ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
A health care provider is concerned about the high number of clients with type 2 diabetes mellitus who have poor glucose control. What would be the best reference for the provider to implement evidence-based practice (EBP) in the management of this problem?
Correct Answer: B
Rationale: The correct answer is B: Current research findings. This is the best reference for the provider to implement evidence-based practice (EBP) in managing clients with poor glucose control in type 2 diabetes mellitus. Current research findings provide the latest evidence-based interventions and recommendations that have been rigorously tested and proven effective. By utilizing current research findings, the provider can ensure that the management strategies implemented are based on the most up-to-date and reliable information. Published protocols (choice
A) may be outdated or not as evidence-based, opinions of colleagues (choice
C) may vary and not always be based on research, and nursing journals (choice
D) may contain a mix of research findings and opinions. It's important to prioritize current research findings for the most reliable and effective evidence-based practice in this scenario.
Question 2 of 5
A school nurse is developing a primary prevention strategy for school-aged children. Which of the following interventions would the nurse most likely implement?
Correct Answer: B
Rationale: The correct answer is B because drafting policies for increases in noncompetitive physical activity programs aligns with primary prevention strategies. This intervention focuses on promoting overall health and preventing health problems before they occur. This approach targets the entire school population rather than individual children, making it a more effective primary prevention strategy.
Choice A is incorrect as it focuses on individualized interventions rather than population-based prevention.
Choice C focuses on early detection rather than prevention.
Choice D, while involving parents, does not address primary prevention but rather provides information after the fact.
Question 3 of 5
Which of the following is the best way to increase the number of persons who come to their screening test appointments?
Correct Answer: A
Rationale: The correct answer is A: Reminding clients via telephone, e-mail, or mail. This is the best way to increase attendance as it utilizes multiple communication channels to ensure clients are aware of their appointments. Reminders help reduce no-show rates by keeping the appointment fresh in their minds. Option B focuses on the benefits of early detection but does not address the issue of attendance directly. Option C emphasizes cost and convenience, but these factors may not be the primary motivators for attending appointments. Option D uses fear tactics, which may not be effective for all individuals and could lead to avoidance. Overall, option A is the most practical and effective method to increase attendance at screening test appointments.
Question 4 of 5
A nurse manager wants to facilitate incorporation of evidence-based practice (EBP) in the clinical setting. Which of the following would be the best strategy to accomplish this goal?
Correct Answer: C
Rationale: The correct answer is C: Encourage group reflection on the ideals and expectations of nursing care. This strategy promotes a collaborative approach to understanding and implementing EBP. Group reflection fosters critical thinking, stimulates discussion, and encourages shared decision-making, leading to a deeper understanding and acceptance of EBP within the team. It also promotes a culture of continuous learning and improvement.
Eliminating all protocols not evidence-based (option
A) may hinder current practice and create resistance. Without alternatives listed for other choices, it is challenging to provide detailed explanations for their incorrectness.
Question 5 of 5
Which type of study will the nurse use to understand the experiences of an immigrant group in the community?
Correct Answer: A
Rationale: The nurse would use a qualitative study to understand the experiences of an immigrant group because qualitative research focuses on exploring and understanding individuals' experiences, perspectives, and behaviors in-depth. This type of study allows for gathering rich, detailed data through methods like interviews, observations, and focus groups, which are well-suited for capturing the complexities and nuances of immigrant experiences. A randomized control study (
B) involves intervention and control groups for causality, not suitable for exploring experiences. Needs assessment (
C) focuses on identifying needs and gaps in services. Quality improvement (
D) aims to enhance processes and outcomes within a specific setting.