ATI RN
NCLEX Questions and Answers in Community Health Nursing Questions
Question 1 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.
Question 2 of 5
What practice is being implemented by the occupational health nurse (OHN) who periodically conducts spirometry testing of employees working with hazardous gases?
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. Spirometry testing by the OHN aims to detect early signs of respiratory issues in employees exposed to hazardous gases, preventing further health deterioration. This falls under secondary prevention, as it involves early detection and intervention to reduce the impact of the disease. Primary prevention (A) focuses on preventing disease before it occurs, while tertiary prevention (C) and tertiary care (D) are aimed at managing and treating existing health conditions. Conducting spirometry testing aligns with the goal of secondary prevention, making it the most suitable choice in this scenario.
Question 3 of 5
In addition to the common barriers faced by most rural residents, what is an additional barrier to health care that a Mexican migrant farm worker is more likely to encounter?
Correct Answer: A
Rationale: The correct answer is A: Absence of culturally appropriate care. Mexican migrant farm workers face language barriers, lack of understanding of the healthcare system, and cultural differences that can impact their ability to access and receive appropriate care. Culturally appropriate care considers their beliefs, practices, and language preferences, promoting trust and improving health outcomes. B: Availability of specialists may not be a specific additional barrier for Mexican migrant farm workers compared to other rural residents. C: Distance of health care facilities affects all rural residents similarly and is not unique to Mexican migrant farm workers. D: Lack of anonymity is not a significant additional barrier for Mexican migrant farm workers in accessing healthcare compared to the cultural barriers they face.
Question 4 of 5
How is health promotion distinct from health protection?
Correct Answer: B
Rationale: Health promotion is distinct from health protection because it focuses on empowering individuals to have increased control over factors influencing their health. This includes education, lifestyle changes, and creating supportive environments. Choice A is incorrect as quality of care is not the primary focus of health promotion. Choice C is incorrect as health promotion is not limited to the delivery of care by healthcare providers. Choice D is incorrect as health promotion is broader than just social marketing campaigns, encompassing a range of strategies to improve health outcomes.
Question 5 of 5
The Canadian Community Health Nursing Standards of Practice identifies a community health nurse (CHN)'s role as advocate in creating public policy, as supporter of community action to influence public policy, and as instrument for societal change. What is an example of a healthy public policy?
Correct Answer: A
Rationale: The correct answer is A: Immunizations. Healthy public policies are those that promote and protect health at a population level. Immunizations are a classic example as they prevent the spread of infectious diseases, reduce healthcare costs, and improve overall community health outcomes. Immunizations align with the role of a community health nurse as an advocate for public policy that benefits the community's health. Choice B (Behaviour change) is not a public policy but rather an individual-level intervention. Choice C (Marketing materials) is not a public policy related to health promotion. Choice D (Crib/bed safety initiatives for infants and young children) is important for child safety, but it does not fall under the category of a healthy public policy.