ATI RN
Community Health Nursing Practice Questions Questions
Question 1 of 5
Whenever possible, population-based practice focuses on which level of prevention?
Correct Answer: A
Rationale: Population-based practice focuses on primary prevention because it aims to prevent diseases or health issues before they occur by addressing the root causes within the entire population. This approach involves implementing strategies such as promoting healthy behaviors, vaccination programs, and environmental changes to improve overall health outcomes. Secondary prevention focuses on early detection and treatment of diseases, tertiary prevention focuses on managing complications and preventing further deterioration, and individual prevention is focused on individual-level interventions rather than population-wide strategies. Therefore, primary prevention is the most appropriate level for population-based practice to promote health and prevent diseases effectively.
Question 2 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 3 of 5
At a local hospital, postpartum care policy requires that nurses observe the mother to assess her ability to care for the new baby and to promote bonding. A new immigrant mother says that, in her country, all infant care is provided by family members so that the mother can rest and recover. In her home country, it is believed that if the mother does not recover sufficiently, she will be unable to provide the best care. What actions will the culturally competent nurse take?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates cultural competence and respect for the mother's beliefs. By allowing family members to provide care and assessing the mother's knowledge of childcare through discussion, the nurse is acknowledging and respecting the mother's cultural practices while also ensuring the well-being of the baby. This approach promotes understanding and collaboration between the nurse and the mother, leading to better outcomes for both. Choice B is incorrect because it dismisses the mother's cultural beliefs and may come across as judgmental. Choice C is incorrect because it ignores the mother's cultural practices and imposes Western beliefs on her. Choice D is incorrect because it is authoritarian and does not take into account the mother's cultural background and beliefs.
Question 4 of 5
What is the focus of the definition of health in the Ottawa Charter on Health Promotion?
Correct Answer: A
Rationale: The correct answer is A: Health is an outcome. In the Ottawa Charter on Health Promotion, the focus is on health as an outcome of various determinants such as social, economic, and environmental factors, not just the absence of illness. This definition emphasizes that health is a result of individual and collective efforts to promote well-being. Choice B is incorrect because the Ottawa Charter emphasizes the importance of maintaining and promoting health, not prioritizing enjoyment over health. Choice C is incorrect as it does not fully capture the complexity of health as an outcome influenced by various factors beyond daily activities. Choice D is incorrect as health is not solely about maintaining a stable environment but rather a holistic outcome of multiple determinants.
Question 5 of 5
During a group counselling session for perpetrators of intimate partner violence, which client statement indicates a lack of insight into his violent behaviour?
Correct Answer: A
Rationale: The correct answer is A because the statement indicates a lack of insight into his violent behavior by attributing the violence to external factors (work frustrations) rather than taking personal responsibility. Choice B shows remorse and acknowledges the harm caused. Choice C demonstrates awareness and a plan for managing anger. Choice D recognizes the link between alcohol and abusive behavior. Overall, A is the only statement that deflects accountability for the violence onto external factors, showing a lack of insight into personal responsibility.