ATI RN
Community Health Nursing Exam Questions Questions
Question 1 of 5
A client who abuses intravenous (IV) drugs admits to the community health nurse (CHN) that they have no desire to change this behaviour, so the CHN counsels the client on the importance of sterilizing their needles to prevent infection and transmission of blood-borne diseases. Which level of prevention does this action represent?
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. This action focuses on preventing the occurrence of disease by educating the client on sterilizing needles to reduce the risk of infection and transmission of blood-borne diseases. This falls under primary prevention as it aims to stop the disease from occurring in the first place. Secondary prevention involves early detection and treatment of a disease to prevent its progression, which is not the focus here. Tertiary prevention involves managing the complications of a disease to prevent further deterioration, which is also not the focus in this scenario. The correct answer emphasizes the importance of addressing the root cause of the issue to prevent disease transmission.
Question 2 of 5
What presents a challenge for human papillomavirus (HPV) prevention?
Correct Answer: B
Rationale: The correct answer is B because HPV warts can grow in areas not covered by a barrier like a condom, making prevention challenging. HPV is primarily transmitted through skin-to-skin contact, and condoms may not fully protect against transmission if the warts are in uncovered areas.
Choice A is incorrect because HPV is mainly transmitted through skin contact, not all body fluids.
Choice C is incorrect as it describes symptoms of a different condition, not HPV.
Choice D is incorrect because HPV does not typically form vesicles that ulcerate within a day.
Question 3 of 5
Which preventative measure would be included as primary prevention of osteoporosis in women?
Correct Answer: A
Rationale: The correct answer is A, a diet rich in calcium and vitamin D. Calcium and vitamin D are essential for bone health, helping to build and maintain strong bones, thus preventing osteoporosis. Calcium is a key component of bone structure, while vitamin D helps the body absorb calcium. This preventative measure directly targets the root cause of osteoporosis by ensuring the body has the necessary nutrients for bone strength.
Choice B, exposure to sunlight, while important for vitamin D synthesis, is not as effective as dietary sources for meeting the body's requirements.
Choice C, exercise, is beneficial for overall health but primarily falls under secondary prevention by helping to maintain bone density once it has already been established.
Choice D, weight control, does not directly address the nutritional needs for bone health as in choice A.
Question 4 of 5
Which level of prevention is a community health nurse (CHN) practising when she offers homeless clients yearly tuberculosis (TB) screening and free treatment for those who test positive?
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. The CHN is conducting TB screening and treatment for homeless clients who test positive, which falls under secondary prevention aimed at early detection and treatment to prevent the spread of TB. Primary prevention focuses on preventing the disease before it occurs, such as through education and vaccination. Tertiary prevention involves managing and treating the disease to prevent complications and further spread.
Choice D is incorrect because the activities described only align with secondary prevention, not tertiary prevention.
Question 5 of 5
What is an example of a nonfunctional group role?
Correct Answer: B
Rationale: The correct answer is B: Recognition seeker. Nonfunctional group roles hinder the group's progress and cohesion. A recognition seeker seeks attention for personal gain, which can disrupt group dynamics and distract from the task at hand. In contrast, other choices like A (Opinion giver) contribute by sharing viewpoints, C (Follower) provides support, and D (Feasibility tester) helps evaluate ideas for practicality.
Therefore, a recognition seeker stands out as a nonfunctional role due to its self-centered nature and potential to disrupt teamwork.