ATI RN
History of Public Health Nursing Questions
Question 1 of 5
Which trend in mortality in the United States over the past century would the nurse utilize to develop public health campaigns?
Correct Answer: A
Rationale: The nurse would utilize the trend of increased life expectancy and decreased death rate to develop public health campaigns because it shows improvements in overall population health. This trend indicates successful public health interventions, advancements in healthcare, and improved quality of life. Other choices are incorrect because stagnant life expectancy and death rates would not provide a positive indication for public health campaigns.
Question 2 of 5
A client at a rural community health center has been diagnosed with diabetes and has scheduled a telehealth appointment with a diabetes educator. Which client statement about seeing a provider via telehealth indicates to the community health nurse that more teaching is needed?
Correct Answer: C
Rationale: The correct answer is C because stating that telehealth reduces communication with the diabetes educator indicates a misunderstanding. Telehealth actually facilitates communication by allowing clients to easily connect with providers remotely. Option A is incorrect because telehealth can provide the same level of care as in-person visits. Option B is incorrect as telehealth can save time and resources by eliminating the need for long drives. Option D is incorrect as telehealth can indeed enable close monitoring of the client's diabetes through regular check-ins and data sharing.
Question 3 of 5
A nurse is working in a community health clinic that serves a large Asian population. Which health factor should the nurse consider when providing care to this population?
Correct Answer: A
Rationale: The correct answer is A because Asian populations have a higher prevalence of hepatitis B compared to other ethnic groups due to various cultural and biological factors. Hepatitis B is endemic in many Asian countries, leading to a higher transmission rate within these communities. Additionally, certain cultural practices such as sharing personal items or traditional medical practices may contribute to the spread of the virus. It is important for the nurse to be aware of this higher prevalence to provide appropriate care and preventive measures. Choices B, C, and D are incorrect. Choice B is incorrect because the rate of tuberculosis is actually higher among Asian populations, especially in countries with limited access to healthcare. Choice C is incorrect because mental health stigma is prevalent in many Asian cultures, leading to underreporting and underutilization of mental health services. Choice D is incorrect because Asian populations have a higher genetic predisposition to conditions like diabetes, including prediabetes.
Question 4 of 5
Which intervention should the nurse use to instill trust in underrepresented clients in a community health center?
Correct Answer: B
Rationale: The correct answer is B because assessing the client's potential barriers to care demonstrates cultural competence and individualized care, which can help build trust with underrepresented clients. By understanding their specific challenges, the nurse can tailor interventions to meet their needs effectively. Option A is incorrect because asking family members to remain in the waiting area may not necessarily address the client's trust concerns or barriers to care. Option C is incorrect because providing education materials in English may not be helpful if the client's primary language is different, leading to potential misunderstandings and lack of trust. Option D is incorrect because simply reading about the client's culture may not provide accurate or relevant information to establish trust; direct communication and assessment are more effective in this context.
Question 5 of 5
The nurse is recommending that a client in a rural area monitor their blood pressure electronically at home to determine the effectiveness of antihypertensive medication and lifestyle changes and to follow up using telehealth. Which information will the nurse provide the client about telehealth visits?
Correct Answer: B
Rationale: The correct answer is B: It allows the nurse to see trends in the client's blood pressure. Rationale: Telehealth allows the nurse to remotely monitor the client's blood pressure readings over time, enabling the identification of trends and patterns. This data helps in assessing the effectiveness of medications and lifestyle changes. It enhances continuity of care and enables timely interventions. Summary of other choices: A: There is no charge for telehealth visits - This is not necessarily true as telehealth services may involve costs. C: It increases the number of emergency department visits - Telehealth aims to reduce unnecessary emergency visits by providing proactive monitoring and management. D: It is not as effective in treating conditions as in-office visits - Telehealth has been shown to be effective in managing various health conditions, including hypertension.