ATI RN
Community Health Nursing Exam Questions Questions
Question 1 of 5
A nursing administrator aims to develop a work environment conducive to the implementation of evidence-informed practice. What is the best approach to achieve this goal?
Correct Answer: C
Rationale: The correct answer is C because increasing access to nursing research sources in health care institutions directly supports the goal of implementing evidence-informed practice. By providing easy access to research journals, nurses can stay up-to-date with the latest evidence and incorporate it into their practice. Choice A is incorrect as market research on customer satisfaction does not directly contribute to creating a conducive work environment for evidence-informed practice. Choice B focuses on workload impact rather than enhancing the implementation of evidence-informed practice. Choice D, sending staff to conferences, is beneficial but may not ensure continuous access to research sources in the workplace, which is essential for sustained practice improvement.
Question 2 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. A CHN states, "It's not up to us; it's the family's decision." What type of thinking is this CHN applying?
Correct Answer: B
Rationale: The correct answer is B: Deontological ethics. Deontological ethics focuses on the inherent rightness or wrongness of actions, regardless of the consequences. In this scenario, the CHN is emphasizing the importance of respecting the family's autonomy and their decision-making authority regarding the ill family member. This aligns with deontological principles that prioritize individual autonomy and decision-making. Summary: A: Communitarianism emphasizes the common good of the community, not individual autonomy. C: Principlism includes principles like beneficence and non-maleficence, which are not directly applicable in this case. D: Utilitarianism focuses on maximizing overall happiness, which is not the primary concern in this scenario.
Question 3 of 5
What is the central, most important concept or action in nursing today?
Correct Answer: B
Rationale: The correct answer is B: Caring. Caring is the central concept in nursing as it forms the foundation of the nurse-patient relationship and influences all aspects of patient care. Nurses provide holistic care by addressing the physical, emotional, social, and spiritual needs of patients. Compassionate care enhances patient outcomes and promotes healing. Explanation for other choices: A: Adapting to technology is important, but it is not the central concept in nursing. Technology supports nursing practice but does not replace the human connection and empathy that caring provides. C: Distinguishing nursing care from medical care is important, but it is not the central concept. While nursing care has its unique focus, caring remains the core value that distinguishes nursing from other healthcare professions. D: Seeking evidence-based outcomes is crucial for quality care, but it is a methodological approach rather than the central concept. Caring guides the application of evidence-based practices to ensure patient-centered care.
Question 4 of 5
Which practice demonstrates cultural competency for the care of clients with a cultural background different to one's own?
Correct Answer: A
Rationale: The correct answer is A because maintaining an open attitude that welcomes differences is a key aspect of cultural competency. This approach shows respect for diverse cultural backgrounds and allows for effective communication and understanding between the caregiver and the client. Choice B is incorrect because cultural neutrality may come off as insensitivity and lack of understanding. Choice C is incorrect as friendly gestures alone may not convey a deep understanding of cultural differences. Choice D is incorrect because cultural competency involves recognizing and adapting to individual cultural norms rather than using a one-size-fits-all approach.
Question 5 of 5
A health care worker tells the community health nurse (CHN), "It does no good to try to teach those Indigenous clients about nutrition because they will just eat whatever they want to, no matter how much we teach them." What behaviour does this statement exemplify?
Correct Answer: B
Rationale: The correct answer is B: Ethnocentrism. This behavior exemplifies ethnocentrism because the health care worker is imposing their own beliefs and values about nutrition onto Indigenous clients, assuming their own cultural norms are superior. Ethnocentrism involves judging other cultures based on one's own cultural standards. Summary: A: Cultural imposition is forcing one's own cultural beliefs onto others, which is not evident in this scenario. C: Racism involves discrimination based on race, which is not explicitly stated in the scenario. D: Stereotyping involves making assumptions about a group based on limited information, but the scenario specifically highlights a judgment based on cultural differences, not stereotypes.