ATI RN
RN Evidence-Based Practice in Community and Public Health Assessment Questions
Question 1 of 5
To determine the possible sources of sexually transmitted infections, which is the BEST method that may be undertaken by the public health nurse?
Correct Answer: A
Rationale: The correct answer is A: Contact tracing. Contact tracing involves identifying and notifying individuals who may have been exposed to a sexually transmitted infection (STI) by an infected person. This method helps to break the chain of transmission and prevent further spread of the infection. It is considered the best method for determining possible sources of STIs as it directly targets individuals who have had close contact with an infected person. Summary: B: Community survey - While community surveys can provide valuable data on STI prevalence, they may not accurately identify specific sources of infection. C: Mass screening tests - Mass screening tests can detect STIs in a population, but they do not pinpoint the exact sources of the infections. D: Interview suspects - Interviewing suspects may be useful in some cases, but it may not reach all individuals who have been exposed to an STI. Contact tracing is a more comprehensive approach.
Question 2 of 5
Which activity would the nurse recognize as meeting the Healthy People 2030 goal of civic participation?
Correct Answer: A
Rationale: The correct answer is A: Voting in local, state, and federal elections. This aligns with the Healthy People 2030 goal of civic participation as voting is a fundamental way for individuals to engage in the democratic process and contribute to shaping public policies. It reflects active participation in decision-making processes that impact community health. Planting a home garden (B) promotes healthy eating but does not directly relate to civic participation. Running in a road race (C) focuses on physical activity. Keeping vaccinations current (D) is important for individual health but does not specifically address civic participation. Voting is essential for advocating for policies that promote population health.
Question 3 of 5
When developing a community profile guided by Gordon's functional health patterns, which of the following patterns would the nurse identify as focusing on the community's view of itself?
Correct Answer: D
Rationale: To identify the community's view of itself, the nurse would focus on the self-perception-self-concept pattern in Gordon's functional health patterns. This pattern explores how individuals perceive themselves and their identities, which is crucial in understanding the community's self-image. By assessing this pattern, the nurse can gain insights into the community's beliefs, values, and attitudes about themselves. Rationale: A: Cognitive-perceptual focuses on sensory perception and cognitive functions, not self-perception. B: Health perception-health management relates to the individual's perception of health and their behaviors towards managing it, not the community's view of itself. C: Nutritional-metabolic pertains to nutrition and metabolism, not self-perception or community identity.
Question 4 of 5
Using the Robert Wood Johnson Foundation's Culture of Health Action Framework, which action would the nurse take when engaged in cross-sector collaboration to reduce overdose deaths in adolescents?
Correct Answer: B
Rationale: The correct answer is B because in the Culture of Health Action Framework, cross-sector collaboration involves working with multiple sectors such as schools and law enforcement to address health issues. By collaborating with schools and law enforcement to reduce drug overdoses in adolescents, the nurse can implement prevention strategies, education programs, and enforcement measures to tackle the issue comprehensively. This approach aligns with the framework's emphasis on partnership and collective action across sectors. Choices A, C, and D are incorrect because they do not specifically involve cross-sector collaboration with schools and law enforcement, which is essential for addressing overdose deaths effectively in adolescents. Encouraging community members to vote on a referendum for substance misuse education (A) may be important but lacks the multi-sectoral approach. Supporting research for substance misuse prevention programs (C) and creating community-based substance misuse treatment programs (D) are valuable initiatives but do not directly address the need for cross-sector collaboration as required in the given context.
Question 5 of 5
How does the first step of the nursing process inform community health interventions?
Correct Answer: A
Rationale: The correct answer is A because assessment in the first step of the nursing process provides vital data for identifying community health issues. By collecting information on demographics, health behaviors, and environmental factors, nurses can recognize patterns and prioritize areas for intervention. Planning (B) involves setting goals based on assessment data, implementation (C) involves executing interventions based on the plan, and evaluation (D) assesses the effectiveness of interventions but does not directly inform the identification of health issues.