Intervention is implementing the nursing care plan to address the identified health problems.
Question 2 of 5
The nurse is providing education to a client with a family history of hypertension. Which statement by the client does the nurse recognize as requiring further teaching about familial risk?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Genetics play a significant role in health, but they do not solely determine an individual's health outcomes. 2. Health is influenced by a combination of genetics and environmental factors. 3. Choice B incorrectly implies that genetics alone dictate health and diagnoses. 4. The other choices (A, C, D) acknowledge the multifactorial nature of health outcomes, thus are correct.
Question 3 of 5
The nurse is working to change negative social beliefs towards breastfeeding in a rural area using the UNICEF Socio-Ecological Model. At which level of this model is the nurse effecting change?
Correct Answer: D
Rationale: The correct answer is D: Policy/system and enabling environments. The nurse is working at this level by influencing policies and systems to create an environment that supports breastfeeding. At this level, the nurse can implement changes that impact the broader community by promoting and facilitating breastfeeding-friendly practices. A: Individual - This level focuses on changing beliefs and behaviors of individuals, not addressing broader social beliefs. B: Community - This level involves influencing social norms and practices within a specific community, not addressing policies and systems. C: Organizational/institutional - This level involves changes within specific organizations or institutions, not addressing broader policy changes needed for societal impact.
Question 4 of 5
Using the UNICEF Socio-Ecological Model, which statement is an example of a community health center working at the organizational level to promote health care?
Correct Answer: C
Rationale: The correct answer is C because treating all clients regardless of their ability to pay aligns with the organizational level of the UNICEF Socio-Ecological Model. This demonstrates a commitment to providing equitable access to healthcare services within the community health center. By offering care regardless of financial resources, the center addresses social determinants of health, promotes health equity, and contributes to overall community well-being. Choice A, teaching a client to self-administer insulin injections, is an example of an individual-level intervention. Choice B, assisting a new mother with breastfeeding, is a behavioral-level intervention. Choice D, lobbying for health care for transgender clients, pertains to policy-level advocacy. These choices do not directly address organizational-level efforts to promote health care within a community health center.
Question 5 of 5
The nurse is discussing the importance of exercise and eating healthy to a client with hypertension. Which client behavior would the nurse assess as being in the precontemplation stage of the Transtheoretical Model?
Correct Answer: D
Rationale: Rationale: The correct answer is D because the client in the precontemplation stage is not considering changing their behavior. Choosing answer D indicates a lack of readiness to change, as they believe exercise will not lower blood pressure. This demonstrates resistance to the idea of healthy behavior modification. Choices A, B, and C all show varying levels of readiness to change, indicating the client is already contemplating or taking steps towards improving their health.