ATI RN
Health Care Delivery in the United States Questions
Question 1 of 5
Which of the following is an example of racial profiling?
Correct Answer: A
Rationale: The correct answer is A because racial profiling involves targeting individuals for suspicion or investigation based on their race. Suspecting someone of criminal behavior solely based on race is a clear example of racial profiling. This practice is discriminatory, unjust, and perpetuates stereotypes. B: Segregating communities based on race is an example of systemic racism rather than racial profiling. C: Assuming all men of a certain racial group are dangerous is a form of racial bias but not necessarily profiling. D: Community-wide disinvestment based on race is a manifestation of institutional racism, not racial profiling.
Question 2 of 5
Which client being seen in the community health clinic does the nurse anticipate is most affected by allostatic load?
Correct Answer: B
Rationale: The correct answer is B because allostatic load refers to the cumulative physiological toll on the body due to chronic stress. In this case, persistent hypertension in a young Black man indicates long-term stress, leading to increased wear and tear on the body. The other choices do not directly suggest chronic stress or its physiological consequences. Choice A involves a specific joint condition, choice C is a newly diagnosed condition, and choice D relates to a specific skin concern, none of which necessarily indicate prolonged stress affecting multiple body systems.
Question 3 of 5
Which environmental condition is a consequence of the redlining of neighborhoods that has negatively affected health outcomes of BIPOC individuals?
Correct Answer: B
Rationale: The correct answer is B: Less green space. Redlining historically segregated neighborhoods, leading to disparities in access to resources. Less green space in redlined areas means limited opportunities for physical activity, increased exposure to pollutants, and higher stress levels, all of which contribute to negative health outcomes for BIPOC individuals. A: Decreased urban heat - While redlined neighborhoods may have less vegetation contributing to urban heat island effect, this is not a direct consequence of redlining affecting health outcomes of BIPOC individuals. C: Improved air quality - Redlined areas often experience poorer air quality due to industrial facilities and traffic congestion, which negatively impact health outcomes. Therefore, improved air quality is not a consequence of redlining. D: Increased access to clean water - Redlining does not directly impact access to clean water. This choice is unrelated to the consequences of redlining on health outcomes of BIPOC individuals.
Question 4 of 5
A public health nurse running a cost-free vaccination clinic for COVID-19 in an underserved community notes
Correct Answer: C
Rationale: The correct answer is C: Low perceived personal risk for COVID. This choice is correct because individuals in the underserved community may not see COVID-19 as a significant threat to their health, leading to low turnout. Choice A is incorrect because it doesn't address the individuals' perception of personal risk, which is crucial. Choice B, Medicaid expansion, is unrelated to the individuals' perception of COVID risk. Choice D, lack of health insurance, may influence access but doesn't explain the low turnout specifically related to perceived risk.
Question 5 of 5
A nurse is caring for four clients in the medical-surgical inpatient unit. One is a Black woman who has been admitted with pancreatitis, another is a White man who has been admitted with acute low back pain, the third is a Black man with pneumonia, and the fourth is a White woman who has been admitted with cholecystitis. The nurse medicates the Black woman with one oral Percocet tab for 8/10 pain, medicates the White man with two oxycodone tabs for 7/10 pain, does not medicate the Black man as he does not have current pain, and medicates the White woman with 2 mg of IV morphine for 8/10 pain. What is this an example of?
Correct Answer: B
Rationale: The correct answer is B: Implicit bias. Implicit bias refers to unconscious attitudes or stereotypes that affect our actions and decisions. In this scenario, the nurse's decision to medicate the Black woman with less potent pain medication compared to the White man with more potent pain medication could be influenced by implicit bias. The nurse may have assumed the Black woman needs less pain relief or may have unconsciously prioritized the White man's pain over hers. This highlights how biases can impact healthcare decisions. Summary: A: Explicit racism is not demonstrated in the scenario as there is no overt discrimination based on race. C: Professional standard of care could be argued, but the unequal treatment based on race suggests bias rather than following professional standards. D: Structural racism involves systemic inequalities, which are not directly evident in this scenario.