ATI RN
Public Health Questions Regarding Policy and Law Questions
Question 1 of 5
The public health nurse is involved in developing a community health program to improve nutrition using the Centers for Disease Control and Prevention's Health in All Policies (HiAP) approach. Which action will the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Engage all sectors to produce change. In the Health in All Policies (HiAP) approach, the public health nurse should involve various sectors such as education, transportation, and housing to address nutrition issues comprehensively. By engaging all sectors, the nurse can create sustainable change and address social determinants of health. Choices B, C, and D are incorrect because producing change using only the local health department limits the scope, presenting a plan to community partners may not involve all relevant sectors, and developing short-term goals may not lead to the comprehensive, long-lasting change needed in a HiAP approach.
Question 2 of 5
A nurse is advocating for policies that create walkable communities, green spaces, and healthier food environments. Which level of prevention does this target?
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. Primary prevention aims to prevent the occurrence of disease or injury before it occurs by promoting health and wellness. Advocating for policies that create walkable communities, green spaces, and healthier food environments aligns with primary prevention as it focuses on addressing the root causes of health issues and promoting overall well-being. Secondary prevention (B) involves early detection and intervention to prevent the progression of a disease. Tertiary prevention (C) aims to reduce the impact of an already established disease or injury. Quaternary prevention (D) focuses on mitigating the consequences of unnecessary or excessive intervention in healthcare.
Question 3 of 5
A community health nurse who lobbies for the local transit system to add additional bus routes between a low-income neighborhood and the local clinic is demonstrating which type of leadership behavior?
Correct Answer: C
Rationale: The correct answer is C: Policy engagement. By advocating for additional bus routes between a low-income neighborhood and the local clinic, the nurse is engaging in policy advocacy to address a systemic issue affecting access to healthcare. This action goes beyond individual client advocacy (B) as it aims to create broader change through policy. While education and mentorship (A) are important aspects of nursing practice, they do not directly address the transportation barrier in this scenario. Practice advocacy (D) is more focused on advocating for improvements within the healthcare system itself, rather than addressing external barriers like transportation.
Question 4 of 5
Which of the following is the best example of a Health in All Policies approach?
Correct Answer: D
Rationale: The correct answer is D because it exemplifies the Health in All Policies approach by promoting health considerations in decision-making across different sectors. By lobbying for sidewalks and bike paths, the nurse is advocating for policies that prioritize public health by promoting physical activity and safety. This approach addresses the social determinants of health and benefits the community as a whole. Choices A, B, and C focus on specific health services or programs, which are important but do not demonstrate the comprehensive and integrated approach of Health in All Policies.
Question 5 of 5
A community health nurse works in a clinic that treats clients who lack insurance and have a history of opioid use disorder. Which of the following approaches should the nurse use when working with these clients?
Correct Answer: B
Rationale: The correct answer is B because clients with a history of opioid use disorder and lack of insurance are at high risk for having symptoms related to both mental illness and substance use disorders. The nurse should recognize this and provide holistic care addressing both physical and mental health needs. This approach acknowledges the complex interplay between mental health and substance use, leading to more effective and comprehensive care. Choice A is incorrect because treating these clients the same as others may overlook their unique needs and risks. Choice C is incorrect as it neglects the mental health aspect of care, which is crucial for clients with substance use disorders. Choice D is incorrect as discouraging harm reduction approaches can hinder the clients' progress in managing their opioid use disorder.