ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 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.
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 most likely cause of the poor outcomes experienced by the nurse despite existing research evidence of improved retention is the failure to consider client and setting differences. Even though the research showed positive results, the nurse did not take into account the specific characteristics, preferences, and needs of the older adults in the group. It is essential to tailor educational programs to the target audience to achieve optimal results, especially when working with older adults who may have different learning styles and preferences compared to other age groups. Ignoring client and setting differences can result in ineffective implementation of evidence-based interventions, leading to poor outcomes despite promising research evidence.
Question 3 of 5
A nurse is counseling a group of clients from a town that was affected by a hurricane 6 months ago. For which of the following clients should the nurse initiate a referral to assess for the presence of posttraumatic stress disorder? (Select all that apply.)
Correct Answer: A, B, E
Rationale: The correct answers are A, B, and E because they exhibit key symptoms of posttraumatic stress disorder (PTS
D). Feeling disconnected (
A), having frequent nightmares (
B), and persistent anger (E) are common manifestations of PTSD. Feeling disconnected indicates emotional numbing, nightmares are a symptom of intrusive thoughts, and anger represents hyperarousal.
Choices C and D do not directly relate to PTSD symptoms. Expressing a realization about life changes (
C) may indicate acceptance of the situation, not necessarily PTSD. Persistent anger (
D) can suggest unresolved issues but is not specific to PTSD. By referring clients who exhibit symptoms A, B, and E, the nurse can ensure appropriate assessment and intervention for PTSD.
Question 4 of 5
Which of the following groups is pressuring clinicians the most to use evidence-based practice (EBP)?
Correct Answer: A
Rationale: Administrators are often the group within healthcare organizations that set policies, guidelines, and expectations for clinical practice. They have a vested interest in promoting evidence-based practice (EBP) because it can lead to better patient outcomes, improved quality of care, and cost-effective practices. Administrators play a significant role in creating a culture that supports the use of evidence-based guidelines and in ensuring that clinicians are following EBP protocols.
Therefore, they are typically the group that pressures clinicians the most to use evidence-based practice.
Question 5 of 5
A community health nurse is developing a plan to improve the community's environmental health. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Collect information about the community's environmental status. This is the first step in developing an effective plan as it helps the nurse understand the specific environmental issues the community is facing. By collecting data, the nurse can identify priorities and develop targeted interventions.
Choice A (Encourage community involvement) is important but should come after understanding the environmental status.
Choice B (Establish a timeframe) is premature without knowing the extent of the environmental issues.
Choice C (Request funding) is not the first step and should be based on identified needs.