ATI COMMUNITY HEALTH PROCTORED EXAM
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Questions with Answers (60 Q&A) d d d d d
(Detail Solutions) d
1. A nurse is teaching patients about health care information. Which patientw
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ill the nurse assess closely for health literacy?
d d d d d d d
a. A patient 35 years old d d d d d
b. A patient 68 years old d d d d
c. A patient with a college degree
d d d d d
d. A patient with a high-school diploma
d d d d d
ANS: B d
About 9 out of 10 people in the United States experience challenges in using he
d d d d d d d d d d d d d d
alth care information. Patients who are especially vulnerable are the elderly(ag
d d d d d d d d d d d
e 65+), immigrants, persons with low incomes, persons who do not have ahigh-
d d d d d d d d d d d d d
school diploma or GED, and persons with chronic mental and/or physical healt
d d d d d d d d d d d
h conditions. A 35-year-old patient and patients with high-
d d d d d d d d
school and college education are not identified in the vulnerable populations.
d d d d d d d d d d d
2. A nurse works at a hospital that uses equity-
d d d d d d d d
focused qualityimprovement. Which strategy is the hospital usi
d d d d d d d d
ng?
a. Document staff satisfaction. d d
b. Focus on the family. d d d
c. Implement change on a grand scale. d d d d d d
d. Reduce disparities. d
ANS: D d
Organizations can implement equity- d d d
focused quality improvement by recognizing disparities and committing to red
d d d d d d d d d
ucing them. Staff diversity is a priority for equity-
d d d d d d d d
focused quality improvement, not staff satisfaction. Whilethe family is import
d d d d d d d d d d
ant, the focus is on the patients. Organizations should start by implementing a
d d d d d d d d d d d d d
change on a small scale (pilot testing), learning fromeach test, and refining the
d d d d d d d d d d d d d d
intervention through performance improvement d d d
cycles (e.g., plan, do, study, and act).
d d d d d d 1
3. A nurse is providing care to a culturally diverse population. Which action
d d d d d d d d d d d
, indicates the nurse is successful in the role of providing culturally congruentc
d d d d d d d d d d d d
are?
a. Provides care that fits the patient’s valued life patterns and set of meanings
d d d d d d d d d d d d
b. Provides care that is based on meanings generated by predeterminedc
d d d d d d d d d d
riteria
c. Provides care that makes the nurse the leader in determining what is needed
d d d d d d d d d d d d
d. Provides care that is the same as the values of the professional health caresy
d d d d d d d d d d d d d d
stem
ANS: A d
The goal of transcultural nursing is to provide culturally congruent care, or careth
d d d d d d d d d d d d d
at fits the person’s life patterns, values, and system of meaning. Patterns and mea
d d d d d d d d d d d d d
nings are generated from people themselves, rather than from predetermined crite
d d d d d d d d d d
ria. Discovering patients’ cultural values, beliefs, and practices as they relate to n
d d d d d d d d d d d d
ursing and health care requires you to assume the role of learner (not become the l
d d d d d d d d d d d d d d d
eader) and to partner with your patients and their families to determine what is ne
d d d d d d d d d d d d d d
eded to provide meaningful and beneficialnursing care. Culturally congruent car
d d d d d d d d d d
e is sometimes different from the values and meanings of the professional health
d d d d d d d d d d d d d
care system. d
4. A nurse is assessing the patient’s meaning of illness. Which area of focus byth
d d d d d d d d d d d d d d
e nurse is priority?
d d d
a. On the way a patient reacts to disease
dddd d d d d d d d
b. On the malfunctioning of biological processes
d d d d d
c. On the malfunctioning of psychological processes
d d d d d
d. On the way a patient reacts to family/social interactions
d d d d d d d d
ANS: A d
To provide culturally congruent care, you need to understand the differencebet
d d d d d d d d d d d
ween disease and illness. Illness is the way that individuals and familiesreact to
d d d d d d d d d d d d d d
disease, whereas disease is a malfunctioning of biological or psychological pro
d d d d d d d d d d
cesses. The way a patient interacts to family/social interactions is communicati
d d d d d d d d d d
on processes and family dynamics.
d d d d
MULTIPLE RESPONSE d
1. A nurse is using Campinha-Bacote’s model of cultural competency. Which
d d d d d d d d d
areas will the nurse focus on to become competent? (Select all that apply.)a.
d d d d d d d d d d d d d
Cultural skills d
2
b. Cultural desire d
c. Cultural transition d
, d. Cultural knowledge d
e. Cultural encounters d d
ANS: A, B, D, E d d d d
Campinha-
Bacote’s model of cultural competency has five interrelated components: cultu
d d d d d d d d d
ral awareness; cultural knowledge; cultural skills; culturalencounters; and cultu
d d d d d d d d d
ral desire. Cultural transition is not a component of thismodel.
d d d d d d d d d d
2. A nurse is using the RESPECT mnemonic to establish rapport, the “R” in
d d d d d d d d d d d d
RESPECT. Which actions should the nurse take? (Select all that apply.)a.
d d d d d d d d d d d
Connect on a social level. d d d d
b. Help the patient overcome barriers.d d d d
c. Consciously attempt to suspend judgment. d d d d
d. Stress that they will be working together to address problems.
d d d d d d d d d
e. Know limitations in addressing medical issues across cultures.
d d d d d d d
ANS: A, C d d
The “R” in RESPECT stands for rapport and includes the following behaviors:
d d d d d d d d d d d d
connect on a social level; seek the patient’s point of view; and consciously atte
d d d d d d d d d d d d d
mpt to suspend judgment. The “S” stands for support and includes the behavior
d d d d d d d d d d d d d
of helping the patient overcome barriers. The “P” standsfor partnership and incl
d d d d d d d d d d d d
udes the following behaviors: be flexible with regard to issues of control and str
d d d d d d d d d d d d d
ess that you will be working together to address medical problems. The “C” stan
d d d d d d d d d d d d d
ds for cultural competence and includes the behavior of knowing your limitatio
d d d d d d d d d d d
ns in addressing medical issues across cultures.
d d d d d d
3. A nurse is using the explanatory model to determine the etiology of an
d d d d d d d d d d d d
illness. Which questions should the nurse ask? (Select all that apply.)
d d d d d d d d d d
a. How should your sickness be treated? d d d d d
b. What do you call your problem? d d d d d
c. How does this illness work inside your body?
d d d d d d d
d. What do you fear most about your sickness?
d d d d d d d
3
e. What name does it have? d d d d
d d d d
Questions with Answers (60 Q&A) d d d d d
(Detail Solutions) d
1. A nurse is teaching patients about health care information. Which patientw
d d d d d d d d d d d
ill the nurse assess closely for health literacy?
d d d d d d d
a. A patient 35 years old d d d d d
b. A patient 68 years old d d d d
c. A patient with a college degree
d d d d d
d. A patient with a high-school diploma
d d d d d
ANS: B d
About 9 out of 10 people in the United States experience challenges in using he
d d d d d d d d d d d d d d
alth care information. Patients who are especially vulnerable are the elderly(ag
d d d d d d d d d d d
e 65+), immigrants, persons with low incomes, persons who do not have ahigh-
d d d d d d d d d d d d d
school diploma or GED, and persons with chronic mental and/or physical healt
d d d d d d d d d d d
h conditions. A 35-year-old patient and patients with high-
d d d d d d d d
school and college education are not identified in the vulnerable populations.
d d d d d d d d d d d
2. A nurse works at a hospital that uses equity-
d d d d d d d d
focused qualityimprovement. Which strategy is the hospital usi
d d d d d d d d
ng?
a. Document staff satisfaction. d d
b. Focus on the family. d d d
c. Implement change on a grand scale. d d d d d d
d. Reduce disparities. d
ANS: D d
Organizations can implement equity- d d d
focused quality improvement by recognizing disparities and committing to red
d d d d d d d d d
ucing them. Staff diversity is a priority for equity-
d d d d d d d d
focused quality improvement, not staff satisfaction. Whilethe family is import
d d d d d d d d d d
ant, the focus is on the patients. Organizations should start by implementing a
d d d d d d d d d d d d d
change on a small scale (pilot testing), learning fromeach test, and refining the
d d d d d d d d d d d d d d
intervention through performance improvement d d d
cycles (e.g., plan, do, study, and act).
d d d d d d 1
3. A nurse is providing care to a culturally diverse population. Which action
d d d d d d d d d d d
, indicates the nurse is successful in the role of providing culturally congruentc
d d d d d d d d d d d d
are?
a. Provides care that fits the patient’s valued life patterns and set of meanings
d d d d d d d d d d d d
b. Provides care that is based on meanings generated by predeterminedc
d d d d d d d d d d
riteria
c. Provides care that makes the nurse the leader in determining what is needed
d d d d d d d d d d d d
d. Provides care that is the same as the values of the professional health caresy
d d d d d d d d d d d d d d
stem
ANS: A d
The goal of transcultural nursing is to provide culturally congruent care, or careth
d d d d d d d d d d d d d
at fits the person’s life patterns, values, and system of meaning. Patterns and mea
d d d d d d d d d d d d d
nings are generated from people themselves, rather than from predetermined crite
d d d d d d d d d d
ria. Discovering patients’ cultural values, beliefs, and practices as they relate to n
d d d d d d d d d d d d
ursing and health care requires you to assume the role of learner (not become the l
d d d d d d d d d d d d d d d
eader) and to partner with your patients and their families to determine what is ne
d d d d d d d d d d d d d d
eded to provide meaningful and beneficialnursing care. Culturally congruent car
d d d d d d d d d d
e is sometimes different from the values and meanings of the professional health
d d d d d d d d d d d d d
care system. d
4. A nurse is assessing the patient’s meaning of illness. Which area of focus byth
d d d d d d d d d d d d d d
e nurse is priority?
d d d
a. On the way a patient reacts to disease
dddd d d d d d d d
b. On the malfunctioning of biological processes
d d d d d
c. On the malfunctioning of psychological processes
d d d d d
d. On the way a patient reacts to family/social interactions
d d d d d d d d
ANS: A d
To provide culturally congruent care, you need to understand the differencebet
d d d d d d d d d d d
ween disease and illness. Illness is the way that individuals and familiesreact to
d d d d d d d d d d d d d d
disease, whereas disease is a malfunctioning of biological or psychological pro
d d d d d d d d d d
cesses. The way a patient interacts to family/social interactions is communicati
d d d d d d d d d d
on processes and family dynamics.
d d d d
MULTIPLE RESPONSE d
1. A nurse is using Campinha-Bacote’s model of cultural competency. Which
d d d d d d d d d
areas will the nurse focus on to become competent? (Select all that apply.)a.
d d d d d d d d d d d d d
Cultural skills d
2
b. Cultural desire d
c. Cultural transition d
, d. Cultural knowledge d
e. Cultural encounters d d
ANS: A, B, D, E d d d d
Campinha-
Bacote’s model of cultural competency has five interrelated components: cultu
d d d d d d d d d
ral awareness; cultural knowledge; cultural skills; culturalencounters; and cultu
d d d d d d d d d
ral desire. Cultural transition is not a component of thismodel.
d d d d d d d d d d
2. A nurse is using the RESPECT mnemonic to establish rapport, the “R” in
d d d d d d d d d d d d
RESPECT. Which actions should the nurse take? (Select all that apply.)a.
d d d d d d d d d d d
Connect on a social level. d d d d
b. Help the patient overcome barriers.d d d d
c. Consciously attempt to suspend judgment. d d d d
d. Stress that they will be working together to address problems.
d d d d d d d d d
e. Know limitations in addressing medical issues across cultures.
d d d d d d d
ANS: A, C d d
The “R” in RESPECT stands for rapport and includes the following behaviors:
d d d d d d d d d d d d
connect on a social level; seek the patient’s point of view; and consciously atte
d d d d d d d d d d d d d
mpt to suspend judgment. The “S” stands for support and includes the behavior
d d d d d d d d d d d d d
of helping the patient overcome barriers. The “P” standsfor partnership and incl
d d d d d d d d d d d d
udes the following behaviors: be flexible with regard to issues of control and str
d d d d d d d d d d d d d
ess that you will be working together to address medical problems. The “C” stan
d d d d d d d d d d d d d
ds for cultural competence and includes the behavior of knowing your limitatio
d d d d d d d d d d d
ns in addressing medical issues across cultures.
d d d d d d
3. A nurse is using the explanatory model to determine the etiology of an
d d d d d d d d d d d d
illness. Which questions should the nurse ask? (Select all that apply.)
d d d d d d d d d d
a. How should your sickness be treated? d d d d d
b. What do you call your problem? d d d d d
c. How does this illness work inside your body?
d d d d d d d
d. What do you fear most about your sickness?
d d d d d d d
3
e. What name does it have? d d d d
