ATI RN
Community Health Nursing Exam Questions Questions
Question 1 of 5
Which of the following is an approach that recognizes the impacts of previous violent and traumatic events on current health and mental health situations?
Correct Answer: A
Rationale: The correct answer is A: Trauma-informed care. This approach acknowledges the influence of past traumas on an individual's current health and mental health conditions. It emphasizes understanding the impact of trauma, creating a safe environment, and empowering individuals in their healing journey. B: Primary care focuses on general healthcare services, not necessarily trauma-informed. C: Secondary care typically refers to specialized medical services, not specifically trauma-related. D: Harm reduction is a strategy to minimize the negative consequences of risky behaviors, not necessarily focused on addressing past traumas' impacts.
Question 2 of 5
A health care worker tells the community health nurse (CHN), "It does no good to try to teach those Indigenous clients about nutrition because they will just eat whatever they want to, no matter how much we teach them." What behaviour does this statement exemplify?
Correct Answer: B
Rationale: The correct answer is B: Ethnocentrism. This behavior exemplifies ethnocentrism because the health care worker is imposing their own beliefs and values about nutrition onto Indigenous clients, assuming their own cultural norms are superior. Ethnocentrism involves judging other cultures based on one's own cultural standards. Summary: A: Cultural imposition is forcing one's own cultural beliefs onto others, which is not evident in this scenario. C: Racism involves discrimination based on race, which is not explicitly stated in the scenario. D: Stereotyping involves making assumptions about a group based on limited information, but the scenario specifically highlights a judgment based on cultural differences, not stereotypes.
Question 3 of 5
A team of community health nurses (CHNs) disagree about the appropriate action to take in relation to a family with an ill family member who have chosen to continue working at their jobs instead of taking time off to care for the ill family member. A CHN states, "It's not up to us; it's the family's decision." What type of thinking is this CHN applying?
Correct Answer: B
Rationale: The correct answer is B: Deontological ethics. Deontological ethics focuses on the inherent rightness or wrongness of actions, regardless of the consequences. In this scenario, the CHN is emphasizing the importance of respecting the family's autonomy and their decision-making authority regarding the ill family member. This aligns with deontological principles that prioritize individual autonomy and decision-making. Summary: A: Communitarianism emphasizes the common good of the community, not individual autonomy. C: Principlism includes principles like beneficence and non-maleficence, which are not directly applicable in this case. D: Utilitarianism focuses on maximizing overall happiness, which is not the primary concern in this scenario.
Question 4 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.
Question 5 of 5
Which leadership style is most appropriate for the community health nurse (CHN) to assume when he or she is involved in disaster management, for example, that of the severe acute respiratory syndrome (SARS) outbreak?
Correct Answer: B
Rationale: The correct answer is B: Democratic. In disaster management situations like the SARS outbreak, a democratic leadership style is most appropriate for a CHN. This style involves involving team members in decision-making, fostering collaboration, and valuing input from all team members. In a crisis, it is crucial to have open communication and shared decision-making to ensure effective response and coordination. Autocratic leadership (A) may stifle creativity and hinder teamwork, bureaucratic leadership (C) may slow down decision-making processes, and transactional leadership (D) focuses more on rewarding or punishing based on performance rather than fostering collaboration and teamwork essential in disaster management.