ATI RN
Environmental and Occupational Health Questions
Question 1 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 2 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.
Question 3 of 5
Which function would the public health nurse perform while working at a local health department?
Correct Answer: C
Rationale: The correct answer is C: Educating a community about influenza vaccinations. Public health nurses focus on promoting and protecting the health of populations. Educating a community about preventive measures such as vaccinations aligns with this role. This choice addresses the broader community rather than individual clients (A). Medicaid regulations (B) and regulating CHIPs (D) involve policy implementation and oversight, which are typically outside the scope of a public health nurse's direct responsibilities. Overall, choice C best reflects the core function of a public health nurse in promoting community health and preventing disease.
Question 4 of 5
Which intervention can the nurse implement to reduce the spread of infectious disease in a correctional facility?
Correct Answer: A
Rationale: Step 1: Handwashing is a fundamental and effective measure to reduce the spread of infectious diseases. Step 2: Encouraging daily handwashing can help prevent transmission of pathogens between individuals in close quarters. Step 3: Proper hand hygiene is crucial in preventing the spread of infections like respiratory illnesses, gastrointestinal infections, and skin infections. Step 4: HIV status, sexual practices, and vaccinations are important but are not as directly effective in reducing the immediate spread of infectious diseases in a correctional facility. Summary: A: Encouraging daily handwashing is directly effective in reducing the spread of infectious diseases within the facility. B: Asking about HIV status is important for individual care but not as effective in preventing immediate spread. C: Questioning about sexual practices is relevant for certain infections but may not address overall transmission. D: Advocating for vaccination is important but takes time to be effective, whereas handwashing is an immediate preventive measure.
Question 5 of 5
Which workplace condition will the occupational health nurse include when teaching factory employees about ergonomic hazards?
Correct Answer: A
Rationale: The correct answer is A: Repetitive motions. Occupational health nurses focus on preventing work-related injuries, including ergonomic hazards. Repetitive motions can lead to musculoskeletal disorders like carpal tunnel syndrome. This condition is common among factory workers due to repetitive tasks. Infectious agents (B) are more related to infection control, noise levels (C) are part of hearing conservation programs, and cleaning solutions (D) are more about chemical hazards, not specifically ergonomic hazards.