ATI RN
ATI Community Health Proctored Exam 2019 Questions
Question 1 of 5
The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:
Correct Answer: B
Rationale: The correct answer is B: Self-efficacy. Self-efficacy in the Health Belief Model refers to an individual's belief in their ability to successfully perform a behavior, such as quitting smoking. In this scenario, the client expressing doubt in their ability to quit indicates a lack of self-efficacy. This belief can greatly impact their motivation and likelihood of success in behavior change. Summary: A: Susceptibility relates to the individual's belief in their vulnerability to a health condition, not their confidence in behavior change. C: Severity pertains to the individual's perception of the seriousness of the health condition, not their belief in their ability to make a change. D: Cue to action refers to external stimuli triggering behavior change, not the individual's confidence in their ability to perform the behavior.
Question 2 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 3 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 4 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.
Question 5 of 5
When working with moms and babies from diverse backgrounds in the community, what is a necessary competence for a public health nurse to have self-awareness and humility?
Correct Answer: D
Rationale: The correct answer is D because self-awareness and humility are crucial competencies for a public health nurse working with diverse populations. By acknowledging imperfections openly and listening to patient feedback, the nurse demonstrates an understanding of their own limitations and a willingness to learn and improve. This approach fosters trust and communication with clients, leading to better outcomes. A is incorrect because it focuses on the nurse's confidence rather than self-awareness and humility. B is incorrect as it highlights a judgmental attitude towards expectant moms instead of promoting understanding and support. C is incorrect as it emphasizes correcting behavior rather than listening and understanding the individual's needs.