ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
Which of the following groups is pressuring clinicians the most to use evidence-based practice (EBP)?
Correct Answer: A
Rationale: The correct answer is A: Administrators. Administrators are pressuring clinicians the most to use evidence-based practice (EBP) as they are responsible for ensuring quality care, cost-effectiveness, and adherence to standards. They implement policies mandating EBP to improve patient outcomes and reduce healthcare costs. Nurses and physicians may advocate for EBP, but administrators hold the most influence due to their oversight of healthcare operations. Insurance companies focus more on reimbursement criteria rather than direct pressure for EBP implementation.
Question 2 of 5
A nurse implements an education program that incorporates computer games to reinforce learning for a group of older adults. Although the research demonstrates evidence of improved retention of this information, the nurse experiences exactly the opposite with this group. Which of the following is the most likely cause of such poor outcomes?
Correct Answer: A
Rationale: The correct answer is A: Failure to consider client and setting differences. Older adults may have different learning styles, preferences, and abilities compared to other age groups. The nurse may have overlooked these factors when implementing the computer games, resulting in poor outcomes. This highlights the importance of tailoring educational programs to fit the specific needs of the target audience.
Explanation for incorrect choices:
B: Inadequate incorporation of evidence into practice - This choice suggests a lack of proper implementation of research evidence, which is not directly related to the poor outcomes observed in this scenario.
C: Inferior quality of the available research evidence - The quality of the research evidence does not necessarily explain why the nurse did not achieve the desired outcomes.
D: Lack of skills when evaluating the evidence - While important, the lack of skills in evaluating evidence does not directly address the issue of poor outcomes with older adults in this context.
Question 3 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 4 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 5 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.