ATI Community Health Nursing Ch 7 - Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Tracheostomy. Tracheostomy involves creating a surgical airway in the front of the neck to remove copious secretions. This procedure allows direct access to the trachea to facilitate breathing and clear secretions. Bronchoscopy (choice
A) involves visualizing the airways with a scope, not creating a surgical airway. Thoracentesis (choice
C) is a procedure to remove fluid from the chest cavity, not the airway. Underwater seal drainage (choice
D) is used for managing chest tube drainage, not creating a surgical airway.

Correct Answer: A

Rationale: The correct answer is A because advocating for health policy changes is a key role of community health nurses in promoting health at a population level. They work to influence policies that address social determinants of health and improve overall community well-being. Providing direct care (
B) is more aligned with clinical nursing roles. Educating the community (
C) is important but not the primary role of a community health nurse. Conducting research (
D) may inform practice but is not the primary function of promoting health in the community.

Correct Answer: A

Rationale: The correct answer is A because community health nursing primarily focuses on providing care to individuals and families within a community to improve their health outcomes. This involves assessing their needs, developing care plans, and implementing interventions to promote wellness and prevent disease. Improving access to healthcare (
B) and implementing health policies (
C) are important aspects of public health, but not the main focus of community health nursing. Promoting community partnerships (
D) is also essential, but it is more about collaboration and resource mobilization rather than the primary focus of providing direct care.

Correct Answer: B

Rationale: The correct answer is B because community health nursing focuses on improving the quality of life for individuals and families through health promotion and disease prevention. This encompasses a holistic approach that considers social determinants of health and empowers communities to make informed decisions. Providing curative services (
A) is not the primary focus of community health nursing, as it aims to prevent illness before it occurs. Conducting research (
D) is important but not a key objective of direct community health nursing practice. While promoting health and preventing disease (
C) is a key objective, improving the quality of life (
B) captures the overarching goal of community health nursing more comprehensively.

Correct Answer: D

Rationale: The correct answer is D:
To achieve health equity and eliminate health disparities. This is the goal of Healthy People 2020 as it aims to ensure that everyone has the opportunity to achieve their highest level of health. Health equity involves providing opportunities for all individuals to reach their full health potential, regardless of their social or economic status. By eliminating health disparities, the goal is to address the root causes of health inequities and promote fairness in health outcomes.


Choice A is incorrect as it focuses solely on improving the quality and years of healthy life without addressing disparities.
Choice B is incorrect as it specifically mentions reducing health disparities but does not mention achieving health equity.
Choice C is incorrect as it emphasizes promoting healthy behaviors but does not encompass the broader goal of health equity and eliminating disparities.