ATI RN
Community Health Nursing 2 Exam Questions and Answers Questions
Question 1 of 5
Which group-building and maintenance role describes the person who monitors group process to ensure that the group stays focused and identifies departures from the group's stated goals or procedures?
Correct Answer: A
Rationale: The correct answer is A: Coordinator. A coordinator ensures the group stays focused on goals and procedures by monitoring the group process. They help prevent distractions and deviations. Encourager (B) focuses on motivating and supporting group members. Orienter (C) helps new members understand the group's goals and procedures. Commentator (D) provides feedback and observations but does not necessarily ensure the group stays focused.
Question 2 of 5
Which scenario provides an example of a normative event that can increase the risk for illness?
Correct Answer: B
Rationale: The correct answer is B because experimenting with recreational drugs is a normative event that can increase the risk for illness due to potential physical and mental health consequences. It involves a deliberate choice that has direct negative health impacts. In contrast, choices A, C, and D are not normative events that inherently increase the risk for illness. A motor vehicle accident and job loss are unpredictable events with potential negative consequences, but they are not normative in nature. Pregnancy is a natural life event that does not inherently increase the risk for illness unless there are specific complications.
Question 3 of 5
The CHN can enhance the sensitivity and specificity of a test by using its predictive value. Which one of the following best defines positive predictive value?
Correct Answer: D
Rationale: Positive predictive value (PPV) is the proportion of individuals with a positive test result who actually have the disease. This is crucial in determining the likelihood that a positive test accurately identifies a true positive case. By calculating PPV, we can assess the test's ability to predict the presence of the disease. In this context, the CHN (clinical history and physical examination) can help improve the accuracy of test results by enhancing the predictive value. Choice A is incorrect because it describes the negative predictive value, which is the proportion of individuals with a negative test result who are actually disease-free. Choice B is incorrect as it refers to the variability of the trait being measured, not predictive value. Choice C is incorrect as it discusses inconsistencies in the testing instrument, which are unrelated to predictive value.
Question 4 of 5
Which of the following represents a set of strategies and ideas aimed at reducing harm to an individual or society by modifying harmful or hazardous behaviours that are difficult and, in some cases, impossible to prevent?
Correct Answer: B
Rationale: The correct answer is B: Harm reduction. Harm reduction focuses on minimizing the negative consequences of risky behaviors rather than trying to eliminate them completely. It recognizes that certain behaviors may be difficult to prevent entirely and aims to reduce harm associated with those behaviors. Health promotion (A) focuses on promoting overall health and well-being rather than specifically addressing harmful behaviors. Tertiary care (C) refers to specialized medical care for individuals with complex healthcare needs and is not directly related to modifying behaviors. Risk avoidance (D) involves completely avoiding risky behaviors rather than mitigating their potential harm.
Question 5 of 5
What would constitute tertiary prevention by a community health nurse (CHN) who wants to promote better health in women with diabetes?
Correct Answer: C
Rationale: The correct answer is C because tertiary prevention involves managing and treating existing conditions to prevent further complications. In the case of women with diabetes, monitoring blood glucose levels and recommending necessary diet modifications are crucial in preventing complications such as diabetic neuropathy or retinopathy. Choices A and B are related to primary prevention, focusing on preventing the onset of diabetes. Choice D is related to secondary prevention, screening for early detection. Tertiary prevention focuses on managing the condition to prevent further deterioration, making choice C the most appropriate in this context.