ATI RN
Community Health Nursing 2 Exam Questions and Answers Questions
Question 1 of 5
At a district board meeting, the community health nurse (CHN) requests funding for an after-school recreation program that promotes healthy, fun activities in an effort to decrease substance abuse. Which level of prevention does this exemplify?
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. This is because the after-school recreation program aims to prevent substance abuse before it occurs by promoting healthy activities. This aligns with primary prevention, which focuses on preventing the onset of health issues. Secondary prevention (
B) involves early detection and treatment, while tertiary prevention (
C) focuses on managing and minimizing the impact of existing health issues.
Choice D is incorrect as the program primarily falls under primary prevention only.
Question 2 of 5
The Industrial Revolution caused earlier caregiving approaches—where care was provided by families, friends, and neighbours—to become inadequate because of constantly increasing demand. Which situation also contributed to the inadequacy of caregiving approaches at this time?
Correct Answer: C
Rationale: The correct answer is C: Migration and urbanization.
Rationale:
1. Migration and urbanization led to overcrowded cities, resulting in a larger population needing care.
2. Urban areas lacked the close-knit community support found in rural settings, making it harder for families, friends, and neighbors to provide adequate care.
3. Increased mobility due to migration made it challenging for caregivers to stay connected with those in need of care, further straining caregiving approaches.
Summary of other choices:
A: Ongoing wars may have increased the need for caregiving but did not directly contribute to the inadequacy of caregiving approaches.
B: Horrific plagues could have overwhelmed healthcare systems but did not address the changing dynamics of caregiving approaches.
D: The need to pay caregivers is a different aspect of caregiving but did not directly contribute to the inadequacy of caregiving approaches during the Industrial Revolution.
Question 3 of 5
A community health nurse (CHN) facing an ethical dilemma is not able to determine which option would have the best outcome. She talks to her supervisor and lets the supervisor decide which action to take. Into which ethical category does the CHN's decision fall?
Correct Answer: C
Rationale: The correct answer is C because seeking guidance from the supervisor is a step toward resolving the ethical dilemma, but the ultimate responsibility still lies with the CHN. Letting the supervisor decide does not absolve the CHN of accountability for the choice made. This option allows for further discussion and reflection, ensuring that the CHN remains engaged in the decision-making process.
Choice A is incorrect because the supervisor is not solely responsible for the CHN's choices; the CHN must still take ownership of the decision.
Choice B is incorrect as it assumes the supervisor has all the answers, overlooking the importance of the CHN's own critical thinking and problem-solving skills.
Choice D is also incorrect as community priorities do not necessarily align with ethical decision-making in this context.
Question 4 of 5
A family member asks an home health nurse (HHN) to explain the concept of hospice care. Which action would the HHN need to include as the fundamental underlying philosophy of hospice?
Correct Answer: D
Rationale: The correct answer is D: Providing respite and comfort measures before death. Hospice care focuses on providing comfort and support to terminally ill patients, emphasizing symptom management, pain relief, and emotional support. Respite care allows family caregivers a temporary break from their responsibilities.
Choices A and B focus on specific aspects of care delivery and legal matters, not the fundamental philosophy of hospice.
Choice C is incorrect as hospice care does not involve placing experts in the position of power of attorney; rather, it emphasizes patient-centered care and autonomy.
Question 5 of 5
Which one of the following is an example of tertiary prevention by a community health nurse (CHN)?
Correct Answer: C
Rationale:
Correct Answer: C - Directly observing clients with active TB as they take their antituberculosis medications
Rationale:
1. Tertiary prevention aims to prevent complications and deterioration in individuals with existing conditions, such as active TB.
2. Directly observing medication administration ensures adherence and effectiveness in treating active TB.
3. By monitoring medication intake, the community health nurse can prevent drug resistance and further spread of TB.
4. Administering the Mantoux test (
A) is a form of secondary prevention to identify TB exposure, not treatment.
5. Assessing for signs and symptoms (
B) is part of early detection (secondary prevention), not tertiary prevention.
6. Interpreting TB skin test results (
D) is diagnostic and not directly involved in preventing complications in individuals already diagnosed with active TB.