ATI RN
NCLEX Questions and Answers in Community Health Nursing Questions
Question 1 of 5
Which argument was used to convince the Metropolitan Life Insurance Company to establish the first community health nursing program for workers in 1909?
Correct Answer: D
Rationale: The correct answer is D because using Public Health Nurses (PHNs) to keep workers healthier leading to increased productivity aligns with the company's primary goal of maximizing profits. This argument appeals to the company's financial interests by linking employee health to productivity. Choice A is incorrect because moral reasons alone may not be sufficient to convince a company to invest in a program. Choice B is incorrect because the cost comparison is not the main driver for establishing the program. Choice C is incorrect as although it may have some benefits, the primary concern for the company would likely be the bottom line, making choice D the most persuasive argument.
Question 2 of 5
Which descriptors meet all of the criteria for identifying a potential client for a program?
Correct Answer: D
Rationale: The correct answer is D because it meets all the criteria for identifying potential clients for a program. Children aged 18 months to 5 years are a specific target group, indicating a clear demographic. The fact that they have been treated for nutritional deficiencies at the district health clinic suggests they have existing health issues that the program could address. Choice A is not correct because it includes all women in a broad age range without specifying any health or program-related criteria. Choice B is incorrect as it focuses on immigrants with language barriers rather than specific health or program needs. Choice C is not the best answer as it only mentions pregnant women who received nutritional counseling but does not specify any ongoing health issues or program needs.
Question 3 of 5
People with immune deficiencies may have a negative tuberculosis (TB) skin test (Mantoux), even though they are infected. Which of the following measurements will the CHN conclude to be low when the TB skin test is given to persons with acquired immune deficiency syndrome (AIDS)?
Correct Answer: C
Rationale: The correct answer is C: Sensitivity. When a person with AIDS receives a TB skin test, their immune system may be too weak to mount a response, leading to a false negative result. Sensitivity refers to the test's ability to correctly identify those with the disease, making it low in this case. A: Positive predictive value is the likelihood that a positive test result truly indicates the presence of the disease, which is not affected by the weakened immune system in AIDS. B: Reliability refers to the consistency of a test's results, which is not directly impacted by the immune deficiency in AIDS. D: Specificity is the test's ability to correctly identify those without the disease, which is also not directly influenced by the immune deficiency in AIDS.
Question 4 of 5
Which type of conflict may be experienced when a community health nurse (CHN) supports a palliative care client's decision to die at home but the family physician believes that the client should be in a hospital?
Correct Answer: D
Rationale: The correct answer is D: Interdisciplinary conflict. This type of conflict arises when professionals from different disciplines have differing opinions or approaches to a situation. In this scenario, the conflict stems from the differing perspectives of the community health nurse (CHN) and the family physician regarding the best care setting for the palliative care client. The CHN prioritizes the client's preference for dying at home, while the physician may prioritize medical care in a hospital setting. This conflict highlights the clash between healthcare professionals' roles, expertise, and values, leading to potential disagreements on the best course of action. Interpersonal conflict (A) involves conflicts between individuals, whereas intrapersonal conflict (B) is an internal conflict within an individual. Intergroup conflict (C) typically involves conflicts between different groups, rather than individual professionals within a healthcare team.
Question 5 of 5
Which statement provides the best definition of women's health?
Correct Answer: C
Rationale: The correct answer is C because it provides the most comprehensive and inclusive definition of women's health. It acknowledges that women's health encompasses health promotion, protection, and maintenance throughout their entire lifespan, addressing various aspects beyond just gynecological and reproductive wellness. Choice A focuses solely on gynecological and reproductive aspects, limiting the scope of women's health. Choice B emphasizes specific life stages but overlooks the broader concept of women's health. Choice D narrows down women's health to the management of unique conditions, neglecting the preventive and holistic approach encapsulated in choice C. Overall, choice C best encapsulates the multifaceted nature of women's health.