ATI RN
NCLEX Questions and Answers in Community Health Nursing Questions
Question 1 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 2 of 5
A mother confides to the community health nurse (CHN) that her live-in boyfriend pushed her 2-year-old child because he was crying too much. She begs the CHN not to tell anyone because her boyfriend has agreed to take anger management classes. What should the CHN do?
Correct Answer: D
Rationale: The correct answer is D: Report the incident to the child protection agency. The CHN has a legal and ethical duty to protect the child from harm. Reporting to the child protection agency ensures the child's safety and well-being. The boyfriend's behavior of pushing a child is abusive and potentially dangerous. Ignoring the situation could lead to further harm to the child. Abiding by the mother's wishes (choice A) would prioritize confidentiality over the child's safety. Arranging counselling for the boyfriend (choice B) does not address the immediate risk to the child. Advicing the mother to take the child away (choice C) may not guarantee the child's safety if the boyfriend is not held accountable for his actions. Reporting to the child protection agency is the most appropriate and responsible action to safeguard the child's welfare.
Question 3 of 5
Which one of the following options best defines the term aggregate?
Correct Answer: B
Rationale: The correct answer is B: An aggregate is a collection of individuals and families. This definition encompasses the idea that an aggregate consists of multiple components, including both individuals and families. It is broader than the other options as it includes both people and their immediate social units. A: "An aggregate is a large group" is too vague and lacks specificity compared to the correct definition. C: "An aggregate is a group within a population" is not as comprehensive as the correct definition, as it implies that an aggregate is a subset of the larger population without specifying the exact composition of the group. D: "An aggregate is another name for a demographic group" is incorrect because while demographics may be a part of an aggregate, it does not encompass the full scope of what an aggregate represents.
Question 4 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 5 of 5
During which phase would the community health nurse (CHN) determine the ability of specific interventions to achieve an increase to at least 90% in the proportion of all pregnant women who receive first-trimester prenatal care?
Correct Answer: D
Rationale: The correct answer is D: Evaluation phase. During the evaluation phase, the CHN assesses the effectiveness of interventions in achieving the desired outcome of increasing the proportion of pregnant women receiving first-trimester prenatal care to at least 90%. This phase involves systematically collecting and analyzing data to determine if the interventions are successful. In contrast, the assessment phase (choice A) focuses on gathering information about the community's health needs, planning phase (choice B) involves developing strategies to address those needs, and implementation phase (choice C) is about putting the planned interventions into action. Therefore, the evaluation phase is the most appropriate stage to determine the success of the interventions in reaching the specified goal.