ATI RN
Community Health Assessment Questions Questions
Question 1 of 5
A nurse is asked, 'Why are you so rarely in the department office?' Which would be the most appropriate response?
Correct Answer: A
Rationale: One of the underlying premises of community health is to 'start where the people are.' Therefore, the nurse must spend a great deal of time and effort in the community interacting with community members and must be where the people are. Writing reports in the car, avoiding paperwork, and simply stating one is being paid to be in the community do not demonstrate the nurse's connection to the community.
Question 2 of 5
When handed the consent form to sign before treatment could be given, a client looked at the nurse and said, 'I'm sorry; I forgot my glasses today.' Which action should be taken by the nurse?
Correct Answer: D
Rationale: The Institute of Medicine report related that millions of U.S. adults are unable to read and act on health instructions and messages. Among the recommendations is a need for clear communication with clients. Because the underlying issue may be reading, the other responses are not appropriate suggestions for this nurse-client interaction.
Question 3 of 5
A nurse is helping clients to change their behavior. Which would be most effective?
Correct Answer: A
Rationale: Ask, Advise, Assess, Assist, and Arrange is the five As approach to counseling as seen, for example, in smoking cessation programs. The other responses are not as comprehensive as the five A approach to counseling.
Question 4 of 5
Which variables are missing from both the Health Belief Model (HBM) and Health Promotion Model (HPM)? (Select ONE that does not apply.)
Correct Answer: C
Rationale: The models are very useful in relation to changing individual behaviors, but they do not address the complex relationships among social, structural, and physical factors in the environment, such as lack of social support systems or inaccessible health services. Changes are needed to improve care for socially and politically disenfranchised groups. Knowledge is always within a social context and is always bound to power relationships. A nurse cannot assign power and control to an individual. The individual must take on power, although perhaps with the nurse's guidance.
Question 5 of 5
Which provides the most accurate way to explain community health nursing?
Correct Answer: B
Rationale: Not only is community a context or place where a community health nurse gives care, but the community as a whole is the focus of the nurse's efforts. Being employed outside a medical center, providing care within the community, and working for a public health department all describe settings where a community health nurse may be employed, but do not demonstrate the emphasis on providing population-focused care.