ATI RN
Foundations for Population Health in Community/Public Health Nursing Test Bank Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A community health nurse (CHN) often used to sit with his legs crossed at the knees when collecting a client's history. However, he stopped doing this around his Iranian clients after being told that they were offended because this posture exposed the sole of his foot. In changing his behaviour, which culture-related response did the CHN exhibit?
Correct Answer: A
Rationale: The correct answer is A: Cultural sensitivity. This is because the nurse demonstrated an understanding and respect for the cultural norms and beliefs of his Iranian clients by adjusting his behavior to avoid causing offense. Cultural sensitivity involves being aware of and respecting the differences in cultural practices and beliefs. Choice B, cultural awareness, is not the best answer because it implies a general understanding of different cultures but doesn't specifically address the nurse's adaptation of behavior. Choice C, cultural knowledge, is also not the best answer as it focuses more on factual information about a culture rather than the practical application of that knowledge. Choice D, cultural skill, is not the best answer as it typically refers to the ability to effectively communicate and interact with individuals from different cultures, rather than the specific act of changing behavior to accommodate cultural preferences.
Question 5 of 5
A family from Mexico presents to the community health centre. None of the family members speak English, and no one at the health centre speaks Spanish. What will be the most appropriate action on the part of the community health nurse (CHN)?
Correct Answer: D
Rationale: The correct answer is D: Finding an interpreter to translate. This is the most appropriate action because it ensures effective communication, maintains confidentiality, and promotes culturally sensitive care. Step 1: Attempting communication using an English-Spanish phrase book (Choice A) may lead to misunderstandings and can compromise the quality of care. Step 2: Calling the local hospital and arranging a referral (Choice B) is not necessary at this stage and may cause unnecessary delays. Step 3: Emphatically stating "No hablo Español" (Choice C) does not solve the communication barrier and may come across as insensitive. Step 4: Finding an interpreter (Choice D) ensures accurate communication, allowing the family to fully participate in decision-making and understand their health care needs.