ATI RN
RN Evidence-Based Practice in Community and Public Health Assessment Questions
Question 1 of 5
While planning a community health education program for older adults who want to exercise more frequently, the health education team decides to ask participants to sign a contract where they agree to complete a certain level of physical activity each week. Which learning theory is the team utilizing?
Correct Answer: C
Rationale: The correct answer is C: Behaviorism. Behaviorism focuses on observable behaviors and reinforcement. By asking participants to sign a contract agreeing to complete a certain level of physical activity each week, the health education team is using behaviorist principles to encourage and reinforce the desired behavior. This method relies on external motivation and rewards to shape behavior. Summary: A: Connectivism focuses on the idea of learning as a process of connecting information sources. It does not directly relate to the use of contracts for behavior change. B: Constructivism emphasizes the learner's active role in constructing knowledge. It does not involve the use of contracts to modify behavior. D: Humanism emphasizes individual growth, self-actualization, and personal responsibility. While it values autonomy and self-directed learning, it does not directly involve the use of contracts to regulate behavior.
Question 2 of 5
Which condition does the nurse recognize as increasing the risk of a poor outcome during a transition of care?
Correct Answer: C
Rationale: The correct answer is C: A client with limited health literacy. Limited health literacy can lead to misunderstandings about medications, treatment plans, and follow-up care, increasing the risk of poor outcomes during transitions of care. Patients may struggle to comprehend complex medical information, leading to non-adherence or errors. Incorrect answers: A: A client being discharged from hospital to home - This alone does not necessarily increase the risk of poor outcomes; it depends on various factors. B: A client with an identified social support system - While social support can be beneficial, it may not directly impact the risk of poor outcomes during transitions of care. D: A client with one provider - Having one provider may not necessarily increase the risk of poor outcomes; continuity of care can be positive.
Question 3 of 5
The nurse, caring for a client who will be transferred from the hospital to a rehabilitation facility following a stroke, is using a care transition model to facilitate the transfer. Which explanation for the use of a care transition model will the nurse provide to the nursing student working the client?
Correct Answer: C
Rationale: The correct answer is C: "Care transition models support the coordination of care between health care settings." Care transition models are designed to ensure a smooth transfer of care for patients moving between different healthcare settings, such as from a hospital to a rehabilitation facility. This includes coordinating communication between healthcare providers, ensuring continuity of care, and preventing gaps in treatment. Option A is incorrect as care transition models do not predict client outcomes but rather facilitate the process of transition. Option B is incorrect as care transition models focus on the process of care transition, not on guiding decision-making in general. Option D is incorrect as while client education may be a component of care transition models, the primary focus is on coordination of care.
Question 4 of 5
Using the Transitional Care Model (TCM), which action would the nurse take when preparing an 81- year-old client with diabetes, hypertension, and heart failure for discharge home from the hospital following an exacerbation of heart failure?
Correct Answer: B
Rationale: The correct answer is B: Identify risk factors for readmission and develop an individualized discharge plan. In the Transitional Care Model (TCM), individualized care plans are crucial for optimizing patient outcomes. By identifying the specific risk factors for readmission for this complex patient with multiple comorbidities, the nurse can tailor interventions to address these factors, such as medication management, follow-up appointments, and lifestyle modifications. Providing a standardized plan (choice A) may not address the unique needs of this patient. Referring to a discharge coach (choice C) may be helpful but does not address the specific risk factors identified. Contacting the advanced practice nurse (choice D) may be appropriate for consultation but does not directly address the discharge planning process.
Question 5 of 5
A nurse is concerned about the increasing rate of hospital readmissions in clients due to not filling or picking up prescriptions at the pharmacy after discharge from the hospital. Which intervention should the nurse recommend to the hospital leadership to improve adherence to the medication regimen after discharge?
Correct Answer: B
Rationale: The correct answer is B: Handing client prescriptions for home medications during discharge instruction. This intervention ensures that clients have their prescriptions in hand before leaving the hospital, increasing the likelihood of medication adherence. Calling in prescriptions (A) may not guarantee that the client picks them up. Providing home medications (C) may not be feasible or safe due to potential drug interactions. Simply telling the client about the importance of medication adherence (D) without providing tangible support may not be effective. Therefore, option B is the most practical and effective intervention to improve medication adherence post-discharge.