ATI RN
ATI Community Health Proctored Exam 2019 Questions
Question 1 of 9
What is the FIRST STEP for thermal protection of a newborn?
Correct Answer: A
Rationale: The correct answer is A: Drying the baby thoroughly immediately after birth. This is the first step for thermal protection as it helps prevent heat loss and hypothermia in the newborn. By drying the baby immediately after birth, any amniotic fluid on the skin is removed, allowing the baby's body temperature to stabilize. Covering the baby with a clean, dry cloth after drying would be the next step to maintain warmth. Choices B, C, and D are incorrect because they do not address the crucial initial step of drying the baby immediately after birth to prevent hypothermia.
Question 2 of 9
Why is epidemiologic data useful in the planning phase of the community assessment process?
Correct Answer: A
Rationale: The correct answer is A because epidemiologic data helps in understanding the patterns of health and illness distribution in a population, which is essential for planning effective community health interventions. By analyzing these patterns, public health planners can identify priorities and tailor interventions to address specific needs. Choice B is incorrect because while epidemiologic data can help in setting benchmarks, it is not the primary purpose in the planning phase. Choice C is incorrect as identifying the population at risk is just one aspect of using epidemiologic data and not the main reason for its usefulness in planning. Choice D is incorrect because while epidemiologic data can provide insights into the nature of health problems, it is not the main reason for its utility in the planning phase.
Question 3 of 9
As an important tool for planning a community health survey was conducted, the first tangible outcome of collaboration and teamwork with the Local Health Department and its Rural Health Units (RHUs) was observed. This later led to case findings activities via collection and examination of stools from children for suspected parasitism. Which of the following community nursing diagnoses will guide the Parish Health Team for concrete action?
Correct Answer: D
Rationale: The correct answer is D: Parasitism as a health threat. This diagnosis guides the Parish Health Team to take concrete action because parasitism poses a direct risk to the community's health. By identifying parasitism as a health threat, the team can prioritize interventions to prevent and control the spread of parasites, ensuring the well-being of the population. Choices A, B, and C are incorrect: A: Parasitism as a foreseeable crisis - This choice does not provide a clear direction for action and lacks a sense of urgency compared to a health threat. B: Malnutrition as a health deficit - While malnutrition is a significant issue, the question specifically mentions suspected parasitism as the focus of case findings activities. C: Parasitism as a health deficit - This choice does not emphasize the immediate danger posed by parasitism, unlike the concept of a health threat.
Question 4 of 9
As a community health nurse covering a cluster of Barangays, your population coverage includes the following:
Correct Answer: D
Rationale: Step 1: Community health nursing focuses on promoting health and preventing diseases within communities. Step 2: Patients in hospitals are already receiving healthcare services, so they are not the primary focus of community health nursing. Step 3: Excluding patients in hospitals from the population coverage allows the nurse to focus on preventive care for the community. Step 4: Choices A, B, and C include populations that can benefit from community health nursing interventions, but they are not the primary target population. Summary: Option D is correct because it aligns with the primary goal of community health nursing to promote health and prevent diseases within the community by excluding those who are already receiving healthcare services in hospitals. Options A, B, and C include additional populations that may benefit from nursing interventions but are not the primary focus.
Question 5 of 9
Which of the following describes a valid way to collect data for community assessment?
Correct Answer: B
Rationale: The correct answer is B because conducting a community assessment involves utilizing multiple strategies to gather comprehensive data. This includes using library databases for literature reviews (A), surveys/questionnaires to collect community input (C), and examining government documents for existing data (D). By combining these methods, a more thorough and accurate assessment can be achieved. Option B acknowledges the importance of employing a variety of strategies to ensure a well-rounded approach to data collection. Options A, C, and D are individually valid methods but do not encompass the full range of strategies necessary for a comprehensive community assessment.
Question 6 of 9
When writing a community diagnosis, the community health nurse notes that the 'among' phrase:
Correct Answer: C
Rationale: The correct answer is C because specifying the aggregate that will benefit from the nurse's plan is a key component of a community diagnosis. This step helps in identifying the target population for interventions and ensures that resources are allocated effectively. A: Presenting a synthesis of all assessment data is important but not specific to the 'among' phrase. B: Providing supporting data is necessary but does not directly relate to the 'among' phrase. D: Describing the cause of the health problem and directing focus of interventions is crucial but not the primary focus of the 'among' phrase.
Question 7 of 9
A traditional plant used to lower uric acid is being used by Rosario, a 55-year-old client with rheumatism. This herbal plant is called "ulasimang bato." What is its common name?
Correct Answer: B
Rationale: The correct answer is B: Pancit-pancitan. Ulasimang bato is commonly known as "Pancit-pancitan" in the Philippines. This plant is known for its diuretic properties and is traditionally used to lower uric acid levels. Lagundi (A) is known for its anti-inflammatory properties, Bayabas (C) is guava, and Sambong (D) is used for kidney stones and urinary tract infections, making them incorrect choices for this specific scenario.
Question 8 of 9
Which of the following is the best intervention for a client with less than 6 months to live who is seeking comfort care?
Correct Answer: A
Rationale: The correct answer is A: Set up a meeting with the hospice team. This is the best intervention because hospice care focuses on providing comfort and support for terminally ill patients. By involving the hospice team, the client can receive specialized care tailored to their needs, including pain management and emotional support. Arranging a meeting with the family (B) may be important but not the immediate priority. Discussing advance directives (C) is important but can be done after ensuring the client's comfort care needs are addressed. Asking the provider to decrease heart medications (D) should only be done after consulting with the hospice team.
Question 9 of 9
How can health professionals address social determinants of health?
Correct Answer: B
Rationale: The correct answer is B because advocating for policy changes can address systemic issues that impact social determinants of health on a larger scale. Health professionals have the potential to influence policies that can improve access to healthcare, housing, education, and other social factors that impact health outcomes. Providing direct care (A) addresses immediate needs but does not address root causes. Health screenings (C) focus on early detection but do not tackle underlying social determinants. Educating about healthy lifestyle behaviors (D) is important but may not address the broader social context that influences health.