ATI RN
Community Needs Assessment Questions Questions
Question 1 of 5
A community health nurse is conducting a neighborhood discussion group about disaster planning. What information regarding the transmission of anthrax should the nurse provide to the group?
Correct Answer: A
Rationale: The correct answer is A: Infection is acquired when anthrax spores enter a host. Anthrax is caused by Bacillus anthracis spores entering the body through inhalation, ingestion, or a skin break. Spores can remain dormant for long periods and become active in a suitable host. Explanation of incorrect choices: B: Mature anthrax bacteria do not live dormant on inanimate objects. Anthrax is primarily transmitted through contact with contaminated animal products or soil. C: Spores can survive for extended periods outside a host. This resilience is a key factor in anthrax's ability to cause infection. D: Anthrax is not transmitted through respiratory droplets from person to person. It is more commonly acquired through contact with infected animals or contaminated materials.
Question 2 of 5
The public health RN is called to investigate a report of several cases of varicella at a day care center. The day care workers state that 5 children have been sent home over the past 2 weeks w/ fever & itchy blisters. Which intervention should the RN implement first?
Correct Answer: A
Rationale: The correct answer is A: Validate that the children who were sent home had chickenpox. The first step in investigating a potential outbreak of a communicable disease like varicella (chickenpox) is to confirm the diagnosis. By validating that the children indeed had chickenpox, the RN can accurately assess the situation and take appropriate actions to prevent further spread. Choice B is incorrect because sending the child to their pediatrician should come after confirming the diagnosis to ensure proper medical care. Choice C is incorrect as it recommends a prolonged exclusion period without confirmation of the disease, which may not be necessary. Choice D is incorrect as it dismisses the seriousness of the situation and could lead to further spread of the illness if the children do have chickenpox.
Question 3 of 5
The RN at a migrant health center notes an increased incidence of dermatitis in seasonal farm workers at a local fruit farm. In response to this finding, it is most important for the RN to obtain which info as part of the community assessment?
Correct Answer: A
Rationale: The correct answer is A because hand hygiene is crucial in preventing dermatitis. Clean water to wash hands after work helps remove irritants and allergens that can cause dermatitis. This directly addresses the increased incidence of dermatitis among farm workers. Choice B (Proper housing) is not directly related to dermatitis prevention. Choice C (Access to health care services) is important but does not address the immediate cause of dermatitis. Choice D (Access to transportation) is not as critical as ensuring proper hand hygiene to prevent dermatitis.
Question 4 of 5
The nurse is conducting a process evaluation of a prevention education program for older adults.Which data source provides the information the nurse needs to conduct this process evaluation?
Correct Answer: A
Rationale: The correct answer is A because documentation of client education in the nursing record provides direct information on the implementation of the prevention education program. It helps evaluate whether the program was delivered as intended and if clients received the necessary education. Choice B, client's score on an alcohol screening instrument, is related to outcome evaluation rather than process evaluation. Choice C, results of a urine drug and alcohol screen, is also focused on outcomes rather than the process of education delivery. Choice D, most recent community census data, is not directly relevant to evaluating the process of the prevention education program for older adults.
Question 5 of 5
Which activity would be most helpful to a person in whom a serious chronic illness has been diagnosed?
Correct Answer: B
Rationale: Although a person might choose to do any of these, the most helpful action over the long term is to join a support group with persons having the same diagnosis for mutual learning, sharing of resources, and support. Religious leaders could also be helpful, but many people do not have a religious leader.