ATI RN
Community Health Nursing Exam Questions Questions
Question 1 of 5
What is the central, most important concept or action in nursing today?
Correct Answer: B
Rationale: The correct answer is B: Caring. Caring is the central concept in nursing as it forms the foundation of the nurse-patient relationship and influences all aspects of patient care. Nurses provide holistic care by addressing the physical, emotional, social, and spiritual needs of patients. Compassionate care enhances patient outcomes and promotes healing. Explanation for other choices: A: Adapting to technology is important, but it is not the central concept in nursing. Technology supports nursing practice but does not replace the human connection and empathy that caring provides. C: Distinguishing nursing care from medical care is important, but it is not the central concept. While nursing care has its unique focus, caring remains the core value that distinguishes nursing from other healthcare professions. D: Seeking evidence-based outcomes is crucial for quality care, but it is a methodological approach rather than the central concept. Caring guides the application of evidence-based practices to ensure patient-centered care.
Question 2 of 5
A health care worker tells the community health nurse (CHN), "It does no good to try to teach those Indigenous clients about nutrition because they will just eat whatever they want to, no matter how much we teach them." What behaviour does this statement exemplify?
Correct Answer: B
Rationale: The correct answer is B: Ethnocentrism. This behavior exemplifies ethnocentrism because the health care worker is imposing their own beliefs and values about nutrition onto Indigenous clients, assuming their own cultural norms are superior. Ethnocentrism involves judging other cultures based on one's own cultural standards. Summary: A: Cultural imposition is forcing one's own cultural beliefs onto others, which is not evident in this scenario. C: Racism involves discrimination based on race, which is not explicitly stated in the scenario. D: Stereotyping involves making assumptions about a group based on limited information, but the scenario specifically highlights a judgment based on cultural differences, not stereotypes.
Question 3 of 5
A nurse practitioner (NP) has just found out that her new immigrant client is not taking the penicillin prescribed because he believes his illness is "hot" and that penicillin, a "hot" medicine, will not provide balance. If the NP changes the penicillin to a different but equally effective antibiotic, which cultural attribute will the NP be demonstrating?
Correct Answer: B
Rationale: The correct answer is B: Cultural brokering. By changing the antibiotic to accommodate the client's cultural beliefs, the NP is engaging in cultural brokering, which involves bridging the gap between different cultures to provide effective healthcare. This demonstrates the ability to negotiate and adapt care to align with the client's cultural perspectives, promoting trust and cooperation. Other choices are incorrect because: A: Cultural awareness refers to recognizing and understanding different cultures, but the NP's actions go beyond awareness to actively adjusting care. C: Cultural knowledge is important but does not capture the dynamic interaction and adaptation required in this scenario. D: Cultural skill typically involves the ability to communicate effectively across cultures, which is not the primary focus in this situation.
Question 4 of 5
Which actions could be taken by the community health nurse (CHN) who wishes to provide secondary prevention to decrease the incidence of obesity in elementary school children?
Correct Answer: A
Rationale: The correct answer is A because giving a presentation on the importance of exercise and physical fitness aligns with secondary prevention strategies for obesity. This educational approach aims to raise awareness and promote healthy behaviors to prevent obesity rather than treating existing cases. It focuses on early intervention and educating children on healthy habits. Choices B, C, and D are incorrect because designing a game or weighing students do not directly address preventive measures for obesity. Putting students on a diet without proper assessment or medical supervision can be harmful and is not recommended as a primary approach in a school setting.
Question 5 of 5
A community health nurse (CHN) determines that out of 8,000 women screened for breast cancer, 35 have previously been diagnosed with a cancer event and 20 are newly diagnosed with a cancer event. What is the prevalence rate in this group?
Correct Answer: D
Rationale: The prevalence rate is the total number of existing cases in a population at a given time. In this case, the total number of women with a cancer event is 35 (previously diagnosed) + 20 (newly diagnosed) = 55. To calculate prevalence rate, we divide the total number of cases (55) by the total population screened (8,000), giving us 55/8,000 = 0.006875 or 0.6875%, which is equivalent to 0.7% (Choice B). Therefore, the correct answer is D because it correctly represents the calculation for prevalence rate. Choice A is incorrect as it does not reflect the correct calculation. Choice C is incorrect as it presents the prevalence rate as a percentage without the correct value.