What is the learning process aimed at improving health status through changes in knowledge, attitudes, and practices?

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ATI Community Health Proctored Exam 2019 Questions

Question 1 of 9

What is the learning process aimed at improving health status through changes in knowledge, attitudes, and practices?

Correct Answer: D

Rationale: The correct answer is D: Health education. This learning process focuses on improving health through knowledge, attitudes, and practices. Health education aims to empower individuals to make informed decisions for their well-being. Motivating (A) is about encouraging action, counseling (B) involves providing guidance and support, and disease prevention (C) targets specific strategies to reduce the risk of illnesses. In this context, health education encompasses a broader approach to promoting overall health and wellness.

Question 2 of 9

What is a key component of a successful community health program?

Correct Answer: A

Rationale: The correct answer is A: Engaging community members. In community health programs, involving community members fosters ownership, trust, and sustainability. It promotes active participation, cultural relevance, and tailored interventions. Sufficient funding (B) is important but not a guarantee of success without community engagement. Effective leadership (C) is crucial, but without community involvement, the program may lack grassroots support. Lowering health care expenses (D) is a potential outcome, not a primary component of success.

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

All of the following are characteristics of the Patient Centered Medical Home (PCMH) except:

Correct Answer: B

Rationale: The correct answer is B: Guarantees safety at home. PCMH focuses on providing patient-centered, comprehensive, coordinated care with an emphasis on patient needs and involving a team of healthcare providers. Safety at home is not a direct characteristic of PCMH. Other choices (A, C, D) align with the core principles of PCMH - comprehensive care, patient-centered approach, and collaborative teamwork among providers.

Question 5 of 9

What are the steps involved in the community assessment process for community health nurses? (Select all that apply.)

Correct Answer: D

Rationale: The correct answer is D: Identifying the cause of the problem, planning community interventions. This step is crucial in the community assessment process as it helps community health nurses understand the root cause of health issues and develop effective interventions. First, identifying the cause allows for targeted interventions. Second, planning interventions ensures that resources are allocated efficiently. Writing a community diagnosis (A) is an important step but comes after identifying the cause. Evaluating outcomes (B) is necessary but occurs after interventions are implemented. Collecting assessment data (C) is an initial step but does not encompass the entire community assessment process.

Question 6 of 9

Joseph, a 45-year-old community resident of Baranggay 22-A, suddenly had 2 bouts of soft to almost watery stools after having lunch. While observing his condition at home to decide whether to refer him for medical treatment, you recommended that he boil a decoction of 10-15 leaves of what medicinal plant for 15 minutes on low heat?

Correct Answer: A

Rationale: The correct answer is A: Bayabas. Step-by-step rationale: 1. Bayabas (guava) has antimicrobial properties that can help in treating diarrhea. 2. Boiling a decoction of bayabas leaves can help alleviate Joseph's symptoms due to its astringent properties. 3. The astringent properties of bayabas can help firm up loose stools. 4. Bayabas is commonly used in traditional medicine for gastrointestinal issues like diarrhea. Summary of other choices: B: Pancit pacitan - Not commonly used for treating diarrhea. C: Sambong - More commonly used for urinary tract infections, not diarrhea. D: Lagundi - More commonly used for respiratory issues, not gastrointestinal problems.

Question 7 of 9

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 8 of 9

Which factor is most critical for the sustainability of health programs?

Correct Answer: A

Rationale: The correct answer is A: Continuous community involvement. This is because sustainability in health programs relies on community ownership, participation, and engagement. Community involvement ensures program relevance, cultural appropriateness, and long-term commitment. Support from local government (B) is important but may fluctuate based on political changes. Availability of funding (C) is crucial but not sustainable if community support is lacking. Regular program evaluation (D) is essential for monitoring progress but doesn't guarantee sustainability without ongoing community engagement.

Question 9 of 9

How does critical theory differ from other nursing theories such as the Health Belief Model or Orem's self-care deficit theory?

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. Critical theory focuses on analyzing power dynamics and social structures that lead to oppression within society. 2. It emphasizes enabling group action to challenge and transform these oppressive structures. 3. In nursing, critical theory promotes advocacy for marginalized populations and addressing social determinants of health. 4. Health Belief Model and Orem's theory focus more on individual behavior and self-care, whereas critical theory looks beyond individual actions to systemic issues. Summary: A - Incorrect. Critical theory is not exclusive to nurses; it can be utilized by professionals in various fields to address social injustices. C - Incorrect. Critical theory is directly associated with health promotion through addressing social inequalities and advocating for social change. D - Incorrect. While critical theory may challenge individual beliefs as part of addressing systemic issues, its primary focus is on social structures and group action.

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