What community health nursing action would best ensure long-term positive health outcomes in pregnant adolescents from low-income groups and their children?

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ATI Community Health Nursing Test Bank Questions

Question 1 of 5

What community health nursing action would best ensure long-term positive health outcomes in pregnant adolescents from low-income groups and their children?

Correct Answer: B

Rationale: The correct answer is B because completing education can empower adolescent mothers to secure better job opportunities, higher income, and improved living conditions, leading to long-term positive health outcomes for themselves and their children. This choice addresses the root causes of health disparities in low-income groups by promoting education as a key factor in breaking the cycle of poverty and improving overall well-being. A: Learning about body changes during pregnancy is important but does not address the broader social determinants of health that impact long-term outcomes. C: Offering courses in proper baby care is beneficial but does not address the underlying issues of education and socioeconomic status. D: Monitoring for pregnancy problems is crucial for immediate health concerns but does not address the long-term health and well-being of the adolescent mothers and their children.

Question 2 of 5

Which statement made by a parent indicates a need for more education about child abuse?

Correct Answer: B

Rationale: The correct answer is B because the parent's statement indicates emotional abuse through threats of harm and fear tactics. Yelling and using scare tactics like the boogeyman can have long-lasting negative effects on a child's emotional well-being, leading to anxiety and insecurity. Choice A shows progress in managing anger and using positive discipline techniques. Choice C demonstrates a parent trying to use a common discipline method, although the child's coping difficulties may need further support. Choice D shows a parent using distraction and removal techniques, which are generally considered appropriate strategies for managing tantrums.

Question 3 of 5

Women who develop vaginal fungal infections (commonly referred to as yeast infections) usually have a history of having been prescribed antibiotics for bacterial infections. Which component of the epidemiological triangle (agent–host–environment) contributes most to the development of vaginal infections?

Correct Answer: C

Rationale: Rationale: The correct answer is C: Host. Antibiotics disrupt the normal vaginal flora, creating an environment conducive to yeast overgrowth. The host's susceptibility to infection due to altered microbiota is the primary factor in developing vaginal fungal infections. The agent (yeast) and the environment (vaginal environment) play secondary roles. Choice A is incorrect because the yeast is the agent causing the infection, but it is the host's response that determines infection development. Choice B is incorrect because the vaginal environment is affected by antibiotics, but it is the host's response that leads to infection. Choice D is incorrect because while both agent and host are involved, it is the host's susceptibility that is the key factor.

Question 4 of 5

A student asks the school nurse how acquired immune deficiency syndrome (AIDS) is diagnosed. Which answer is correct?

Correct Answer: B

Rationale: The correct answer is B because antibodies to HIV are typically detected in the blood within 6 weeks to 3 months after infection, indicating exposure to the virus. This seroconversion period is when the body starts producing antibodies to fight the HIV virus. The presence of these antibodies in the blood is a key indicator of HIV infection, leading to a diagnosis of AIDS. Choice A is incorrect because a negative ELISA result does not diagnose AIDS, as it only indicates the absence of HIV antibodies. Choice C is incorrect as there is no specific peak level of HIV antibodies required for diagnosis. Choice D is incorrect because a positive ELISA result alone is not sufficient to diagnose AIDS; clinical signs and symptoms must also be present.

Question 5 of 5

A client with tuberculosis (TB) wants to know why directly observed therapy (DOT) is required as part of the treatment. What community health nurse (CHN) response would be the most appropriate one?

Correct Answer: B

Rationale: The correct answer is B because directly observed therapy (DOT) is recommended by TB experts to ensure treatment adherence and prevent drug resistance. TB treatment requires strict adherence to a regimen to prevent the development of drug-resistant strains. DOT involves a healthcare provider directly observing the client taking their medication to ensure compliance. Choice A addresses nonadherence but does not emphasize the importance of preventing drug resistance. Choices C and D are incorrect as they do not directly relate to the main purpose of DOT in preventing drug resistance and ensuring treatment effectiveness.

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