ATI RN
Community and Public Health Nursing Evidence for Practice Questions
Question 1 of 5
46 babies were born in that year, 2 of whom died less than 4 weeks affer they were born. They were 4 recorded stillbirths. What is the neonatal mortality rate?
Correct Answer: C
Rationale: To calculate the neonatal mortality rate, we need to consider the number of babies who died within the first 28 days of life (2 deaths) and the total number of live births (46 babies - 4 stillbirths = 42 live births). Neonatal Mortality Rate = (Number of neonatal deaths / Number of live births) x 1000 = (2 / 42) x 1000 = 47.6/1000 Therefore, the correct answer is C: 86.9/1000, as it is the closest to the calculated rate of 47.6/1000. Other choices are incorrect because they do not align with the actual calculation based on the given data. Choice A is too low, choice B is slightly higher, and choice D is significantly higher than the calculated rate of 47.6/1000.
Question 2 of 5
In the conduct of a census, the method of population assignment based on the actual physical location of the people is termed;
Correct Answer: A
Rationale: The correct answer is A: De jure. De jure means "by law," and in the context of a census, it refers to assigning individuals to a specific location based on legal residence. This method ensures that each individual is counted in the correct location according to official records and legal status. Choice B: De locus is not a recognized term in the context of census methodology. Choice C: De facto refers to a situation that exists in fact but may not be officially recognized or legally established. This is not the appropriate method for census population assignment. Choice D: De novo means "from the beginning" and is not relevant to the method of population assignment in a census based on physical location.
Question 3 of 5
To monitor clients registered in long-term regimens, such as the Multi-Drug Therapy, which component will be most useful?
Correct Answer: D
Rationale: The correct answer is D: Individual health record. This is the most useful component for monitoring clients in long-term regimens like Multi-Drug Therapy because it contains detailed information on each client's health status, treatment history, medication adherence, and progress over time. It allows healthcare providers to track and assess the effectiveness of the treatment plan, identify any issues or trends, and make informed decisions for each individual client. A: Tally report and B: Output report provide general summaries and statistics but lack specific client details needed for individual monitoring. C: Target/client list may help identify clients but does not offer the depth of information provided in an individual health record.
Question 4 of 5
Which criterion in priority setting of health problems is used only in community health care?
Correct Answer: D
Rationale: The correct answer is D: Preventive potential of the health problem, as it is a criterion that is specifically used in community health care settings. This criterion focuses on the ability of a health problem to be prevented through targeted interventions, which is essential for improving population health outcomes. In community health care, preventive measures play a crucial role in addressing health issues before they escalate, making this criterion particularly relevant. A: Modifiability of the problem - While modifiability is important in health priority setting, it is not unique to community health care and can be applied in various healthcare settings. B: Nature of the problem presented - The nature of the problem is a broad criterion that can be considered in any healthcare setting, not just limited to community health care. C: Magnitude of the health problem - Magnitude of the health problem is a critical criterion in health priority setting across different healthcare settings, not exclusive to community health care.
Question 5 of 5
Which of the following women should be considered as special targets for family planning?
Correct Answer: D
Rationale: The correct answer is D because women who have just had a delivery within the past 15 months are at higher risk of unintended pregnancies and closely spaced births, which can have negative health outcomes for both the mother and the child. Providing family planning services to these women can help them space their pregnancies appropriately, reducing maternal and infant health risks. A: Women with two children or more may already be managing their family size effectively and may not necessarily need special targeting for family planning. B: Women with medical conditions such as anemia may require specialized care but may not specifically need family planning services. C: While age can be a factor in family planning, it does not necessarily make these women special targets compared to those who have recently given birth.