ATI COMMUNITY HEALTH PROCTORED EXAM
Questions with Answers (60 Q&A)
(Detail Solutions)
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 high-
school 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
, 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.
4. A nurse is assessing the patient’s meaning of illness. Which area of focus by
the nurse is priority?
a. On the way a patient reacts to disease
b. On the malfunctioning of biological processes
c. On the malfunctioning of psychological processes
d. On the way a patient reacts to family/social interactions
ANS: A
To provide culturally congruent care, you need to understand the difference
between disease and illness. Illness is the way that individuals and families
react to disease, whereas disease is a malfunctioning of biological or
psychological processes. The way a patient interacts to family/social
interactions is communication processes and family dynamics.
MULTIPLE RESPONSE
1. A nurse is using Campinha-Bacote’s model of cultural competency. Which
areas will the nurse focus on to become competent? (Select all that apply.)
a. Cultural skills
b. Cultural desire 2
c. Cultural transition
, d. Cultural knowledge
e. Cultural encounters
ANS: A, B, D, E
Campinha-Bacote’s model of cultural competency has five interrelated
components: cultural awareness; cultural knowledge; cultural skills; cultural
encounters; and cultural desire. Cultural transition is not a component of this
model.
2. A nurse is using the RESPECT mnemonic to establish rapport, the “R” in
RESPECT. Which actions should the nurse take? (Select all that apply.)
a. Connect on a social level.
b. Help the patient overcome barriers.
c. Consciously attempt to suspend judgment.
d. Stress that they will be working together to address problems.
e. Know limitations in addressing medical issues across cultures.
ANS: A, C
The “R” in RESPECT stands for rapport and includes the following
behaviors: connect on a social level; seek the patient’s point of view; and
consciously attempt to suspend judgment. The “S” stands for support and
includes the behavior of helping the patient overcome barriers. The “P” stands
for partnership and includes the following behaviors: be flexible with regard
to issues of control and stress that you will be working together to address
medical problems. The “C” stands for cultural competence and includes the
behavior of knowing your limitations in addressing medical issues across
cultures.
3. A nurse is using the explanatory model to determine the etiology of an
illness. Which questions should the nurse ask? (Select all that apply.)
a. How should your sickness be treated?
b. What do you call your problem?
c. How does this illness work inside your body?
d. What do you fear most about your sickness?
3
e. What name does it have?
Questions with Answers (60 Q&A)
(Detail Solutions)
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 high-
school 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
, 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.
4. A nurse is assessing the patient’s meaning of illness. Which area of focus by
the nurse is priority?
a. On the way a patient reacts to disease
b. On the malfunctioning of biological processes
c. On the malfunctioning of psychological processes
d. On the way a patient reacts to family/social interactions
ANS: A
To provide culturally congruent care, you need to understand the difference
between disease and illness. Illness is the way that individuals and families
react to disease, whereas disease is a malfunctioning of biological or
psychological processes. The way a patient interacts to family/social
interactions is communication processes and family dynamics.
MULTIPLE RESPONSE
1. A nurse is using Campinha-Bacote’s model of cultural competency. Which
areas will the nurse focus on to become competent? (Select all that apply.)
a. Cultural skills
b. Cultural desire 2
c. Cultural transition
, d. Cultural knowledge
e. Cultural encounters
ANS: A, B, D, E
Campinha-Bacote’s model of cultural competency has five interrelated
components: cultural awareness; cultural knowledge; cultural skills; cultural
encounters; and cultural desire. Cultural transition is not a component of this
model.
2. A nurse is using the RESPECT mnemonic to establish rapport, the “R” in
RESPECT. Which actions should the nurse take? (Select all that apply.)
a. Connect on a social level.
b. Help the patient overcome barriers.
c. Consciously attempt to suspend judgment.
d. Stress that they will be working together to address problems.
e. Know limitations in addressing medical issues across cultures.
ANS: A, C
The “R” in RESPECT stands for rapport and includes the following
behaviors: connect on a social level; seek the patient’s point of view; and
consciously attempt to suspend judgment. The “S” stands for support and
includes the behavior of helping the patient overcome barriers. The “P” stands
for partnership and includes the following behaviors: be flexible with regard
to issues of control and stress that you will be working together to address
medical problems. The “C” stands for cultural competence and includes the
behavior of knowing your limitations in addressing medical issues across
cultures.
3. A nurse is using the explanatory model to determine the etiology of an
illness. Which questions should the nurse ask? (Select all that apply.)
a. How should your sickness be treated?
b. What do you call your problem?
c. How does this illness work inside your body?
d. What do you fear most about your sickness?
3
e. What name does it have?
