ATI RN
ATI Community Health Proctored Exam 2019 Questions
Question 1 of 5
When studying for an epidemiology quiz, what does public health nursing surveillance involve?
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct: 1. Public health nursing surveillance involves gathering data to prevent illnesses before they occur. 2. Surveillance helps identify trends and risk factors for diseases to inform prevention strategies. 3. By focusing on primary prevention, surveillance aims to reduce the burden of disease on populations. 4. Choice A is incorrect as it does not align with the purpose of surveillance. 5. Choice C is incorrect as establishing the incubation period is part of disease investigation, not surveillance. 6. Choice D is incorrect as colonization rate determination is more focused on transmission dynamics, not surveillance.
Question 2 of 5
Which of these is an example of a phenomenological community?
Correct Answer: D
Rationale: The correct answer is D because an online support group for cancer survivors represents a phenomenological community where individuals share similar lived experiences and perspectives related to cancer. This community is based on subjective interpretations and meanings attached to their shared experiences, fostering a sense of belonging and understanding among members. In contrast, choices A, B, and C are not phenomenological communities as they are based on geographical proximity (Greenwich Village senior center, NYC council district) or residential location (Gramercy Green residents), which do not necessarily imply shared lived experiences or subjective interpretations.
Question 3 of 5
While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:
Correct Answer: C
Rationale: The correct answer is C because in motivational interviewing, it is crucial to establish a non-judgmental, empathetic, and supportive environment. By asking open-ended questions and actively listening, the RN can understand the student's perspective, build rapport, and help the student explore ambivalence about their behavior. This approach aligns with the spirit of motivational interviewing, which aims to evoke the student's intrinsic motivation for change. Choice A is incorrect because focusing on academic performance may not be the student's priority at the moment. Choice B is incorrect as providing information on harmful impacts may trigger resistance or defensiveness in the student. Choice D is incorrect as starting with a survey may feel impersonal and does not prioritize building a therapeutic alliance.
Question 4 of 5
In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?
Correct Answer: A
Rationale: The correct answer is A: Proactively assessing the health needs of the entire panel and planning accordingly. This is because in population health management, the primary goal is to improve the health outcomes of a large group of individuals. By proactively assessing the health needs of the entire panel, the nurse can identify trends and patterns, prioritize interventions, and allocate resources effectively. This approach allows for early identification of health issues, implementation of preventive measures, and tailored care plans. Choices B, C, and D are incorrect because they focus on specific subgroups or individuals within the panel rather than the entire population. Focusing only on young or seemingly vulnerable patients (B) may neglect the health needs of other demographic groups. Spending most time with patients who regularly attend their visits (C) may result in overlooking those who do not attend regularly. Prioritizing care by responding to the oldest patients first (D) does not consider the diverse health needs present across the entire panel.
Question 5 of 5
A patient who has multiple health issues is discharged after a recent hospitalization. Which of the following comprehensive programs would a community health nurse refer the patient to if the patient is not under medical supervision but does have insurance?
Correct Answer: B
Rationale: The correct answer is B: a patient-centered medical home. A patient-centered medical home provides comprehensive, coordinated care for patients with multiple health issues. It offers a team-based approach to managing care, including primary care, specialists, and other services. The patient does not need to be under medical supervision, but having insurance is beneficial for accessing the services offered. Referring the patient to a private health care practitioner (A) may not provide the level of coordination needed. Hospital clinics (C) typically focus on acute care, not comprehensive management. Subacute facilities (D) are for patients who need ongoing medical supervision and rehabilitation, which may not be necessary in this case.