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?
bg bg bg bg bg bg bg bg
a. A patient 35 years old
bg bg bg bg
b. A patient 68 years old
bg bg bg bg
c. A patient with a college degree
bg bg bg bg bg
d. A patient with a high-school diploma
bg bg bg bg bg
ANS: B bg
About 9 out of 10 people in the United States experience challenges
bg bg bg bg bg bg bg bg bg bg bg
in using health care information. Patients who are especially vulnerable
bg bg bg bg bg bg bg bg bg bg
are the elderly (age 65+), immigrants, persons with low incomes,
bg bg bg bg bg bg bg bg bg bg
persons who do not have a high-school diploma or GED, and
bg bg bg bg bg bg bg bg bg bg bg
persons with chronic mental and/or physical health conditions. A 35-
bg bg bg bg bg bg bg bg bg bg
year-old patient and patients with high- school and college education
bg bg bg bg bg bg bg bg bg
are not identified in the vulnerable populations.
bg bg bg bg bg bg bg
2. A nurse works at a hospital that uses equity-focused
bg bg bg bg bg bg bg bg
bg quality improvement. Which strategy is the hospital
bg bg bg bg bg bg
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
bg bg bg bg bg bg
bgrecognizing disparities and committing to reducing them. Staff
bg bg bg bg bg bg bg
bgdiversity is a priority for equity-focused quality improvement, not
bg bg bg bg bg bg bg bg
bgstaff satisfaction. While the family is important, the focus is on the
bg bg bg bg bg bg bg bg bg bg bg
bgpatients. Organizations should start by implementing a change on a
bg bg bg bg bg bg bg bg bg
bgsmall scale (pilot testing), learning from each test, and refining the
bg bg bg bg bg bg bg bg bg bg
bgintervention through performance improvement bg bg bg
cycles (e.g., plan, do, study, and act).
bg bg 1bg bg bg bg
3. A nurse is providing care to a culturally diverse population. Which action
bg bg bg bg bg bg bg bg bg bg bg
, indicates the nurse is successful in the role of providing culturally
bg bg bg bg bg bg bg bg bg bg
congruent care?
bg bg
a. Provides care that fits the patient’s valued life patterns and set of
bg bg bg bg bg bg bg bg bg bg bg
meanings bg
b. Provides care that is based on meanings generated by
bg bg bg bg bg bg bg bg
predetermined criteria
bg bg
c. Provides care that makes the nurse the leader in determining what is
bg bg bg bg bg bg bg bg bg bg bg
needed bg
d. Provides care that is the same as the values of the professional
bg bg bg bg bg bg bg bg bg bg bg
health care system
bg bg bg
ANS: A bg
The goal of transcultural nursing is to provide culturally congruent care,
bg bg bg bg bg bg bg bg bg bg
or care that fits the person’s life patterns, values, and system of
bg bg bg bg bg bg bg bg bg bg bg bg
meaning. Patterns and meanings are generated from people themselves,
bg bg bg bg bg bg bg bg bg
rather than from predetermined criteria. Discovering patients’ cultural
bg bg bg bg bg bg bg bg
values, beliefs, and practices as they relate to nursing and health care
bg bg bg bg bg bg bg bg bg bg bg bg
requires you to assume the role of learner (not become the leader) and
bg bg bg bg bg bg bg bg bg bg bg bg bg
to partner with your patients and their families to determine what is
bg bg bg bg bg bg bg bg bg bg bg bg
needed to provide meaningful and beneficial nursing care. Culturally
bg bg bg bg bg bg bg bg bg
congruent care is sometimes different from the values and meanings of
bg bg bg bg bg bg bg bg bg bg bg
the professional health care system.
bg bg bg bg bg
4. A nurse is assessing the patient’s meaning of illness. Which area of
bg bg bg bg bg bg bg bg bg bg bg
focus by the nurse is priority?
bg bg bg bg bg bg
a. On the way a patient reacts to disease
bg bg bg bg bg bg bg
b. On the malfunctioning of biological processes
bg bg bg bg bg
c. On the malfunctioning of psychological processes
bg bg bg bg bg
d. On the way a patient reacts to family/social interactions
bg bg bg bg bg bg bg bg
ANS: A bg
To provide culturally congruent care, you need to understand the
bg bg bg bg bg bg bg bg bg
difference between disease and illness. Illness is the way that
bg bg bg bg bg bg bg bg bg bg
bgindividuals and families react to disease, whereas disease is a
bg bg bg bg bg bg bg bg bg
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
bg bg bg bg bg bg
bgprocesses and family dynamics. bg bg bg
MULTIPLE RESPONSE bg
1. A nurse is using Campinha-Bacote’s model of cultural competency. Which
bg bg bg bg bg bg bg bg bg
areas will the nurse focus on to become competent? (Select all that apply.)
bg bg bg bg bg bg bg bg bg bg bg bg
a. Cultural skills bg
b. Cultural desire bg
2
c. Cultural transition bg
, d. Cultural knowledge bg
e. Cultural
encounters ANS: A, B, D,
bg bg bg bg bg
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;
bg bg bg bg bg bg
cultural encounters; and cultural desire. Cultural transition is not a
bg bg bg bg bg bg bg bg bg bg
component of this model.
bg bg bg bg
2. A nurse is using the RESPECT mnemonic to establish rapport, the “R” in
bg bg bg bg bg bg bg bg bg bg bg bg
RESPECT. Which actions should the nurse take? (Select all that apply.)
bg bg bg bg bg bg bg bg bg bg
a. Connect on a social level. bg bg bg bg
b. Help the patient overcome barriers.
bg bg bg bg
c. Consciously attempt to suspend judgment. bg bg bg bg
d. Stress that they will be working together to address problems.
bg bg bg bg bg bg bg bg bg
e. Know limitations in addressing medical issues across cultures.
bg bg bg bg bg bg bg
ANS: A, C bg bg
The “R” in RESPECT stands for rapport and includes the following
bg bg bg bg bg bg bg bg bg bg
bgbehaviors: connect on a social level; seek the patient’s point of view;
bg bg bg bg bg bg bg bg bg bg bg
bgand consciously attempt to suspend judgment. The “S” stands for
bg bg bg bg bg bg bg bg bg
bgsupport and includes the behavior of helping the patient overcome
bg bg bg bg bg bg bg bg bg
bgbarriers. The “P” stands for partnership and includes the following
bg bg bg bg bg bg bg bg bg
bgbehaviors: be flexible with regard to issues of control and stress that
bg bg bg bg bg bg bg bg bg bg bg
bgyou will be working together to address medical problems. The “C”
bg bg bg bg bg bg bg bg bg bg
bgstands for cultural competence and includes the behavior of knowing
bg bg bg bg bg bg bg bg bg
bgyour limitations in addressing medical issues across cultures.
bg bg bg bg bg bg bg
3. A nurse is using the explanatory model to determine the etiology of an
bg bg bg bg bg bg bg bg bg bg bg bg
illness. Which questions should the nurse ask? (Select all that apply.)
bg bg bg bg bg bg bg bg bg bg
a. How should your sickness be treated?bg bg bg bg bg
b. What do you call your problem?
bg bg bg bg bg
c. How does this illness work inside your body?
bg bg bg bg bg bg bg
d. What do you fear most about your sickness?
bg bg bg bg bg bg bg
3
e. What name does it have? bg bg bg bg
QUESTIONS WITH 100% CORRECT ANSWERS
1. A nurse is teaching patients about health care information. Which
bg bg bg bg bg bg bg bg bg
bg patient will the nurse assess closely for health literacy?
bg bg bg bg bg bg bg bg
a. A patient 35 years old
bg bg bg bg
b. A patient 68 years old
bg bg bg bg
c. A patient with a college degree
bg bg bg bg bg
d. A patient with a high-school diploma
bg bg bg bg bg
ANS: B bg
About 9 out of 10 people in the United States experience challenges
bg bg bg bg bg bg bg bg bg bg bg
in using health care information. Patients who are especially vulnerable
bg bg bg bg bg bg bg bg bg bg
are the elderly (age 65+), immigrants, persons with low incomes,
bg bg bg bg bg bg bg bg bg bg
persons who do not have a high-school diploma or GED, and
bg bg bg bg bg bg bg bg bg bg bg
persons with chronic mental and/or physical health conditions. A 35-
bg bg bg bg bg bg bg bg bg bg
year-old patient and patients with high- school and college education
bg bg bg bg bg bg bg bg bg
are not identified in the vulnerable populations.
bg bg bg bg bg bg bg
2. A nurse works at a hospital that uses equity-focused
bg bg bg bg bg bg bg bg
bg quality improvement. Which strategy is the hospital
bg bg bg bg bg bg
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
bg bg bg bg bg bg
bgrecognizing disparities and committing to reducing them. Staff
bg bg bg bg bg bg bg
bgdiversity is a priority for equity-focused quality improvement, not
bg bg bg bg bg bg bg bg
bgstaff satisfaction. While the family is important, the focus is on the
bg bg bg bg bg bg bg bg bg bg bg
bgpatients. Organizations should start by implementing a change on a
bg bg bg bg bg bg bg bg bg
bgsmall scale (pilot testing), learning from each test, and refining the
bg bg bg bg bg bg bg bg bg bg
bgintervention through performance improvement bg bg bg
cycles (e.g., plan, do, study, and act).
bg bg 1bg bg bg bg
3. A nurse is providing care to a culturally diverse population. Which action
bg bg bg bg bg bg bg bg bg bg bg
, indicates the nurse is successful in the role of providing culturally
bg bg bg bg bg bg bg bg bg bg
congruent care?
bg bg
a. Provides care that fits the patient’s valued life patterns and set of
bg bg bg bg bg bg bg bg bg bg bg
meanings bg
b. Provides care that is based on meanings generated by
bg bg bg bg bg bg bg bg
predetermined criteria
bg bg
c. Provides care that makes the nurse the leader in determining what is
bg bg bg bg bg bg bg bg bg bg bg
needed bg
d. Provides care that is the same as the values of the professional
bg bg bg bg bg bg bg bg bg bg bg
health care system
bg bg bg
ANS: A bg
The goal of transcultural nursing is to provide culturally congruent care,
bg bg bg bg bg bg bg bg bg bg
or care that fits the person’s life patterns, values, and system of
bg bg bg bg bg bg bg bg bg bg bg bg
meaning. Patterns and meanings are generated from people themselves,
bg bg bg bg bg bg bg bg bg
rather than from predetermined criteria. Discovering patients’ cultural
bg bg bg bg bg bg bg bg
values, beliefs, and practices as they relate to nursing and health care
bg bg bg bg bg bg bg bg bg bg bg bg
requires you to assume the role of learner (not become the leader) and
bg bg bg bg bg bg bg bg bg bg bg bg bg
to partner with your patients and their families to determine what is
bg bg bg bg bg bg bg bg bg bg bg bg
needed to provide meaningful and beneficial nursing care. Culturally
bg bg bg bg bg bg bg bg bg
congruent care is sometimes different from the values and meanings of
bg bg bg bg bg bg bg bg bg bg bg
the professional health care system.
bg bg bg bg bg
4. A nurse is assessing the patient’s meaning of illness. Which area of
bg bg bg bg bg bg bg bg bg bg bg
focus by the nurse is priority?
bg bg bg bg bg bg
a. On the way a patient reacts to disease
bg bg bg bg bg bg bg
b. On the malfunctioning of biological processes
bg bg bg bg bg
c. On the malfunctioning of psychological processes
bg bg bg bg bg
d. On the way a patient reacts to family/social interactions
bg bg bg bg bg bg bg bg
ANS: A bg
To provide culturally congruent care, you need to understand the
bg bg bg bg bg bg bg bg bg
difference between disease and illness. Illness is the way that
bg bg bg bg bg bg bg bg bg bg
bgindividuals and families react to disease, whereas disease is a
bg bg bg bg bg bg bg bg bg
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
bg bg bg bg bg bg
bgprocesses and family dynamics. bg bg bg
MULTIPLE RESPONSE bg
1. A nurse is using Campinha-Bacote’s model of cultural competency. Which
bg bg bg bg bg bg bg bg bg
areas will the nurse focus on to become competent? (Select all that apply.)
bg bg bg bg bg bg bg bg bg bg bg bg
a. Cultural skills bg
b. Cultural desire bg
2
c. Cultural transition bg
, d. Cultural knowledge bg
e. Cultural
encounters ANS: A, B, D,
bg bg bg bg bg
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;
bg bg bg bg bg bg
cultural encounters; and cultural desire. Cultural transition is not a
bg bg bg bg bg bg bg bg bg bg
component of this model.
bg bg bg bg
2. A nurse is using the RESPECT mnemonic to establish rapport, the “R” in
bg bg bg bg bg bg bg bg bg bg bg bg
RESPECT. Which actions should the nurse take? (Select all that apply.)
bg bg bg bg bg bg bg bg bg bg
a. Connect on a social level. bg bg bg bg
b. Help the patient overcome barriers.
bg bg bg bg
c. Consciously attempt to suspend judgment. bg bg bg bg
d. Stress that they will be working together to address problems.
bg bg bg bg bg bg bg bg bg
e. Know limitations in addressing medical issues across cultures.
bg bg bg bg bg bg bg
ANS: A, C bg bg
The “R” in RESPECT stands for rapport and includes the following
bg bg bg bg bg bg bg bg bg bg
bgbehaviors: connect on a social level; seek the patient’s point of view;
bg bg bg bg bg bg bg bg bg bg bg
bgand consciously attempt to suspend judgment. The “S” stands for
bg bg bg bg bg bg bg bg bg
bgsupport and includes the behavior of helping the patient overcome
bg bg bg bg bg bg bg bg bg
bgbarriers. The “P” stands for partnership and includes the following
bg bg bg bg bg bg bg bg bg
bgbehaviors: be flexible with regard to issues of control and stress that
bg bg bg bg bg bg bg bg bg bg bg
bgyou will be working together to address medical problems. The “C”
bg bg bg bg bg bg bg bg bg bg
bgstands for cultural competence and includes the behavior of knowing
bg bg bg bg bg bg bg bg bg
bgyour limitations in addressing medical issues across cultures.
bg bg bg bg bg bg bg
3. A nurse is using the explanatory model to determine the etiology of an
bg bg bg bg bg bg bg bg bg bg bg bg
illness. Which questions should the nurse ask? (Select all that apply.)
bg bg bg bg bg bg bg bg bg bg
a. How should your sickness be treated?bg bg bg bg bg
b. What do you call your problem?
bg bg bg bg bg
c. How does this illness work inside your body?
bg bg bg bg bg bg bg
d. What do you fear most about your sickness?
bg bg bg bg bg bg bg
3
e. What name does it have? bg bg bg bg
