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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
bg bg bg bg bg




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
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
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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
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, indicates the nurse is successful in the role of providing culturally
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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
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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
bg bg bg




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
bg bg bg bg bg bg bg bg bg bg bg bg

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.
bg bg bg bg bg




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
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
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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
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
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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
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
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component of this model.
bg bg bg bg


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.)
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
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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?
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3
e. What name does it have? bg bg bg bg

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