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
Community health nurses (CHNs) have been advised by the medical director to give injections of hepatitis A immunoglobulin to selected susceptible persons in the event of a hepatitis A epidemic. What outcome will be the result?
Correct Answer: D
Rationale: The correct answer is D: Passive immunization. In this scenario, the administration of hepatitis A immunoglobulin provides temporary protection by transferring pre-formed antibodies from an immune individual to a susceptible person. This process does not stimulate the individual's immune system to produce its antibodies, hence it is considered passive immunization. This approach is effective for providing immediate protection against hepatitis A in susceptible persons during an outbreak. A: Active immunization involves administering a vaccine to stimulate the individual's immune system to produce antibodies. B: Long-lasting immunity usually results from active immunization, not passive immunization. C: Natural immunity typically occurs after an individual has been exposed to and recovered from a specific infection, not through passive immunization.
Question 3 of 5
For what reason should the school nurse recommend that an HIV-infected child not be allowed to attend school?
Correct Answer: B
Rationale: The correct answer is B because HIV-infected children have compromised immune systems and routine immunizations can pose a risk to their health. Allergies (A) and chicken pox outbreak (C) are not direct reasons for exclusion. Parental objections (D) should not dictate public health decisions.
Question 4 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 5 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.