ATI RN
Foundations for Population Health in Community/Public Health Nursing Test Bank Questions
Question 1 of 5
Which activity to determine the best way to address an outbreak of a new infectious disease exemplifies evidence-informed practice?
Correct Answer: B
Rationale: The correct answer is B, reviewing outcomes of clinical trials. Evidence-informed practice involves using the best available evidence to guide decision-making. Clinical trials provide rigorous scientific evidence on the effectiveness of interventions, making them a reliable source for addressing new infectious diseases. Reviewing policies and procedures (A) may not be based on the most up-to-date evidence. Nursing textbooks (C) may not always reflect the latest research findings. Getting information from the internet (D) can be unreliable and may lack proper scientific rigor.
Question 2 of 5
A pregnant teenage client asks a community health nurse (CHN) to provide information on abortions and a list of health care providers who offer abortion services. The CHN has very strong personal beliefs against abortion that would get in the way of helping the client. What should the CHN do?
Correct Answer: A
Rationale: The correct answer is A: Call in another CHN to care for this client. The CHN's personal beliefs should not interfere with providing nonjudgmental care. By calling in another CHN, the client can receive unbiased information and support. This respects the client's autonomy and ensures they receive the information they requested without feeling judged. Option B is incorrect because imposing personal beliefs on the client is unethical and goes against the principle of client-centered care. Option C is inappropriate and unethical as it involves offering medication to induce an abortion without the client's consent. Option D is not the best choice as it does not address the client's specific request for information on abortion services.
Question 3 of 5
A team of community health nurses (CHNs) disagree about the appropriate treatment for Mrs. Mehta, who is likely an excellent candidate for hospice care. The first CHN says that deciding on care, rather than cure, is up to Mrs. Mehta, and no one else can decide for her. The second CHN says that it is the responsibility of the health care team to do what is best for Mrs. Mehta, and if the physician thinks there is still a possibility of cure, then the CHNs should do everything they can to implement the treatment plan. The third CHN says it is not fair for the family to expend all their resources on Mrs. Mehta, who is probably going to die in spite of the care provided by the health care team. What conclusions can be drawn from this dispute?
Correct Answer: A
Rationale: The correct answer is A: Ethical principles can conflict with each other. - The first CHN emphasizes patient autonomy, allowing Mrs. Mehta to decide on her care. - The second CHN prioritizes beneficence, aiming to provide the best care possible for Mrs. Mehta. - The third CHN focuses on the principle of utility, seeking to maximize benefits for all involved. - These conflicting perspectives highlight the complexity of ethical decision-making in healthcare where different principles may clash, requiring careful consideration and balancing of multiple values and priorities.
Question 4 of 5
Gilligan and Noddings both believe in the morality of responsibility in relationships. They emphasize connection. Which following term describes this belief?
Correct Answer: B
Rationale: The correct answer is B: A feminist ethic of care. Gilligan and Noddings both advocate for an ethic of care that prioritizes relationships and interconnectedness. This approach focuses on empathy, compassion, and understanding in moral decision-making. It differs from distributive justice (A), which is about fairness in distribution, a principled approach (C) that relies on rules and principles, and virtue ethics (D), which emphasizes developing moral character. The feminist ethic of care aligns with their emphasis on relational ethics and the importance of caring for others in ethical considerations.
Question 5 of 5
A community health nurse (CHN) often used to sit with his legs crossed at the knees when collecting a client's history. However, he stopped doing this around his Iranian clients after being told that they were offended because this posture exposed the sole of his foot. In changing his behaviour, which culture-related response did the CHN exhibit?
Correct Answer: A
Rationale: The correct answer is A: Cultural sensitivity. This is because the nurse demonstrated an understanding and respect for the cultural norms and beliefs of his Iranian clients by adjusting his behavior to avoid causing offense. Cultural sensitivity involves being aware of and respecting the differences in cultural practices and beliefs. Choice B, cultural awareness, is not the best answer because it implies a general understanding of different cultures but doesn't specifically address the nurse's adaptation of behavior. Choice C, cultural knowledge, is also not the best answer as it focuses more on factual information about a culture rather than the practical application of that knowledge. Choice D, cultural skill, is not the best answer as it typically refers to the ability to effectively communicate and interact with individuals from different cultures, rather than the specific act of changing behavior to accommodate cultural preferences.