ATI RN
Community Health Nursing Practice Questions Questions
Question 1 of 5
Which action by a case manager would be classified as primary prevention?
Correct Answer: C
Rationale: Primary prevention aims to prevent the occurrence of a health issue before it happens. In this case, educating a group about community services aligns with primary prevention by providing information to potentially avoid future health problems. This action focuses on promoting health and well-being in the community before any specific health issues arise. Advocating for a client, collaborating between healthcare personnel, and resolving conflicts between healthcare facilities are important tasks but do not directly address preventing health issues before they occur.
Question 2 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.
Question 3 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 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
A community health nurse (CHN) asks a class to describe the ways in which HIV can be transmitted. Which student response indicates a need for additional teaching?
Correct Answer: A
Rationale: The correct answer is A because HIV is not transmitted through droplet spread from sneezing or coughing. HIV is primarily transmitted through specific body fluids such as blood, semen, vaginal fluids, and breast milk. Sneezing or coughing does not transmit the virus unless there is blood present in the respiratory secretions. Explanation: 1. Choice A is incorrect because HIV is not transmitted through droplet spread. 2. Choice B is correct as HIV can be transmitted through unprotected sex with an infected person. 3. Choice C is correct as sharing needles for drug use can transmit HIV. 4. Choice D is correct as HIV can be transmitted through contaminated blood products.