ATI RN
Community Health Nursing 2 Exam Questions and Answers Questions
Question 1 of 5
What constitutes secondary prevention by a community health nurse (CHN) who wants to promote improved health in obese women?
Correct Answer: C
Rationale: The correct answer is C because secondary prevention involves early detection and intervention to prevent further progression of a disease. In this case, modifying diet and medications can help manage obesity-related health issues. Choice A focuses on primary prevention, Choice B is more specific to hypertension, and Choice D is more indicative of screening for diabetes, making them incorrect for the context of secondary prevention in obese women.
Question 2 of 5
Which type of thinking is most reflective of looking at a macroscopic, big-picture population focus?
Correct Answer: C
Rationale: The correct answer is C: Holistic thinking. This type of thinking involves considering the entire system or population as a whole, focusing on interconnections and relationships between different components. It looks at the big-picture perspective rather than individual parts. Collaborative thinking (A) involves working together with others, not necessarily focusing on the population as a whole. Upstream thinking (B) involves addressing root causes of issues before they occur, but it doesn't necessarily focus on the big-picture population perspective. Downstream thinking (D) focuses on addressing consequences or effects after they have occurred, rather than the broader population perspective. Therefore, holistic thinking best aligns with the macroscopic, big-picture population focus.
Question 3 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 4 of 5
Developing a communication strategy to keep community members informed is an example of which of the following components of community capacity building?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Developing a communication strategy involves acquiring skills in communication planning, implementation, and evaluation. 2. Skill development is crucial for effectively communicating with community members and keeping them informed. 3. This directly contributes to enhancing the capacity of the community to engage and participate. 4. Partnership building, documenting progress, and establishing planning teams are important but not directly related to communication skills development. Summary: A) Skill development is correct as it directly relates to communication strategy. B) Partnership building focuses on collaborating with other organizations. C) Documentation of progress involves tracking and reporting outcomes. D) Establishing a planning team group is about organizing and coordinating efforts.
Question 5 of 5
A physician refuses to order pain medication for a person with a substance use disorder who was severely injured in a car accident. When the community health nurse (CHN) requests medication to be used p.r.n., the physician states that the client's suffering from the pain of his injuries will build character. What ethical theory is the physician using (or misusing)?
Correct Answer: C
Rationale: The correct answer is C: Virtue ethics. The physician's belief that the client's suffering will build character aligns with the virtue ethics theory, which focuses on the moral character of the individual and the development of virtues like compassion and empathy. By refusing pain medication to teach a lesson, the physician is prioritizing character development over the client's well-being, which is a key aspect of virtue ethics. Summary: A: Consequentialism focuses on the outcomes of actions, not the character of the individual. B: Communitarianism emphasizes the importance of community values, not individual character development. D: Utilitarianism prioritizes maximizing overall happiness or well-being, not individual character building over pain relief.