ATI RN
Community Health Nursing Practice Questions Questions
Question 1 of 5
What practice is being implemented by the occupational health nurse (OHN) who removes a foreign body from a client's eye?
Correct Answer: C
Rationale: The correct answer is C: Secondary prevention. The OHN removing a foreign body from a client's eye is implementing secondary prevention. This is because secondary prevention focuses on early detection and treatment of health issues to prevent further complications. In this scenario, the OHN is intervening to address the existing problem (foreign body in the eye) before it can cause any further damage or complications. A: Primary care focuses on providing general healthcare services to promote overall health and prevent diseases. B: Primary prevention aims to prevent the occurrence of health issues before they occur through education, vaccinations, etc. D: Tertiary prevention involves managing and treating existing health conditions to prevent further complications.
Question 2 of 5
On the basis of projected increases in the number of older Canadian citizens, a planning committee wants to establish a daycare program for the community's elderly population. What stage would be used to assess the needs of this proposed program?
Correct Answer: A
Rationale: The correct answer is A: Preactive stage. In this stage, assessment of needs is done before implementing a program. For the daycare program for the elderly, assessing their specific requirements, preferences, and challenges is crucial for effective planning. The other choices are incorrect because: B: Reactive stage - This stage involves responding to an issue after it has occurred, not suitable for proactive planning. C: Inactive stage - This stage implies no action or planning, which is not appropriate for establishing a new program. D: Interactive stage - This stage involves engaging with stakeholders during program implementation, not specifically focused on assessing needs beforehand.
Question 3 of 5
Which of the following is the best way for a home health nurse (HHN) to help a client who has right-sided paresis secondary to a stroke?
Correct Answer: B
Rationale: The correct answer is B: Assisting the client with activities of daily living (ADLs). This is the best way for a home health nurse to help a client with right-sided paresis following a stroke because it promotes the client's independence and functional abilities. By assisting the client with ADLs, the nurse can help the client maintain their dignity and sense of self-worth while also focusing on rehabilitation and improving physical abilities. Choice A is incorrect because arranging for private duty nurses may not necessarily promote the client's independence and may not address the client's specific needs related to paresis. Choice C is incorrect because teaching self-care may not be feasible for a client with right-sided paresis, and they may require physical assistance. Choice D is incorrect because while teaching the family to assist the client with ADLs is important, the primary responsibility for direct care lies with the nurse in this scenario.
Question 4 of 5
Which was the first province in Canada to establish a public health nursing service?
Correct Answer: A
Rationale: The correct answer is A: Nova Scotia. Nova Scotia was the first province in Canada to establish a public health nursing service in 1908. This initiative was led by Jessie Ross, a pioneering public health nurse. Nova Scotia's early recognition of the importance of public health nursing laid the foundation for other provinces to follow suit. Summary: B: Ontario - Ontario established a public health nursing service in 1921, after Nova Scotia. C: British Columbia - British Columbia established a public health nursing service in 1919, after Nova Scotia. D: Manitoba - Manitoba established a public health nursing service in 1919, after Nova Scotia.
Question 5 of 5
Which action proposed to prevent problems related to coronary artery disease (CAD) in a region with a high prevalence is most likely to have positive outcomes?
Correct Answer: A
Rationale: The correct answer is A because it addresses prevention strategies at multiple levels - early education in schools, community-wide awareness through presentations, and targeted education for high-risk populations. Introducing heart health information in Grade 1 can establish lifelong healthy habits. Presentations for the community will reach a wider audience, promoting awareness and behavior change. Special education sessions for high-risk populations ensure tailored interventions. Choice B focuses on online activities and screenings, which may not be as effective in reaching the entire population. Choice C includes some good components like educational materials and screenings but lacks the comprehensive approach of choice A. Choice D is more focused on treatment and management rather than prevention, which is not as effective in addressing the high prevalence of CAD in the region.