ATI RN
ATI Community Health Proctored Exam 2019 Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Which of the following is the best intervention for a client with less than 6 months to live who is seeking comfort care?
Correct Answer: A
Rationale: The correct answer is A: Set up a meeting with the hospice team. This is the best intervention because hospice care focuses on providing comfort and support for terminally ill patients. By involving the hospice team, the client can receive specialized care tailored to their needs, including pain management and emotional support. Arranging a meeting with the family (B) may be important but not the immediate priority. Discussing advance directives (C) is important but can be done after ensuring the client's comfort care needs are addressed. Asking the provider to decrease heart medications (D) should only be done after consulting with the hospice team.
Question 5 of 5
Which term refers to the personal characteristics and risks of a group within a community?
Correct Answer: A
Rationale: The correct answer is A: Aggregate of people. The term refers to the personal characteristics and risks of a group within a community because an aggregate refers to a collection of individuals sharing common features or characteristics. In this context, it implies that the group's personal characteristics and risks are being viewed as a whole. Why the other choices are incorrect: - B: Location in space and time: This refers to the physical positioning of a group within a specific geographical area during a particular period, not focusing on personal characteristics and risks. - C: Social system: This term refers to the interconnected parts of a society, such as institutions and relationships, rather than specific personal characteristics and risks. - D: Census tract: This term refers to a geographic area defined for the purpose of taking a census, not specifically addressing personal characteristics and risks of a group within a community.