ATI RN
NCLEX Questions and Answers in Community Health Nursing Questions
Question 1 of 5
For what reason should the school nurse recommend that an HIV-infected child not be allowed to attend school?
Correct Answer: B
Rationale: The correct answer is B because HIV-infected children have compromised immune systems and routine immunizations can pose a risk to their health. Allergies (A) and chicken pox outbreak (C) are not direct reasons for exclusion. Parental objections (D) should not dictate public health decisions.
Question 2 of 5
During which phase would the community health nurse (CHN) determine the ability of specific interventions to achieve an increase to at least 90% in the proportion of all pregnant women who receive first-trimester prenatal care?
Correct Answer: D
Rationale: The correct answer is D: Evaluation phase. During the evaluation phase, the CHN assesses the effectiveness of interventions in achieving the desired outcome of increasing the proportion of pregnant women receiving first-trimester prenatal care to at least 90%. This phase involves systematically collecting and analyzing data to determine if the interventions are successful. In contrast, the assessment phase (choice A) focuses on gathering information about the community's health needs, planning phase (choice B) involves developing strategies to address those needs, and implementation phase (choice C) is about putting the planned interventions into action. Therefore, the evaluation phase is the most appropriate stage to determine the success of the interventions in reaching the specified goal.
Question 3 of 5
Which group-building and maintenance role describes the person who tracks group process in writing and conveys information to the group?
Correct Answer: D
Rationale: The correct answer is D: Commentator. This role involves tracking group process in writing and providing information to the group. A Coordinator focuses on organizing tasks, an Encourager offers positive reinforcement, and an Orienter sets the direction for the group. Commentator's role aligns closely with tracking and conveying information, making it the most suitable choice.
Question 4 of 5
Which community health nursing activity demonstrates tertiary prevention related to mental health?
Correct Answer: C
Rationale: The correct answer is C because providing case management services that link clients with serious mental illnesses to mental health and community support services is an example of tertiary prevention. Tertiary prevention focuses on managing and reducing the impact of established conditions. By linking clients with mental illnesses to necessary support services, the aim is to prevent further deterioration of their mental health and improve their overall well-being. A: Disseminating information about mental health to community organizations is more aligned with primary prevention, aiming to prevent the onset of mental health issues. B: Partnering with PHNs for early identification of children with mental health challenges is related to secondary prevention, focusing on early detection and intervention to prevent the progression of mental health issues. D: Screening clients at high risk for mental disorders is also an example of secondary prevention, aimed at early detection and intervention before the onset of serious mental health issues.
Question 5 of 5
A home health nurse (HHN) in training states, "I don't understand why we have to collaborate with so many other disciplines. Doesn't this conflict with the concept of holistic nursing practice?" What would be the best response by an experienced colleague?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Interdisciplinary collaboration in home health nursing does not negate holistic nursing practice. It enhances it by bringing together various professionals to address the client's physical, emotional, and social needs comprehensively. 2. Collaboration prevents fragmentation of care by ensuring that all aspects of the client's well-being are considered and addressed collectively. 3. Holistic nursing involves viewing the client as a whole person and addressing all aspects of their health, which can be best achieved through collaboration with other disciplines. 4. Choice A acknowledges the importance of holistic nursing while also emphasizing the necessity of working with other disciplines to provide optimal care. Summary of Incorrect Choices: B: This choice inaccurately limits the application of holistic nursing to tertiary facilities and fails to address the benefits of interdisciplinary collaboration in home health settings. C: This choice undermines the significance of holistic nursing in home health by suggesting it is less holistic than other areas of community health nursing. D: This choice inaccurately implies that interdisciplinary collaboration conflicts