ATI RN
ATI Community Health Nursing Test Bank Questions
Question 1 of 5
Which public health service best represents primary prevention?
Correct Answer: B
Rationale: The correct answer is B because initiating an infant car seat safety screening program for parents in low-income housing best represents primary prevention. Primary prevention aims to prevent the occurrence of a disease or injury before it occurs. In this case, educating parents on proper car seat safety practices helps prevent injuries to infants in the first place. Administering the influenza vaccine (
A) is an example of secondary prevention as it aims to detect and treat existing conditions. Starting a rehabilitation clinic (
C) and setting up a blood pressure screening clinic (
D) are also examples of secondary prevention as they focus on managing existing health conditions rather than preventing them.
Question 2 of 5
A 40-year-old Bosnian Muslim woman who does not speak English presents to a community health centre in obvious pain and requests a female health care provider. She indicates through gestures that the pain originates in either the pelvic or the genital region. Assuming several people are available to interpret, who would be the most appropriate choice of interpreter?
Correct Answer: B
Rationale: The correct answer is B: A female from the client's community. This choice is the most appropriate because it ensures cultural and linguistic sensitivity. Here's the rationale:
1. Cultural Sensitivity: A female from the client's community would likely understand the client's cultural nuances and beliefs, which can enhance effective communication.
2. Linguistic Competency: Being from the same community, the interpreter is more likely to speak the client's language fluently and accurately convey the client's messages.
3. Comfort and Trust: The client may feel more comfortable and trusting when communicating with someone from her own community, especially in sensitive matters like health.
4. Privacy and Dignity: Having a familiar female interpreter can help maintain the client's privacy and dignity during discussions about sensitive health issues.
Summary:
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Choice A: A female who does not know the client may lack cultural understanding and linguistic competency.
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Choice C: A male certified as a medical interpreter may not be as culturally sensitive and might not be preferred
Question 3 of 5
What would be the best choice for the nurse researcher who wishes to identify the long-term benefits and risks of a treatment for hyperlipidemia?
Correct Answer: C
Rationale: The correct answer is C: A clinical trial. Clinical trials are designed to assess the long-term benefits and risks of a treatment by monitoring participants over an extended period. They involve randomization, control groups, and follow-up assessments, making them ideal for determining treatment effectiveness.
A: A cross-sectional study only provides a snapshot of data at a single point in time and does not track long-term outcomes.
B: An ecological study examines population-level data and may not provide individual-level insights on long-term benefits and risks of a treatment.
D: A retrospective analysis looks at past data and may not adequately capture the long-term effects of a treatment compared to a prospective study like a clinical trial.
Question 4 of 5
After surviving a house fire, a 5-year-old begins sucking their thumb and wetting their bed. What would be the best community health nurse (CHN) intervention?
Correct Answer: B
Rationale: The correct answer is B because reassurance to the family that the child's behaviors are normal reactions to trauma is crucial. This approach validates the child's feelings and provides support.
Choice A is incorrect as it may shame the child for their coping mechanisms.
Choice C is unnecessary and may not be indicated unless the child's mental health is severely impacted.
Choice D is premature as it suggests a specific treatment without first addressing the underlying emotional needs of the child.
Question 5 of 5
Which of the following demonstrates the final phase of application of the community health nursing process?
Correct Answer: A
Rationale: The correct answer is A: Presenting feedback about a 6-week fitness class. This demonstrates the final phase of the community health nursing process, which involves evaluating the outcomes of implemented interventions. By presenting feedback, the nurse is assessing the effectiveness of the fitness class in improving community health.
Choice B, determining the needs of the community, is part of the assessment phase, not the final phase.
Choice C, developing a wellness program, is part of the planning phase.
Choice D, supervising a fitness class, is part of the implementation phase. Thus, only choice A aligns with the final phase of the community health nursing process.