ATI RN
Community Health Nursing Practice Questions Questions
Question 1 of 5
A man, bleeding profusely and screaming, perhaps out of fear, cries out "I've got a right to see a doctor. I'm hurt. Someone has to take care of me!" What ethical premise could justify such a demand?
Correct Answer: C
Rationale: The correct answer is C because it aligns with the ethical principle of equality and the duty to meet basic needs. In this scenario, the man's demand to see a doctor stems from the fundamental belief that all individuals should be treated equally and have access to necessary medical care to prevent death. This ethical premise is rooted in the principle of justice and compassion, emphasizing the value of human life and the responsibility to provide assistance in times of need. Incorrect answers: A: This choice focuses on financial contributions and entitlement based on taxes, which is not the primary ethical consideration in this situation. B: While saving a life can benefit society, this choice does not address the ethical premise of equality and basic needs that underpin the man's demand for medical care. D: This choice emphasizes property rights, which are not directly relevant to the ethical justification for providing medical assistance based on equality and basic human needs.
Question 2 of 5
A client at a community health outpost who describes a culturally safe encounter describes which community health nursing practices?
Correct Answer: A
Rationale: The correct answer is A: Recognizing and respecting cultural identity. This is because cultural safety in nursing involves acknowledging and valuing a person's cultural beliefs, practices, and identity. By recognizing and respecting cultural identity, the nurse creates an environment where the client feels accepted and understood. B: Mirroring and matching of cultural behaviors may not always be appropriate as it can lead to stereotyping and assumptions. C: Seeking similarities and commonalities is important, but it does not necessarily ensure cultural safety as it may overlook the uniqueness of an individual's cultural background. D: Supporting the adoption of dominant cultural behaviors may not be culturally safe as it can marginalize or suppress the client's own cultural identity.
Question 3 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 4 of 5
In which of the following activities does the community health nurse (CHN) act in the role of a nurse epidemiologist?
Correct Answer: D
Rationale: The correct answer is D because evaluating the number of clients presenting with similar diseases falls under the role of nurse epidemiologist, who focuses on tracking and analyzing patterns of disease occurrence in populations. This involves collecting and interpreting data to identify potential outbreaks and risk factors. A, B, and C are incorrect because: A: Eliciting health history and performing physical assessments are typically part of the direct patient care provided by a community health nurse. B: Performing physical assessments is part of assessing individual client needs rather than population-level disease patterns. C: Providing treatment and health education are essential components of nursing care but do not specifically align with the role of nurse epidemiologist in analyzing disease patterns in populations.
Question 5 of 5
Which action proposed to prevent problems related to coronary artery disease (CAD) in a region with a high prevalence is most likely to have positive outcomes?
Correct Answer: A
Rationale: The correct answer is A because it addresses prevention strategies at multiple levels - early education in schools, community-wide awareness through presentations, and targeted education for high-risk populations. Introducing heart health information in Grade 1 can establish lifelong healthy habits. Presentations for the community will reach a wider audience, promoting awareness and behavior change. Special education sessions for high-risk populations ensure tailored interventions. Choice B focuses on online activities and screenings, which may not be as effective in reaching the entire population. Choice C includes some good components like educational materials and screenings but lacks the comprehensive approach of choice A. Choice D is more focused on treatment and management rather than prevention, which is not as effective in addressing the high prevalence of CAD in the region.