ATI RN
NCLEX Questions and Answers in Community Health Nursing Questions
Question 1 of 5
The Canadian Community Health Nursing Standards of Practice identifies a community health nurse (CHN)'s role as advocate in creating public policy, as supporter of community action to influence public policy, and as instrument for societal change. What is an example of a healthy public policy?
Correct Answer: A
Rationale: The correct answer is A: Immunizations. Healthy public policies are those that promote and protect health at a population level. Immunizations are a classic example as they prevent the spread of infectious diseases, reduce healthcare costs, and improve overall community health outcomes. Immunizations align with the role of a community health nurse as an advocate for public policy that benefits the community's health. Choice B (Behaviour change) is not a public policy but rather an individual-level intervention. Choice C (Marketing materials) is not a public policy related to health promotion. Choice D (Crib/bed safety initiatives for infants and young children) is important for child safety, but it does not fall under the category of a healthy public policy.
Question 2 of 5
A health care provider is concerned about the high number of clients with type 2 diabetes who have poor glucose control. In order to implement evidence-informed practice to manage this problem, what would be the best reference for the health care provider to use?
Correct Answer: B
Rationale: The correct answer is B: Current research findings. Research findings provide evidence-based information that is supported by rigorous scientific methods, ensuring credibility and accuracy. By using current research, the health care provider can make informed decisions based on the most up-to-date and relevant information. Published protocols (A) may be valuable, but they can become outdated and may not always reflect the latest evidence. Colleagues' opinions (C) are subjective and may not be based on scientific evidence. Media reports (D) can be sensationalized and often lack the depth and accuracy required for evidence-informed practice.
Question 3 of 5
What was considered to be the first code of ethics for nurses?
Correct Answer: A
Rationale: The correct answer is A: The Nightingale Pledge. This is because the Nightingale Pledge, named after Florence Nightingale, is considered the first formal code of ethics for nurses. It was created in 1893 and emphasizes principles of ethical practice and patient care. The other choices, B, C, and D, are incorrect as they are more recent codes developed by professional nursing organizations in the United States and Canada. While these codes are important in guiding contemporary nursing practice, they were not the first formal code of ethics for nurses like the Nightingale Pledge.
Question 4 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 asks, "What sort of example does this behaviour set for the community? What if everyone always put their jobs before their families?" What type of thinking is this CHN applying?
Correct Answer: A
Rationale: The correct answer is A: Communitarianism. The CHN is focusing on the impact of the family's actions on the community as a whole. Communitarianism emphasizes the importance of considering the well-being of the community and the common good. The CHN is concerned about the example being set for others and the potential consequences if everyone prioritizes work over family. Summary: B: Deontological ethics focuses on duty and moral rules, not community impact. C: Principlism uses ethical principles like autonomy, beneficence, non-maleficence, and justice, not community impact. D: Utilitarianism looks at maximizing overall happiness, not necessarily community values.
Question 5 of 5
When working with a parent who will not vaccinate their child, what is the best way the public health nurse can work through this ethical dilemma?
Correct Answer: A
Rationale: The correct answer is A: Apply the Oberle and Raffin model. This model involves four steps: recognizing the ethical issue, reflecting on personal values, considering the ethical principles, and applying the model to make a decision. It is crucial for the public health nurse to approach the situation ethically, considering the well-being of the child and the community. Discussing with colleagues or consulting with a friend who also does not vaccinate may introduce bias and not provide a comprehensive ethical perspective. Starting a research study does not directly address the immediate ethical dilemma the nurse is facing. By following the Oberle and Raffin model, the nurse can navigate the ethical dilemma in a systematic and ethical manner.