ATI COMMUNITY HEALTH PROCTORED EXAM QUESTIONS WITH 100- CORRECT ANSWERS.

ATI COMMUNITY HEALTH PROCTORED EXAM
QUESTIONS WITH 100% CORRECT ANSWERS


1. A nurse is teaching patients about health care information. Which
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bg patient will the nurse assess closely for health literacy?
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a. A patient 35 years old
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b. A patient 68 years old
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c. A patient with a college degree
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d. A patient with a high-school diploma
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ANS: B bg


About 9 out of 10 people in the United States experience challenges
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in using health care information. Patients who are especially vulnerable
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are the elderly (age 65+), immigrants, persons with low incomes,
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persons who do not have a high-school diploma or GED, and
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persons with chronic mental and/or physical health conditions. A 35-
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year-old patient and patients with high- school and college education
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are not identified in the vulnerable populations.
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2. A nurse works at a hospital that uses equity-focused
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bg quality improvement. Which strategy is the hospital
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bg using?
a. Document staff satisfaction. bg bg


b. Focus on the family. bg bg bg


c. Implement change on a grand scale. bg bg bg bg bg



d. Reduce disparities. bg




ANS: D bg


Organizations can implement equity-focused quality improvement by
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bgrecognizing disparities and committing to reducing them. Staff
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bgdiversity is a priority for equity-focused quality improvement, not
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bgstaff satisfaction. While the family is important, the focus is on the
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bgpatients. Organizations should start by implementing a change on a
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bgsmall scale (pilot testing), learning from each test, and refining the
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bgintervention through performance improvement bg bg bg


cycles (e.g., plan, do, study, and act).
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3. A nurse is providing care to a culturally diverse population. Which action
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, indicates the nurse is successful in the role of providing culturally
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congruent care?
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a. Provides care that fits the patient’s valued life patterns and set of
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meanings bg


b. Provides care that is based on meanings generated by
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predetermined criteria
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c. Provides care that makes the nurse the leader in determining what is
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needed bg



d. Provides care that is the same as the values of the professional
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health care system
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ANS: A bg


The goal of transcultural nursing is to provide culturally congruent care,
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or care that fits the person’s life patterns, values, and system of
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meaning. Patterns and meanings are generated from people themselves,
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rather than from predetermined criteria. Discovering patients’ cultural
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values, beliefs, and practices as they relate to nursing and health care
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requires you to assume the role of learner (not become the leader) and
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to partner with your patients and their families to determine what is
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needed to provide meaningful and beneficial nursing care. Culturally
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congruent care is sometimes different from the values and meanings of
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the professional health care system.
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4. A nurse is assessing the patient’s meaning of illness. Which area of
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focus by the nurse is priority?
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a. On the way a patient reacts to disease
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b. On the malfunctioning of biological processes
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c. On the malfunctioning of psychological processes
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d. On the way a patient reacts to family/social interactions
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ANS: A bg


To provide culturally congruent care, you need to understand the
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difference between disease and illness. Illness is the way that
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bgindividuals and families react to disease, whereas disease is a
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bgmalfunctioning of biological or psychological processes. The way a bg bg bg bg bg bg bg bg

bgpatient interacts to family/social interactions is communication
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bgprocesses and family dynamics. bg bg bg


MULTIPLE RESPONSE bg


1. A nurse is using Campinha-Bacote’s model of cultural competency. Which
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areas will the nurse focus on to become competent? (Select all that apply.)
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a. Cultural skills bg




b. Cultural desire bg
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c. Cultural transition bg

, d. Cultural knowledge bg




e. Cultural

encounters ANS: A, B, D,
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bgE
Campinha-Bacote’s model of cultural competency has five interrelated bg bg bg bg bg bg bg

bgcomponents: cultural awareness; cultural knowledge; cultural skills;
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cultural encounters; and cultural desire. Cultural transition is not a
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component of this model.
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2. A nurse is using the RESPECT mnemonic to establish rapport, the “R” in
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RESPECT. Which actions should the nurse take? (Select all that apply.)
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a. Connect on a social level. bg bg bg bg




b. Help the patient overcome barriers.
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c. Consciously attempt to suspend judgment. bg bg bg bg




d. Stress that they will be working together to address problems.
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e. Know limitations in addressing medical issues across cultures.
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ANS: A, C bg bg


The “R” in RESPECT stands for rapport and includes the following
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bgbehaviors: connect on a social level; seek the patient’s point of view;
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bgand consciously attempt to suspend judgment. The “S” stands for
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bgsupport and includes the behavior of helping the patient overcome
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bgbarriers. The “P” stands for partnership and includes the following
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bgbehaviors: be flexible with regard to issues of control and stress that
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bgyou will be working together to address medical problems. The “C”
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bgstands for cultural competence and includes the behavior of knowing
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bgyour limitations in addressing medical issues across cultures.
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3. A nurse is using the explanatory model to determine the etiology of an
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illness. Which questions should the nurse ask? (Select all that apply.)
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a. How should your sickness be treated?bg bg bg bg bg




b. What do you call your problem?
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c. How does this illness work inside your body?
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d. What do you fear most about your sickness?
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e. What name does it have? bg bg bg bg