ATI RN
ATI Community Health Proctored Exam 2019 Questions
Question 1 of 5
Which source of information about a community's health would give the community health nurse information about births, deaths, and marriages and aid in providing indicators of population growth or reduction?
Correct Answer: B
Rationale: The correct answer is B: Vital statistics. Vital statistics provide information on births, deaths, and marriages which are crucial indicators of a community's health and population trends. This data aids the nurse in understanding the demographic characteristics and health needs of the community. Census tracts (A) provide geographical boundaries, not specific health data. National Health Survey data (C) focuses on health behaviors and conditions, not vital events. Needs assessment (D) involves identifying community health needs, not specifically births, deaths, and marriages.
Question 2 of 5
One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):
Correct Answer: D
Rationale: The correct answer is D: Windshield survey. This is because a windshield survey involves physically driving or walking through a community to observe its environmental layout, location of agencies, hospitals, industries, and other key features. This step helps the community health nurse to gain an initial understanding of the community's resources, strengths, and potential health issues. A: Census survey involves collecting demographic data, not direct observation. B: Needs survey focuses on identifying community health needs through specific data collection methods. C: Informant survey involves gathering information from key community members, not direct observation. In summary, the windshield survey is the appropriate choice as it aligns with the description of physically observing the community to gather initial information.
Question 3 of 5
Which method of gathering data is most effective for remote and vulnerable segments of a community and for those communities with underdeveloped opinions?
Correct Answer: A
Rationale: The correct answer is A: Interviewing community informants. This method is most effective for remote and vulnerable segments and underdeveloped opinions because informants have insider knowledge and can provide valuable insights. They can bridge communication gaps, build trust, and gather accurate data. Community forums (B) may not reach remote areas, focus groups (C) may not include diverse perspectives, and telephone surveys (D) may not be accessible to all community members. Overall, interviewing informants is the most personalized and reliable approach for obtaining data in these contexts.
Question 4 of 5
When writing a community diagnosis, the community health nurse notes that the 'among' phrase:
Correct Answer: C
Rationale: The correct answer is C because specifying the aggregate that will benefit from the nurse's plan is a key component of a community diagnosis. This step helps in identifying the target population for interventions and ensures that resources are allocated effectively. A: Presenting a synthesis of all assessment data is important but not specific to the 'among' phrase. B: Providing supporting data is necessary but does not directly relate to the 'among' phrase. D: Describing the cause of the health problem and directing focus of interventions is crucial but not the primary focus of the 'among' phrase.
Question 5 of 5
Identify the etiologic or causal statement component of the following community diagnosis: 'There is an increased risk for undetected testicular cancer among young men related to insufficient knowledge about the disease and the methods for preventing and detecting it at an early stage as demonstrated by high rates of late initiation of treatment.'
Correct Answer: C
Rationale: The correct answer is C: Insufficient knowledge about the disease and methods of prevention. This component of the community diagnosis is the etiologic or causal statement because it identifies the root cause of the increased risk for undetected testicular cancer among young men. Insufficient knowledge about the disease and methods of prevention leads to high rates of late initiation of treatment, which in turn contributes to the increased risk. The other choices (A, B, and D) are not the etiologic statement because they are either outcomes or demographic factors related to the issue, but they do not directly address the root cause of the problem.