ATI RN
Community Health Nursing Practice Questions Questions
Question 1 of 5
A team of community health nurses (CHNs) disagree about the appropriate action to take in relation to a family with an ill family member who have chosen to continue working at their jobs instead of taking time off to care for the ill family member. One CHN states, "The whole family is being affected and will fall apart if they don't focus on the family's needs first." What type of thinking is this CHN applying?
Correct Answer: A
Rationale: The correct answer is A: Communitarianism. This is because the CHN is focusing on the well-being of the whole family as a community unit rather than just the individual's rights or benefits. Communitarianism emphasizes the importance of collective well-being and community values over individual interests.
Explanation:
1. Communitarianism focuses on the well-being of the community as a whole, which aligns with the CHN's statement about the family's needs coming first.
2. Deontological ethics emphasizes following moral rules or duties regardless of the consequences, which is not reflected in the CHN's statement.
3. Principlism involves considering ethical principles like autonomy, beneficence, non-maleficence, and justice, which are not explicitly addressed in the CHN's statement.
4. Utilitarianism focuses on maximizing overall happiness or well-being for the greatest number of people, which is not the primary concern in the CHN's statement.
Summary: The CH
Question 2 of 5
At a local hospital, postpartum care policy requires that nurses observe the mother to assess her ability to care for the new baby and to promote bonding. A new immigrant mother says that, in her country, all infant care is provided by family members so that the mother can rest and recover. In her home country, it is believed that if the mother does not recover sufficiently, she will be unable to provide the best care. What actions will the culturally competent nurse take?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates cultural competence and respect for the mother's beliefs. By allowing family members to provide care and assessing the mother's knowledge of childcare through discussion, the nurse is acknowledging and respecting the mother's cultural practices while also ensuring the well-being of the baby. This approach promotes understanding and collaboration between the nurse and the mother, leading to better outcomes for both.
Choice B is incorrect because it dismisses the mother's cultural beliefs and may come across as judgmental.
Choice C is incorrect because it ignores the mother's cultural practices and imposes Western beliefs on her.
Choice D is incorrect because it is authoritarian and does not take into account the mother's cultural background and beliefs.
Question 3 of 5
A community health nurse (CHN) researcher wants to know and better understand how the chronic illness of a child can affect a family's communication patterns, relationships, role expectations, and role behaviours. Which type of family nursing theory would best address the purpose of the CHN's research?
Correct Answer: B
Rationale:
Step-by-step rationale for why choice B (Interactional theory) is correct:
1. Interactional theory focuses on how family members interact and communicate with each other.
2. It emphasizes the importance of relationships, communication patterns, and role expectations within the family.
3. This theory is best suited to understand how a child's chronic illness can impact family dynamics.
4. It helps in exploring how family members adapt and respond to changes in roles and relationships.
5. Unlike the other theories, Interactional theory directly addresses the impact of communication patterns and relationships on family dynamics.
Summary of why other choices are incorrect:
A: Developmental theory focuses on stages of family development, not specifically on communication patterns and relationships.
C: Structure-function theory looks at the functions of family structures, not the impact of chronic illness on communication and relationships.
D: Systems theory considers the family as a system with interrelated parts, but it does not specifically highlight communication patterns and relationships as central to understanding family dynamics in the context
Question 4 of 5
The community health nurse (CHN) is examining blood lead levels in school-aged children one year after a community-wide education intervention. What term identifies this phase of the nursing process?
Correct Answer: D
Rationale: The correct answer is D: Evaluation. In this phase, the CHN is assessing the effectiveness of the community-wide education intervention by examining blood lead levels in school-aged children after one year. Evaluation involves determining if the intervention achieved the desired outcomes. Assessment (
A) is the initial data collection phase. Diagnosis (
B) involves identifying health problems. Intervention (
C) is the phase where actions are taken to address the identified health problems. In this scenario, the focus is on evaluating the impact of the intervention, making D the most appropriate term.
Question 5 of 5
What activity is the public health nurse (PHN) participating in when tracing the sexual contacts of clients with sexually transmitted infections (STIs) for potential screening purposes?
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. Tracing sexual contacts of clients with STIs falls under secondary prevention, which aims to detect and treat diseases early to prevent complications and further transmission. This activity helps identify individuals at risk, provide education, and promote early treatment.
Choice A (Primary prevention) focuses on preventing the occurrence of disease through education and behavior change before exposure.
Choice C (Tertiary prevention) involves managing complications and preventing further progression of disease.
Choice D (Secondary and tertiary prevention) is not accurate as the activity primarily focuses on early detection and treatment, aligning with secondary prevention.