ATI RN Community Health Proctored Exam (10 Updated Versions

1. A nurse is teaching patients about health care information. Which patient
will the nurse assess closely for health literacy?
a. A patient 35 years old
b. A patient 68 years old
c. A patient with a college degree
d. A patient with a high-school diploma
ANS: B
About 9 out of 10 people in the United States experience challenges in using
health care information. Patients who are especially vulnerable are the elderly
(age 65+), immigrants, persons with low incomes, persons who do not have a
high-school diploma or GED, and persons with chronic mental and/or
physical health conditions. A 35-year-old patient and patients with highschool and college education are not identified in the vulnerable populations.
2. A nurse works at a hospital that uses equity-focused quality
improvement. Which strategy is the hospital using?
a. Document staff satisfaction.
b. Focus on the family.
c. Implement change on a grand scale.
d. Reduce disparities.
ANS: D
Organizations can implement equity-focused quality improvement by
recognizing disparities and committing to reducing them. Staff diversity is a
priority for equity-focused quality improvement, not staff satisfaction. While
the family is important, the focus is on the patients. Organizations should
start by implementing a change on a small scale (pilot testing), learning from
each test, and refining the intervention through performance improvement
cycles (e.g., plan, do, study, and act). 1
3. A nurse is providing care to a culturally diverse population. Which action
If you need a professional to complete your college homework at a small fee, then reach out to
amazingclasshelp.com
indicates the nurse is successful in the role of providing culturally congruent
care?
a. Provides care that fits the patient’s valued life patterns and set of meanings
b. Provides care that is based on meanings generated by predetermined
criteria
c. Provides care that makes the nurse the leader in determining what is needed
d. Provides care that is the same as the values of the professional health care
system
ANS: A
The goal of transcultural nursing is to provide culturally congruent care, or care
that fits the person’s life patterns, values, and system of meaning. Patterns and
meanings are generated from people themselves, rather than from
predetermined criteria. Discovering patients’ cultural values, beliefs, and
practices as they relate to nursing and health care requires you to assume the
role of learner (not become the leader) and to partner with your patients and
their families to determine what is needed to provide meaningful and beneficial
nursing care. Culturally congruent care is sometimes different from the values
and meanings of the professional health care system.