ATI RN
Community Health Nursing Practice Questions Questions
Question 1 of 5
What constitutes tertiary prevention by a community health nurse (CHN) who wants to promote improved health in obese children?
Correct Answer: A
Rationale: Step 1: Tertiary prevention focuses on reducing the impact of an already established disease or condition. Step 2: Lifestyle improvement programs for obese children fall under tertiary prevention by helping manage and improve their condition. Step 3: Establishing these programs through local youth organizations allows for wide-reaching support and resources. Step 4: Evaluating food intake (B) is more related to primary prevention. Providing educational programs to overweight parents (C) is secondary prevention. Measuring BMI in well-child assessments (D) is more about early detection rather than tertiary prevention. Therefore, option A is the correct choice for promoting improved health in obese children through tertiary prevention.
Question 2 of 5
Community health nurses (CHNs) who work with older persons who have cognitive impairment and their caregivers should be aware of the difference between depression, delirium, and dementia, in order to identify the health concern accurately and intervene accordingly. What description relates specifically to dementia?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. Dementia is not a mood disorder (Choice A), as it primarily affects cognitive functions, not emotions. 2. Dementia is not acute confusion (Choice B), which is characteristic of delirium, a sudden change in mental status. 3. Dementia is more than just forgetfulness (Choice C), as it involves a decline in multiple cognitive abilities. 4. Choice D is correct as dementia is characterized by progressive intellectual impairment, affecting memory, language, problem-solving, and other cognitive functions.
Question 3 of 5
A community health nurse (CHN) researcher wants to know and better understand how the chronic illness of a child can affect a family's communication patterns, relationships, role expectations, and role behaviours. Which type of family nursing theory would best address the purpose of the CHN's research?
Correct Answer: B
Rationale: Step-by-step rationale for why choice B (Interactional theory) is correct: 1. Interactional theory focuses on how family members interact and communicate with each other. 2. It emphasizes the importance of relationships, communication patterns, and role expectations within the family. 3. This theory is best suited to understand how a child's chronic illness can impact family dynamics. 4. It helps in exploring how family members adapt and respond to changes in roles and relationships. 5. Unlike the other theories, Interactional theory directly addresses the impact of communication patterns and relationships on family dynamics. Summary of why other choices are incorrect: A: Developmental theory focuses on stages of family development, not specifically on communication patterns and relationships. C: Structure-function theory looks at the functions of family structures, not the impact of chronic illness on communication and relationships. D: Systems theory considers the family as a system with interrelated parts, but it does not specifically highlight communication patterns and relationships as central to understanding family dynamics in the context
Question 4 of 5
Which community health nursing (CHN) action has the most potential to empower the family of a mother with newly diagnosed breast cancer?
Correct Answer: C
Rationale: The correct answer is C - recommending that the mother join a cancer support group. This action empowers the family by providing emotional support, education, and connections with others facing similar challenges. It fosters a sense of community and understanding, helping the family cope better with the situation. A: Applying for financial assistance does not directly empower the family in dealing with the emotional and psychological impact of the diagnosis. B: While arranging for child care can be helpful practically, it does not address the emotional and psychological needs of the family. D: Teaching the family to navigate the health care system is important, but joining a support group provides emotional support and peer connections that are crucial in empowering the family.
Question 5 of 5
What is the main influence on the effectiveness of a group's work?
Correct Answer: B
Rationale: The correct answer is B: The group's leadership. Effective leadership is crucial in guiding and motivating a group towards achieving its goals. Leaders provide direction, support, and organization which directly impacts the effectiveness of a group's work. General knowledge (A) is important but leadership is needed to harness and utilize this knowledge effectively. Group diversity (C) can enhance creativity but leadership is essential to manage and leverage diversity. Group health behaviors (D) are important but not as influential as leadership in determining the overall effectiveness of a group's work.