ATI RN
Foundations for Population Health in Community/Public Health Nursing Test Bank Questions
Question 1 of 5
How is the contemplation stage for changing behaviour different from the precontemplation stage for changing behaviour?
Correct Answer: D
Rationale: The correct answer is D because during the contemplation stage, the individual is actively thinking about changing their behavior within the next 6 months. This stage involves weighing the pros and cons of changing behavior. Choice A is incorrect because in the contemplation stage, there is an intention to change within the specified time frame. Choice B is incorrect as there is a readiness to change in the contemplation stage. Choice C is incorrect because readiness to change behavior is not present in the precontemplation stage.
Question 2 of 5
Which activity to determine the best way to address an outbreak of a new infectious disease exemplifies evidence-informed practice?
Correct Answer: B
Rationale: The correct answer is B, reviewing outcomes of clinical trials. Evidence-informed practice involves using the best available evidence to guide decision-making. Clinical trials provide rigorous scientific evidence on the effectiveness of interventions, making them a reliable source for addressing new infectious diseases. Reviewing policies and procedures (A) may not be based on the most up-to-date evidence. Nursing textbooks (C) may not always reflect the latest research findings. Getting information from the internet (D) can be unreliable and may lack proper scientific rigor.
Question 3 of 5
Which of the following best represents the first step to take when using evidence-informed practice in the clinical setting?
Correct Answer: C
Rationale: The correct answer is C: Formulate the clinical question. This is the first step in evidence-informed practice as it helps focus on the specific issue, guiding the search for relevant evidence. Gathering data (B) comes after formulating the question. Eliminating protocols (A) is not necessary and may overlook valuable practices. Revising mission statements (D) is not directly related to the initial step of using evidence in clinical practice.
Question 4 of 5
A pregnant teenage client asks a community health nurse (CHN) to provide information on abortions and a list of health care providers who offer abortion services. The CHN has very strong personal beliefs against abortion that would get in the way of helping the client. What should the CHN do?
Correct Answer: A
Rationale: The correct answer is A: Call in another CHN to care for this client. The CHN's personal beliefs should not interfere with providing nonjudgmental care. By calling in another CHN, the client can receive unbiased information and support. This respects the client's autonomy and ensures they receive the information they requested without feeling judged. Option B is incorrect because imposing personal beliefs on the client is unethical and goes against the principle of client-centered care. Option C is inappropriate and unethical as it involves offering medication to induce an abortion without the client's consent. Option D is not the best choice as it does not address the client's specific request for information on abortion services.
Question 5 of 5
A team of community health nurses (CHNs) disagree about the appropriate treatment for Mrs. Mehta, who is likely an excellent candidate for hospice care. The first CHN says that deciding on care, rather than cure, is up to Mrs. Mehta, and no one else can decide for her. The second CHN says that it is the responsibility of the health care team to do what is best for Mrs. Mehta, and if the physician thinks there is still a possibility of cure, then the CHNs should do everything they can to implement the treatment plan. The third CHN says it is not fair for the family to expend all their resources on Mrs. Mehta, who is probably going to die in spite of the care provided by the health care team. What conclusions can be drawn from this dispute?
Correct Answer: A
Rationale: The correct answer is A: Ethical principles can conflict with each other. - The first CHN emphasizes patient autonomy, allowing Mrs. Mehta to decide on her care. - The second CHN prioritizes beneficence, aiming to provide the best care possible for Mrs. Mehta. - The third CHN focuses on the principle of utility, seeking to maximize benefits for all involved. - These conflicting perspectives highlight the complexity of ethical decision-making in healthcare where different principles may clash, requiring careful consideration and balancing of multiple values and priorities.