ATI RN
Community Health Nursing 2 Exam Questions and Answers Questions
Question 1 of 5
The CHN can enhance the sensitivity and specificity of a test by using its predictive value. Which one of the following best defines positive predictive value?
Correct Answer: D
Rationale: Positive predictive value (PPV) is the proportion of individuals with a positive test result who actually have the disease. This is crucial in determining the likelihood that a positive test accurately identifies a true positive case. By calculating PPV, we can assess the test's ability to predict the presence of the disease. In this context, the CHN (clinical history and physical examination) can help improve the accuracy of test results by enhancing the predictive value. Choice A is incorrect because it describes the negative predictive value, which is the proportion of individuals with a negative test result who are actually disease-free. Choice B is incorrect as it refers to the variability of the trait being measured, not predictive value. Choice C is incorrect as it discusses inconsistencies in the testing instrument, which are unrelated to predictive value.
Question 2 of 5
For the community health nurse (CHN) who plans to move from an urban centre to a rural region of the country, which one of the following statements should be included in the advice on preparing for role alterations?
Correct Answer: B
Rationale: The correct answer is B: "Expect to have less autonomy than you have working as a CHN in the city." Rationale: 1. Rural settings often have limited healthcare resources and personnel, leading to CHNs having to work with fewer colleagues and support staff. 2. CHNs in rural areas may need to collaborate more closely with other healthcare providers due to limited resources, reducing their autonomy. 3. In rural areas, CHNs may encounter unique challenges such as lack of specialized services, requiring them to consult and collaborate more with external resources. Summary of other choices: A: Incorrect. Assuming community members will hold the CHN in higher regard is not a universal truth and may lead to unrealistic expectations. C: Incorrect. Rural areas often have limited resources, including supplies and clinics, making this statement inaccurate. D: Incorrect. While developing specialized knowledge is important, rural CHNs may need to be versatile and adaptable due to limited resources.
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
When assessing immigrant access to regional health care, which data collection method would best provide key information about the community?
Correct Answer: B
Rationale: The correct answer is B: Informant interviews with local community members. This method is best because it directly involves the individuals within the community who have firsthand knowledge and experience regarding immigrant access to regional health care. They can provide valuable insights and perspectives that may not be captured through other methods. A: Interviews with employees of the local health board may provide some insights, but they may not have the same level of direct experience and perspective as community members. C: Interview with a legislator or local politician may offer a broader policy perspective, but may not capture the specific experiences of community members. D: Interview with a public health official may provide valuable information, but may not offer the same depth of insights as direct interactions with community members.
Question 5 of 5
A community health nurse (CHN) is the leader of a group that has the stated purpose of improving cardiovascular fitness. Which leadership style can the CHN adopt to increase member involvement and the group's progress toward health goals?
Correct Answer: B
Rationale: The correct answer is B: Democratic. A democratic leadership style promotes member involvement, decision-making, and collaboration, which can enhance group cohesion and motivation towards achieving health goals. This style allows for input from all members, fostering a sense of ownership and commitment. Rationale: A: Authoritarian style is too controlling and may hinder member involvement and creativity. C: Patriarchal style is outdated and hierarchical, not conducive to promoting collaboration and equal participation. D: Paternal style may be seen as patronizing and may not empower members to take ownership of their health goals.