ATI RN
NCLEX Questions and Answers in Community Health Nursing Questions
Question 1 of 5
When working with a parent who will not vaccinate their child, what is the best way the public health nurse can work through this ethical dilemma?
Correct Answer: A
Rationale: The correct answer is A: Apply the Oberle and Raffin model. This model involves four steps: recognizing the ethical issue, reflecting on personal values, considering the ethical principles, and applying the model to make a decision. It is crucial for the public health nurse to approach the situation ethically, considering the well-being of the child and the community. Discussing with colleagues or consulting with a friend who also does not vaccinate may introduce bias and not provide a comprehensive ethical perspective. Starting a research study does not directly address the immediate ethical dilemma the nurse is facing. By following the Oberle and Raffin model, the nurse can navigate the ethical dilemma in a systematic and ethical manner.
Question 2 of 5
What definition accurately reflects the meaning of the term health inequities?
Correct Answer: C
Rationale: The correct answer is C because health inequities refer to unjust and avoidable disparities in health outcomes that are rooted in social injustices. This definition highlights the importance of taking reasonable actions to address these disparities, such as ensuring access to healthcare and addressing social determinants of health. Choice A is incorrect as it focuses on the accumulation of factors leading to poor health, which is more aligned with the concept of health determinants. Choice B is incorrect as it suggests that individuals are solely responsible for their health outcomes, ignoring systemic factors. Choice D is incorrect as it only mentions variations in health status without emphasizing the unfairness and avoidability of these differences.
Question 3 of 5
A team of community health nurses (CHNs) disagree about the appropriate action to take in relation to a family with an ill family member who have chosen to continue working at their jobs instead of taking time off to care for the ill family member. One CHN asks, "What sort of example does this behaviour set for the community? What if everyone always put their jobs before their families?" What type of thinking is this CHN applying?
Correct Answer: A
Rationale: The correct answer is A: Communitarianism. The CHN is focusing on the impact of the family's actions on the community as a whole. Communitarianism emphasizes the importance of considering the well-being of the community and the common good. The CHN is concerned about the example being set for others and the potential consequences if everyone prioritizes work over family. Summary: B: Deontological ethics focuses on duty and moral rules, not community impact. C: Principlism uses ethical principles like autonomy, beneficence, non-maleficence, and justice, not community impact. D: Utilitarianism looks at maximizing overall happiness, not necessarily community values.
Question 4 of 5
Which one of the following groups has the highest life expectancy?
Correct Answer: D
Rationale: The correct answer is D because, statistically, females typically have a higher life expectancy than males due to various factors such as genetic, hormonal, and lifestyle differences. In this case, First Nations, Métis, and Inuit females would have the highest life expectancy among the given groups. In contrast, choices A and C involve males, who generally have lower life expectancies. Choice B, while also referring to Inuit individuals, specifies females, making it a closer contender but still less likely to have the highest life expectancy compared to the combined group in choice D.
Question 5 of 5
Which community health nursing activity demonstrates tertiary prevention related to mental health?
Correct Answer: C
Rationale: The correct answer is C because providing case management services that link clients with serious mental illnesses to mental health and community support services is an example of tertiary prevention. Tertiary prevention focuses on managing and reducing the impact of established conditions. By linking clients with mental illnesses to necessary support services, the aim is to prevent further deterioration of their mental health and improve their overall well-being. A: Disseminating information about mental health to community organizations is more aligned with primary prevention, aiming to prevent the onset of mental health issues. B: Partnering with PHNs for early identification of children with mental health challenges is related to secondary prevention, focusing on early detection and intervention to prevent the progression of mental health issues. D: Screening clients at high risk for mental disorders is also an example of secondary prevention, aimed at early detection and intervention before the onset of serious mental health issues.