ATI RN
Health Care Delivery in the United States Questions
Question 1 of 5
Which of these nurse actions would be considered an example of microaggression?
Correct Answer: B
Rationale: The correct answer is B because telling an Asian client they speak perfect English can be perceived as a microaggression by implying surprise due to their ethnicity. This statement can perpetuate stereotypes and make the client feel like they are not seen as an individual. Asking a transgender client their pronouns (A) is respectful and inclusive. Determining dietary preferences of a Jewish client (C) is part of culturally competent care. Obtaining a medical interpreter for a client who does not speak English (D) is essential for effective communication.
Question 2 of 5
Which statement best highlights the continuing prevalence of racism in the U.S. health care system?
Correct Answer: B
Rationale: The correct answer is B because work-reporting requirements for Medicaid disproportionately affect minority populations, perpetuating racial disparities in access to healthcare. Choice A is about community engagement, not racism in healthcare. Choice C is about youth employment, not relevant to healthcare racism. Choice D is about community policing, not related to healthcare disparities.
Question 3 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 4 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 5 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.