ATI RN
Community Assessment Questions Questions
Question 1 of 5
During a visit to the community health clinic, a 45 yr old native American female, who has a BMI of 35, complains of changes in her vision. Which condition is most important for the RN to be aware of in the client's family hx?
Correct Answer: A
Rationale: The correct answer is A: Diabetes. Given the patient's age, ethnicity, high BMI, and vision changes, the most important condition to be aware of in her family history is diabetes. Diabetes is a common risk factor for vision changes, especially diabetic retinopathy, which can lead to vision loss if not managed properly. The patient's Native American ethnicity also puts her at higher risk for diabetes. Glaucoma (B) is a separate eye condition that is not typically linked to family history. Hypertension (C) can contribute to vision changes but is not as strongly associated with the given patient demographics. Brain tumor (D) is unlikely to be related to the patient's vision changes or family history.
Question 2 of 5
Which best describes how care can be appropriately given in a community?
Correct Answer: B
Rationale: As it is clearly impossible and impractical to give service to each person in a community, the best approach considers the community itself to be the unit of service. The nurse partners with community members to identify community problems and develop solutions to ultimately improve the community's health. The community health nurse does not administer care according to the priorities of the health department or care for the sickest populations first.
Question 3 of 5
Which is a major factor in determining which people or groups are most likely to be helpful to a particular individual?
Correct Answer: B
Rationale: Although it is certainly more common to have friends who are similar to ourselves in many ways, those most likely to be called on and respond are those in close environmental proximity. Proximity facilitates the recognition of commonality and the development of cohesion among members.
Question 4 of 5
An individual lives in a healthy community. Which characteristic would this community most likely display?
Correct Answer: A
Rationale: The community's ability to respond effectively to changing dynamics and meet the needs of its members indicates productive functioning. A community may or may not be able to control environmental pollution because the pollution is often from outside the community itself. Similarly, employment, or lack thereof, may be due to factors outside the community's control. In many communities, growth is not expected; simply not losing more population is a great achievement.
Question 5 of 5
A community health nurse wants to obtain an overview of the community, but has limited time and resources. Which method would the nurse most likely use to obtain this information?
Correct Answer: A
Rationale: The easiest way to obtain an overview of the community is through a windshield survey by driving or walking throughout the area and making organized observations. A group that is willing to respond to surveys and review public health records and that lives in the community would be very helpful but not easy or fast.