ATI RN
NCLEX Questions and Answers in Community Health Nursing Questions
Question 1 of 9
How is health promotion distinct from health protection?
Correct Answer: B
Rationale: Health promotion is distinct from health protection because it focuses on empowering individuals to have increased control over factors influencing their health. This includes education, lifestyle changes, and creating supportive environments. Choice A is incorrect as quality of care is not the primary focus of health promotion. Choice C is incorrect as health promotion is not limited to the delivery of care by healthcare providers. Choice D is incorrect as health promotion is broader than just social marketing campaigns, encompassing a range of strategies to improve health outcomes.
Question 2 of 9
Which statement made by a seminar participant indicates that the speaker needs to further clarify teaching about environmental principles?
Correct Answer: C
Rationale: The correct answer is C because the statement "The solution to pollution is prosecution" oversimplifies the complex issue of environmental pollution. It implies that legal action alone can solve environmental problems, ignoring the importance of prevention, education, and sustainable practices. In contrast, choices A, B, and D reflect a better understanding of environmental principles by acknowledging interconnectedness, the concept of waste disposal, and the dynamic nature of environmental solutions.
Question 3 of 9
A mother confides to the community health nurse (CHN) that her live-in boyfriend pushed her 2-year-old child because he was crying too much. She begs the CHN not to tell anyone because her boyfriend has agreed to take anger management classes. What should the CHN do?
Correct Answer: D
Rationale: The correct answer is D: Report the incident to the child protection agency. The CHN has a legal and ethical duty to protect the child from harm. Reporting to the child protection agency ensures the child's safety and well-being. The boyfriend's behavior of pushing a child is abusive and potentially dangerous. Ignoring the situation could lead to further harm to the child. Abiding by the mother's wishes (choice A) would prioritize confidentiality over the child's safety. Arranging counselling for the boyfriend (choice B) does not address the immediate risk to the child. Advicing the mother to take the child away (choice C) may not guarantee the child's safety if the boyfriend is not held accountable for his actions. Reporting to the child protection agency is the most appropriate and responsible action to safeguard the child's welfare.
Question 4 of 9
Which argument was used to convince the Metropolitan Life Insurance Company to establish the first community health nursing program for workers in 1909?
Correct Answer: D
Rationale: The correct answer is D because using Public Health Nurses (PHNs) to keep workers healthier leading to increased productivity aligns with the company's primary goal of maximizing profits. This argument appeals to the company's financial interests by linking employee health to productivity. Choice A is incorrect because moral reasons alone may not be sufficient to convince a company to invest in a program. Choice B is incorrect because the cost comparison is not the main driver for establishing the program. Choice C is incorrect as although it may have some benefits, the primary concern for the company would likely be the bottom line, making choice D the most persuasive argument.
Question 5 of 9
The community health nurse (CHN) has identified that a knowledge deficit is the primary reason why new mothers in a region choose not to breastfeed and wants to determine the best strategy to implement an intervention. What should this intervention emphasize?
Correct Answer: B
Rationale: The correct answer is B: Process dimension. The intervention should emphasize understanding the steps involved in breastfeeding to address the knowledge deficit. Process dimension focuses on the actions and procedures involved in a task, which is crucial for new mothers to learn how to breastfeed effectively. A: Alternate dimension does not directly address the knowledge deficit regarding breastfeeding and may confuse new mothers. C: Status dimension is more related to social roles and hierarchy, not directly relevant to addressing a knowledge deficit on breastfeeding. D: Structural dimension typically refers to organizational structure or systems, which is not the primary focus when addressing a knowledge deficit in breastfeeding.
Question 6 of 9
Which one of the following options best defines the term aggregate?
Correct Answer: B
Rationale: The correct answer is B: An aggregate is a collection of individuals and families. This definition encompasses the idea that an aggregate consists of multiple components, including both individuals and families. It is broader than the other options as it includes both people and their immediate social units. A: "An aggregate is a large group" is too vague and lacks specificity compared to the correct definition. C: "An aggregate is a group within a population" is not as comprehensive as the correct definition, as it implies that an aggregate is a subset of the larger population without specifying the exact composition of the group. D: "An aggregate is another name for a demographic group" is incorrect because while demographics may be a part of an aggregate, it does not encompass the full scope of what an aggregate represents.
Question 7 of 9
In order to increase the proportion of noninstitutionalized adults who are vaccinated annually against influenza, a nurse practitioner has established a mobile clinic. What part of the nursing process is fulfilled by delivering immunization services?
Correct Answer: C
Rationale: The correct answer is C: Intervention. The nurse practitioner is delivering immunization services through the mobile clinic to increase vaccination rates. This falls under the intervention phase of the nursing process, where actions are taken to achieve the desired outcomes. Goal setting (A) involves establishing specific objectives, planning (B) involves developing a strategy to achieve those goals, and evaluation (D) involves assessing the effectiveness of the interventions. In this scenario, the nurse practitioner is actively providing the immunizations, which aligns with the intervention phase of the nursing process.
Question 8 of 9
What action should a community health nurse (CHN) take when using the case management approach with structurally vulnerable populations?
Correct Answer: A
Rationale: Step 1: Establishing trust and rapport is crucial in case management with structurally vulnerable populations. Step 2: Long-term relationships allow CHNs to understand complex needs and provide holistic care. Step 3: CHNs should support families without imposing control to empower them. Step 4: Consistency in relationships fosters stability and continuity of care. Therefore, choice A is correct as it emphasizes building long-term relationships based on trust and support. Choices B, C, and D are incorrect as they do not prioritize the establishment of trusting relationships and empowerment of families.
Question 9 of 9
A community health nurse (CHN) is asked by a parent group to explain the risk factors for alcoholism. What statement should the CHN include in the explanation?
Correct Answer: B
Rationale: The correct answer is B: Alcoholism is determined partly by genes. This answer is correct because research has shown that genetics play a significant role in predisposing individuals to alcoholism. Studies have identified specific genes that can increase the risk of developing alcohol use disorder. However, it is important to note that environmental factors also play a crucial role in the development of alcoholism. A: Alcoholism is not solely determined by the environment; genetics also play a role. C: Alcoholism rates may vary between genders, but it is not accurate to generalize that it is higher in women. D: Persons born with fetal alcohol syndrome have a higher risk of developing alcohol-related issues, but this does not mean they are alcoholics from birth.