ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
Which action will the public health nurse perform when conducting an ethical community study?
Correct Answer: D
Rationale: When conducting an ethical community study, it is crucial for the public health nurse to obtain informed consent from each participant. Informed consent ensures that individuals are fully aware of the study's purpose, procedures, risks, and benefits, allowing them to make an informed decision about participating. This ethical standard upholds the principles of respect for persons, autonomy, and confidentiality in research settings. Without proper informed consent, the study may violate the participants' rights and compromise the trust and integrity of the research process.
Therefore, obtaining informed consent from each participant is essential for ethical community studies.
Question 2 of 5
A public health nurse is managing several projects for the community. Which of the following interventions should the nurse identify as a primary prevention strategy?
Correct Answer: C
Rationale: The correct answer is C: Teaching parenting skills to expectant mothers and their partners. This is a primary prevention strategy because it aims to prevent the occurrence of health issues by promoting healthy behaviors and skills before problems arise. By educating expectant mothers and their partners on parenting skills, the nurse can help prevent future issues such as child neglect or abuse.
Choice A: Conducting mental health screenings focuses on early detection and is more of a secondary prevention strategy.
Choice B: Referring clients with obesity to community exercise programs is a tertiary prevention strategy aimed at managing existing health conditions.
Choice D: Providing crisis intervention is a secondary prevention strategy that addresses immediate issues but does not prevent future problems.
Question 3 of 5
A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse breaks in surgical aseptic technique?
Correct Answer: A
Rationale: Placing a non-sterile object (the bottle) on a sterile field compromises sterility.
Question 4 of 5
Which intervention by the nurse is an example of a tertiary prevention strategy to improve environmental health?
Correct Answer: D
Rationale: Tertiary prevention is aimed at reducing the impact of a disease or condition that has already been diagnosed. In the context of environmental health, implementing pollution prevention strategies falls under tertiary prevention because it involves taking actions to minimize the harmful effects of existing environmental pollutants on individuals and communities. By reducing the sources of pollution and implementing preventive measures, the nurse can help improve the environmental health of the community and minimize adverse health impacts. Conducting risk assessments, developing emergency response plans, and performing regular assessments are more aligned with primary and secondary prevention strategies aimed at preventing exposure to hazards and early detection, rather than mitigating the effects of existing environmental pollutants.
Question 5 of 5
While conducting a literature review for an evidence-based project, the nurse recognizes that which type of study represents the lowest level of evidence?
Correct Answer: A
Rationale: Case reports represent the lowest level of evidence in the hierarchy of evidence-based practice. Case reports are individual descriptions of clinical cases and experiences, typically lacking control groups and randomization. While they may provide valuable insight into rare conditions or unusual presentations, they are considered to offer weaker evidence compared to other study designs such as cohort studies, randomized control trials, and cross-sectional studies. In terms of influencing practice and decision-making, case reports are usually seen as providing the least robust evidence due to limitations in generalizability and potential bias.