People with immune deficiencies may have a negative tuberculosis (TB) skin test (Mantoux), even though they are infected. Which of the following measurements will the CHN conclude to be low when the TB skin test is given to persons with acquired immune deficiency syndrome (AIDS)?

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NCLEX Questions and Answers in Community Health Nursing Questions

Question 1 of 5

People with immune deficiencies may have a negative tuberculosis (TB) skin test (Mantoux), even though they are infected. Which of the following measurements will the CHN conclude to be low when the TB skin test is given to persons with acquired immune deficiency syndrome (AIDS)?

Correct Answer: C

Rationale: The correct answer is C: Sensitivity. When a person with AIDS receives a TB skin test, their immune system may be too weak to mount a response, leading to a false negative result. Sensitivity refers to the test's ability to correctly identify those with the disease, making it low in this case. A: Positive predictive value is the likelihood that a positive test result truly indicates the presence of the disease, which is not affected by the weakened immune system in AIDS. B: Reliability refers to the consistency of a test's results, which is not directly impacted by the immune deficiency in AIDS. D: Specificity is the test's ability to correctly identify those without the disease, which is also not directly influenced by the immune deficiency in AIDS.

Question 2 of 5

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 3 of 5

Which descriptors meet all of the criteria for identifying a potential client for a program?

Correct Answer: D

Rationale: The correct answer is D because it meets all the criteria for identifying potential clients for a program. Children aged 18 months to 5 years are a specific target group, indicating a clear demographic. The fact that they have been treated for nutritional deficiencies at the district health clinic suggests they have existing health issues that the program could address. Choice A is not correct because it includes all women in a broad age range without specifying any health or program-related criteria. Choice B is incorrect as it focuses on immigrants with language barriers rather than specific health or program needs. Choice C is not the best answer as it only mentions pregnant women who received nutritional counseling but does not specify any ongoing health issues or program needs.

Question 4 of 5

Which question would be most important to consider in order to evaluate a program designed to decrease obesity among school-aged children?

Correct Answer: C

Rationale: Step 1: Evaluating the effectiveness of a program designed to decrease obesity among school-aged children ultimately depends on whether the program has successfully achieved its intended outcome of reducing obesity rates. Step 2: Monitoring the decrease in obesity among the children directly assesses the impact and success of the program. Step 3: This metric provides concrete data to measure the program's effectiveness objectively. Step 4: Considering other factors like satisfaction of children, parental support, and cost-benefit analysis are important but secondary to the primary goal of reducing obesity rates. Step 5: Therefore, the most crucial question to consider in evaluating the program is whether obesity among school-aged children has decreased, making option C the correct answer.

Question 5 of 5

Which statement provides the best definition of women's health?

Correct Answer: C

Rationale: The correct answer is C because it provides the most comprehensive and inclusive definition of women's health. It acknowledges that women's health encompasses health promotion, protection, and maintenance throughout their entire lifespan, addressing various aspects beyond just gynecological and reproductive wellness. Choice A focuses solely on gynecological and reproductive aspects, limiting the scope of women's health. Choice B emphasizes specific life stages but overlooks the broader concept of women's health. Choice D narrows down women's health to the management of unique conditions, neglecting the preventive and holistic approach encapsulated in choice C. Overall, choice C best encapsulates the multifaceted nature of women's health.

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