RN ATI Community Health Proctored Exam 2023 -Nurselytic

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.

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A) may be outdated or not as evidence-based, opinions of colleagues (choice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.

Correct Answer: C

Rationale: The primary goal of integrating environmental health into nursing practice is to promote environmental justice. This involves addressing health disparities caused by environmental factors impacting vulnerable populations. By advocating for fair treatment and equal access to a healthy environment, nurses can contribute to improving overall health outcomes. Improving health care infrastructure (
A) focuses on facilities and resources, not specifically on environmental justice. Enhancing patient satisfaction (
B) and reducing health care costs (
D) are important but not the primary goal of environmental health integration in nursing practice.

Correct Answer: D

Rationale: The correct answer is D - Collect information about the community's environmental status. This is the first step because it allows the nurse to assess the current environmental health issues in the community. By gathering data, the nurse can identify specific problems and prioritize interventions based on evidence. This information will guide the development of an effective plan tailored to address the community's specific needs.


Choice A is incorrect because community involvement should come after assessing the environmental status.
Choice B is incorrect as setting a timeframe is premature without understanding the extent of the issues.
Choice C is incorrect as funding should be sought once the plan is developed.

Correct Answer: C

Rationale: The correct answer is C: Chlamydia trachomatis. This infection should be reported to the health department because it is a sexually transmitted infection (STI) that can have public health implications. Reporting helps track and control the spread of the infection, ensure proper treatment for the affected individual, and prevent further transmission. The other choices (A, B, and
D) are not typically reportable to the health department as they are not considered communicable diseases that pose a significant public health risk. Reporting these infections may not be necessary for public health surveillance or intervention purposes.