ATI RN
Community Health Nursing 2 Exam Questions and Answers Questions
Question 1 of 5
In his document entitled Achieving Health for All: A Framework for Health Promotion, Epp supported a community and policy focus in health promotion. What did he recommend?
Correct Answer: C
Rationale: Step 1: Epp's document emphasizes community and policy focus in health promotion. Step 2: Public participation is crucial in community and policy-focused health promotion. Step 3: Epp recommended actions that foster public participation. Therefore, the correct answer is C. Summary: A: Cooperation with WHO is not directly related to community and policy focus. B: Denying social and economic goals contradicts Epp's approach. D: Focusing solely on disease prevention in limited areas goes against Epp's comprehensive approach.
Question 2 of 5
Which of the following represents a set of strategies and ideas aimed at reducing harm to an individual or society by modifying harmful or hazardous behaviours that are difficult and, in some cases, impossible to prevent?
Correct Answer: B
Rationale: The correct answer is B: Harm reduction. Harm reduction focuses on minimizing the negative consequences of risky behaviors rather than trying to eliminate them completely. It recognizes that certain behaviors may be difficult to prevent entirely and aims to reduce harm associated with those behaviors. Health promotion (A) focuses on promoting overall health and well-being rather than specifically addressing harmful behaviors. Tertiary care (C) refers to specialized medical care for individuals with complex healthcare needs and is not directly related to modifying behaviors. Risk avoidance (D) involves completely avoiding risky behaviors rather than mitigating their potential harm.
Question 3 of 5
A community health nurse (CHN) implemented an education program that incorporated computer games to reinforce learning in a community of older persons. Although earlier research had demonstrated evidence of improved retention of information by using this method, the CHN found exactly the opposite effect in this group of clients. What would be the most likely cause of the poor outcome in the education program?
Correct Answer: A
Rationale: The correct answer is A: Failure to consider client and contextual differences. In this scenario, the CHN implemented a program based on previous research showing improved retention using computer games. However, the negative outcome suggests that the older persons in this community have unique needs or preferences that were not accounted for. This failure to consider client and contextual differences likely led to the poor outcome. Choice B is incorrect because it assumes the evidence was not incorporated adequately, but the problem lies in not considering the specific needs of the older persons. Choice C is incorrect as the quality of research evidence was not the issue. Choice D is incorrect because the CHN's lack of skills in evaluating evidence does not directly explain the poor outcome; rather, it was the failure to consider client and contextual differences that led to the result.
Question 4 of 5
A community health nurse (CHN) facing an ethical dilemma is not able to determine which option would have the best outcome. She talks to her supervisor and lets the supervisor decide which action to take. Into which ethical category does the CHN's decision fall?
Correct Answer: C
Rationale: The correct answer is C because seeking guidance from the supervisor is a step toward resolving the ethical dilemma, but the ultimate responsibility still lies with the CHN. Letting the supervisor decide does not absolve the CHN of accountability for the choice made. This option allows for further discussion and reflection, ensuring that the CHN remains engaged in the decision-making process. Choice A is incorrect because the supervisor is not solely responsible for the CHN's choices; the CHN must still take ownership of the decision. Choice B is incorrect as it assumes the supervisor has all the answers, overlooking the importance of the CHN's own critical thinking and problem-solving skills. Choice D is also incorrect as community priorities do not necessarily align with ethical decision-making in this context.
Question 5 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. One CHN states, "But it doesn't have to be either–or. Perhaps the family members could take turns calling in sick for just 2 or 3 days. That way, they could all help and yet not upset their employers. Wouldn't that be fair?" What type of thinking is this CHN applying?
Correct Answer: C
Rationale: The correct answer is C: Principlism. Principlism is an ethical framework that involves identifying and applying ethical principles, such as autonomy, beneficence, nonmaleficence, and justice, to ethical dilemmas. In this scenario, the CHN is suggesting a solution that considers fairness and justice by proposing a compromise that allows family members to take turns calling in sick to care for the ill family member without risking their employment. This aligns with the principle of justice, as it aims to balance the needs of the ill family member with the responsibilities of the employed family members. The other options are incorrect because: A: Communitarianism focuses on the common good of the community, which is not explicitly addressed in the CHN's suggestion. B: Deontological ethics is based on duties and moral rules, which are not explicitly invoked in the CHN's suggestion. D: Utilitarianism is about maximizing overall happiness or utility, which is not explicitly the goal of