ATI RN
Community Health Assessment Questions Questions
Question 1 of 5
The nurse plans to implement a community health program targeting teenage smoking. Prior to initiating this program, which information is most important COMMUNITY HEALTH PRACTICE EXAM - VERSION A for the nurse to obtain?
Correct Answer: A
Rationale: The correct answer is A: The incidence of smoking among the teenage population in this community. This is crucial as it provides essential data on the extent of the problem, helping the nurse tailor the program to address the specific needs of the community. Understanding the prevalence of teenage smoking will guide the development of effective interventions. Incorrect answers: B: The amount of available funding is important but not as critical as understanding the prevalence of smoking in the community. C: While Healthy People objectives are important guidelines, knowing the actual incidence of smoking in the community is more directly relevant. D: This choice is incomplete and does not provide any relevant information for planning a community health program.
Question 2 of 5
Several employees who have a 10 year or longer hx of smoking ask the occupation nurse for assistance w/ smoking cessation. The RN develops a 2 month program that includes weekly group sessions on lifestyle changes and use of OTC products. Which measurement provides the best indication of the program's effectiveness?
Correct Answer: B
Rationale: The correct answer is B. Asking the employees to inform the group if they stop smoking and if they start back up provides the best indication of the program's effectiveness. This measurement directly tracks smoking behavior changes within the group, which is essential for evaluating the program's impact. It allows for real-time monitoring and feedback on individual progress. Choice A is not as effective because joining another smoking cessation group does not necessarily indicate success or failure of the current program. Choice C, surveying the employees about their smoking habits, may not provide accurate or timely information on actual behavior changes. Choice D, observing if employees are smoking in designated areas, is not reliable as employees may smoke outside of the observed areas. In summary, choice B is the best measurement as it directly tracks smoking behavior changes within the group, providing real-time feedback for evaluating the program's effectiveness.
Question 3 of 5
A community health RN believes that immunization rates in a lower socioeconomic section of the city are probably below the target set by the state health department. What action should the RN take FIRST to intervene with this health problem?
Correct Answer: C
Rationale: The correct answer is C: Review current epidemiological population data that might document a low immunization rate. This is the first action the RN should take because it provides objective evidence to confirm the suspicion of low immunization rates in the community. By reviewing the data, the RN can accurately assess the situation and determine the extent of the problem before implementing any interventions. Choice A (Take a health history on the members of the community) is incorrect because individual health histories may not provide a comprehensive view of the community's immunization rates. Choice B (Initiate an immunization program for the community) is incorrect because it is essential to first confirm the need for such a program through epidemiological data. Choice D (Refer all clients to the local health department) is incorrect as it does not address the root cause of the issue and may not be necessary if the RN can intervene effectively based on the epidemiological data.
Question 4 of 5
An assessment conducted last year of the health needs of children who attended a middle school indicated that bicycle injuries were a priority problem, so the RN developed a bicycle safety program. 6 weeks after completion of the program, a survey was sent home to parents & students. Which finding is the best indicator that the program was effective?
Correct Answer: A
Rationale: The correct answer is A because an increase in the number of students wearing helmets is a direct indicator that the bicycle safety program was effective. Wearing helmets reduces the risk of head injuries, which is crucial in preventing bicycle-related injuries. This change shows that the program successfully influenced the behavior of students to prioritize safety. Choice B is incorrect because a decrease in bruises from falls does not necessarily indicate that the safety program was effective as bruises are just one type of injury and not the most severe. Choice C is irrelevant as it pertains to a different safety measure (seatbelts in cars) and not related to the bicycle safety program. Choice D is also incorrect since knowing how to cross the street on a bicycle is important but does not directly measure the effectiveness of the overall safety program.
Question 5 of 5
Which provides the most accurate way to explain community health nursing?
Correct Answer: B
Rationale: Not only is community a context or place where a community health nurse gives care, but the community as a whole is the focus of the nurse's efforts. Being employed outside a medical center, providing care within the community, and working for a public health department all describe settings where a community health nurse may be employed, but do not demonstrate the emphasis on providing population-focused care.