ATI RN
Community Health Nursing 2 Exam Questions and Answers Questions
Question 1 of 5
What community health nursing action can help prevent depression in older persons who are at high risk for it?
Correct Answer: B
Rationale: The correct answer is B, monitoring for signs and symptoms of depression. This is crucial in preventing depression in older persons as early detection allows for timely intervention. Choice A is incorrect as isolation in a nursing home may worsen depression. Choice C is not specific enough to target high-risk individuals. Choice D, while positive, doesn't address the need for active monitoring and intervention. Therefore, choice B is the best option for preventive action.
Question 2 of 5
The incidence of type 2 diabetes among Indigenous peoples (First Nations, Inuit, and Métis) is three to five times higher than in the general population. When teaching a nutrition class to a group of mostly Indigenous students, the community health nurse (CHN) incorporates into the presentation such foods as bannock and other healthy dishes familiar to Indigenous students. What level of prevention does this culturally sensitive action represent?
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. This action falls under primary prevention because it aims to prevent the occurrence of type 2 diabetes in Indigenous peoples by promoting healthy eating habits through culturally sensitive foods. By incorporating familiar and healthy dishes into the nutrition class, the community health nurse is focusing on preventing the development of the disease before it occurs. This approach addresses the underlying risk factors for diabetes, such as poor diet, in a proactive manner. Summary of other choices: B: Secondary prevention involves early detection and treatment of a disease to prevent complications. This action does not focus on early detection but rather on prevention. C: Tertiary prevention focuses on managing complications and improving quality of life for those already diagnosed with a disease. This action is aimed at preventing diabetes rather than managing its complications. D: This action is primarily focused on preventing the occurrence of type 2 diabetes before it develops, making it more aligned with primary prevention than secondary prevention.
Question 3 of 5
Which of the following represents the main difference between parish nursing and all other fields of nursing?
Correct Answer: A
Rationale: The correct answer is A: Affiliation with a church or congregation. Parish nursing specifically involves nurses who work within a religious community, providing health services and support to members of that congregation. This affiliation with a church or congregation is the main distinguishing factor between parish nursing and other fields of nursing. B, C, and D may also be aspects of parish nursing, but they are not the main difference that sets it apart from other fields of nursing. B focuses on incorporating spiritual aspects into care, which can be present in various nursing specialties. C, holistic care, is a common approach in nursing that aims to address the physical, emotional, social, and spiritual needs of patients. D, residence within the community, is important for community-based nursing but is not unique to parish nursing.
Question 4 of 5
The Industrial Revolution caused earlier caregiving approaches—where care was provided by families, friends, and neighbours—to become inadequate because of constantly increasing demand. Which situation also contributed to the inadequacy of caregiving approaches at this time?
Correct Answer: C
Rationale: The correct answer is C: Migration and urbanization. Rationale: 1. Migration and urbanization led to overcrowded cities, resulting in a larger population needing care. 2. Urban areas lacked the close-knit community support found in rural settings, making it harder for families, friends, and neighbors to provide adequate care. 3. Increased mobility due to migration made it challenging for caregivers to stay connected with those in need of care, further straining caregiving approaches. Summary of other choices: A: Ongoing wars may have increased the need for caregiving but did not directly contribute to the inadequacy of caregiving approaches. B: Horrific plagues could have overwhelmed healthcare systems but did not address the changing dynamics of caregiving approaches. D: The need to pay caregivers is a different aspect of caregiving but did not directly contribute to the inadequacy of caregiving approaches during the Industrial Revolution.
Question 5 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.