ATI RN
History of Public Health Nursing Questions
Question 1 of 5
Which assumption of the Health Belief Model (HBM) is problematic?
Correct Answer: A
Rationale: The HBM assumes that people have access to health resources, but such resources are not always available to certain groups. Economic, political, and environmental constraints interfere with free choice. The HBM may effectively promote behavior change by altering the patient's perspectives, but it does not acknowledge the health professional's responsibility to reduce health care barriers. The HBM places the burden of action exclusively on the client.
Question 2 of 5
A nurse is using the critical theoretical perspective in daily nursing practice. Which activity would the nurse most likely complete?
Correct Answer: B
Rationale: Improvements can only be made if societal and personal values are made explicit. Once these values are recognized, they are more easily confronted. Change may be sought toward a more just society. Society must change for health and medical care to improve. Inequities of health care are connected to historically located social arrangements and cultural values of society.
Question 3 of 5
Which is most closely associated with morbidity and mortality outcomes?
Correct Answer: B
Rationale: Tremendous disparities for access exist between insured and uninsured people in the United States. Access to care is associated with economic, social, and political factors, and depending on individual and population needs, it can be a primary determinant of health status and survival. Structural variables such as race-ethnicity, educational status, gender, and income are highly predictive of health status.
Question 4 of 5
A nurse is using a macroscopic approach when providing care. Which would the nurse most likely demonstrate?
Correct Answer: D
Rationale: All the choices focus on individual client care (microscopic) except for the nurse who is politically involved as demonstrated by providing testimony relevant to proposed legislation (macroscopic).
Question 5 of 5
A nurse has a broad, aggregate focus when providing care to clients. Which best describes how this approach will help improve client outcomes? (Select all that apply.)
Correct Answer: C
Rationale: Having a broader focus will help both nurse and patient make appropriate decisions. Unfortunately, it cannot ensure that others will help. Ideally, it will help both parties recognize that health problems are not just an individual's responsibility but often a result of environmental, sociopolitical, and economic factors as well. Encouraging the nurse to allocate time for population-focused health promotion efforts will also help the nurse's individual clients over the long term.