ATI RN
Community Health Assessment Questions Questions
Question 1 of 5
Which factor is found in the Health Belief Model (HBM) but not in Pender's Health Promotion Model (HPM)?
Correct Answer: C
Rationale: Pender's HPM is a competence or approach-oriented model and, unlike the HBM, does not rely on personal threat as a motivating factor. Both attempt to explain behavior, based on individual perceptions, and both include self-efficacy as a factor. (Although the HBM did not originally include self-efficacy, it was added in the revised model.)
Question 2 of 5
A nurse is asked, 'Why are you so rarely in the department office?' Which would be the most appropriate response?
Correct Answer: A
Rationale: One of the underlying premises of community health is to 'start where the people are.' Therefore, the nurse must spend a great deal of time and effort in the community interacting with community members and must be where the people are. Writing reports in the car, avoiding paperwork, and simply stating one is being paid to be in the community do not demonstrate the nurse's connection to the community.
Question 3 of 5
A nurse is using the Framework for Developing Health Communications to create a health program in the community. Which is the first step the nurse would take?
Correct Answer: D
Rationale: Understanding the intended audience's learning needs and targeting the program or message to the audience is key to activating effective health education. After understanding the audience's needs, it will be important to determine the factors related to health problems, assess health resources available, and establish goals and objectives.
Question 4 of 5
When handed the consent form to sign before treatment could be given, a client looked at the nurse and said, 'I'm sorry; I forgot my glasses today.' Which action should be taken by the nurse?
Correct Answer: D
Rationale: The Institute of Medicine report related that millions of U.S. adults are unable to read and act on health instructions and messages. Among the recommendations is a need for clear communication with clients. Because the underlying issue may be reading, the other responses are not appropriate suggestions for this nurse-client interaction.
Question 5 of 5
A nurse is helping clients to change their behavior. Which would be most effective?
Correct Answer: A
Rationale: Ask, Advise, Assess, Assist, and Arrange is the five As approach to counseling as seen, for example, in smoking cessation programs. The other responses are not as comprehensive as the five A approach to counseling.