ATI RN
Foundations for Population Health in Community/Public Health Nursing Test Bank Questions
Question 1 of 5
Which main idea did Lalonde highlight in his report entitled A New Perspective in the Health of Canadians (1974)?
Correct Answer: C
Rationale: The correct answer is C because Lalonde's report emphasized the holistic approach to health, considering biology, environment, and lifestyle factors. This aligns with the concept of determinants of health, acknowledging that health is influenced by various factors beyond healthcare. Choice A focuses solely on access and quality of healthcare, while B is about legislation. Option D mentions accessibility but lacks the comprehensive consideration of health determinants like choice C. Lalonde's report was groundbreaking for shifting the focus from healthcare services to broader health promotion strategies.
Question 2 of 5
Which of the following best represents the first step to take when using evidence-informed practice in the clinical setting?
Correct Answer: C
Rationale: The correct answer is C: Formulate the clinical question. This is the first step in evidence-informed practice as it helps focus on the specific issue, guiding the search for relevant evidence. Gathering data (B) comes after formulating the question. Eliminating protocols (A) is not necessary and may overlook valuable practices. Revising mission statements (D) is not directly related to the initial step of using evidence in clinical practice.
Question 3 of 5
A pregnant teenage client asks a community health nurse (CHN) to provide information on abortions and a list of health care providers who offer abortion services. The CHN has very strong personal beliefs against abortion that would get in the way of helping the client. What should the CHN do?
Correct Answer: A
Rationale: The correct answer is A: Call in another CHN to care for this client. The CHN's personal beliefs should not interfere with providing nonjudgmental care. By calling in another CHN, the client can receive unbiased information and support. This respects the client's autonomy and ensures they receive the information they requested without feeling judged. Option B is incorrect because imposing personal beliefs on the client is unethical and goes against the principle of client-centered care. Option C is inappropriate and unethical as it involves offering medication to induce an abortion without the client's consent. Option D is not the best choice as it does not address the client's specific request for information on abortion services.
Question 4 of 5
A team of community health nurses (CHNs) disagree about the appropriate treatment for Mrs. Mehta, who is likely an excellent candidate for hospice care. The first CHN says that deciding on care, rather than cure, is up to Mrs. Mehta, and no one else can decide for her. The second CHN says that it is the responsibility of the health care team to do what is best for Mrs. Mehta, and if the physician thinks there is still a possibility of cure, then the CHNs should do everything they can to implement the treatment plan. The third CHN says it is not fair for the family to expend all their resources on Mrs. Mehta, who is probably going to die in spite of the care provided by the health care team. What conclusions can be drawn from this dispute?
Correct Answer: A
Rationale: The correct answer is A: Ethical principles can conflict with each other. - The first CHN emphasizes patient autonomy, allowing Mrs. Mehta to decide on her care. - The second CHN prioritizes beneficence, aiming to provide the best care possible for Mrs. Mehta. - The third CHN focuses on the principle of utility, seeking to maximize benefits for all involved. - These conflicting perspectives highlight the complexity of ethical decision-making in healthcare where different principles may clash, requiring careful consideration and balancing of multiple values and priorities.
Question 5 of 5
Gilligan and Noddings both believe in the morality of responsibility in relationships. They emphasize connection. Which following term describes this belief?
Correct Answer: B
Rationale: The correct answer is B: A feminist ethic of care. Gilligan and Noddings both advocate for an ethic of care that prioritizes relationships and interconnectedness. This approach focuses on empathy, compassion, and understanding in moral decision-making. It differs from distributive justice (A), which is about fairness in distribution, a principled approach (C) that relies on rules and principles, and virtue ethics (D), which emphasizes developing moral character. The feminist ethic of care aligns with their emphasis on relational ethics and the importance of caring for others in ethical considerations.