ATI RN
Community Health Nursing Exam Questions Questions
Question 1 of 5
Which kind of team consists of members who work independently but come together to make client-based decisions?
Correct Answer: B
Rationale: The correct answer is B: Multidisciplinary team. This type of team consists of members with diverse expertise who work independently but collaborate to make client-based decisions. Each member contributes their specialized knowledge to solve complex problems. In contrast, A: Intraprofessional teams consist of members within the same profession, limiting diversity. C: Interdisciplinary teams involve members blending their expertise to create a unified approach, rather than working independently like in the question. D: Interprofessional teams involve members from different professions working together on shared goals, which is not the same as working independently and coming together for client decisions as in the question.
Question 2 of 5
A committee concludes that a program's objectives were met and that activities received positive ratings from the community but decides that the program will be discontinued because its cost was triple the amount anticipated. In this scenario, which program evaluation measure has been identified as the problem?
Correct Answer: D
Rationale: Step-by-step rationale: 1. Sustainability refers to the ability of a program to maintain its benefits over time. 2. In this scenario, the program is discontinued due to high costs, indicating it was not sustainable. 3. Adequacy would relate to whether program objectives were met, which is not the issue here. 4. Effectiveness and impact focus on the outcomes and positive ratings, not the sustainability issue. 5. Therefore, the correct measure identified as the problem is sustainability. Other choices are incorrect as they do not address the issue of program continuation despite positive outcomes.
Question 3 of 5
The community health nurse (CHN) must conduct a family assessment for a family who live in a commune but is uncertain about how to proceed because the relationships do not appear to be clear. Which question should the CHN ask to determine the structure of a family comprising a mother and a child?
Correct Answer: D
Rationale: The correct answer is D: "Who are the members of your and your child's family?" This question helps the CHN understand the family structure by directly asking about the members of the family unit. By asking about both the family of the mother and the child, the CHN can gather information on the relationships within the family. A: "How many children do you have, and who is the father of each of them?" This question focuses only on paternity and does not provide a comprehensive view of the family structure. B: "Is there a register of families that are members of this commune?" This question does not directly address the family structure and may not provide relevant information. C: "Tell me about your significant other." This question assumes the presence of a significant other and does not explore the entire family structure.
Question 4 of 5
A public health nurse (PHN) strives to prevent disease and disability, often in partnership with other community groups. Which statement is an appropriate summary of the PHN's role?
Correct Answer: D
Rationale: The correct answer is D. A public health nurse (PHN) collaborates with community members to carry out public health functions, aligning with the principles of community empowerment and participation. This role emphasizes working together with individuals and groups to address health issues collectively. Rationale: 1. Collaboration with community members promotes community engagement and ownership of health initiatives. 2. Working with community members ensures that interventions are culturally appropriate and responsive to community needs. 3. Community involvement enhances the effectiveness and sustainability of public health programs. 4. By partnering with community members, the PHN can leverage local knowledge and resources to address health challenges efficiently. Summary: A: Incorrect. The PHN does not defer decision-making to political leaders but instead works collaboratively with community members. B: Incorrect. While the PHN assesses the community, it is in partnership with community members that appropriate interventions are decided upon. C: Incorrect. While the PHN may utilize data from healthcare institutions, the primary focus is on working
Question 5 of 5
A community health nurse (CHN) finds that a family has decided to refuse medical intervention for a particular health concern because the intervention could affect the family member's ability to return to work, and consequently the family's resources would be drastically reduced. Which of the following actions by the CHN would ethically be most appropriate in this situation?
Correct Answer: D
Rationale: The correct answer is D because arranging a meeting with the family to discuss the consequences of their decision allows for open communication and exploration of alternative solutions. This approach respects the family's autonomy while also addressing potential negative outcomes of their decision. It promotes shared decision-making, ethical considerations, and holistic care. Choice A is incorrect because it doesn't address the potential consequences of the family's decision. Choice B is incorrect as it disregards the family's perspective and autonomy. Choice C is incorrect as it bypasses direct communication with the family and may not fully address their concerns.