ATI RN
Community Health Nursing Practice Questions Questions
Question 1 of 5
Which of the following is the best way for a home health nurse (HHN) to help a client who has right-sided paresis secondary to a stroke?
Correct Answer: B
Rationale: The correct answer is B: Assisting the client with activities of daily living (ADLs). This is the best way for a home health nurse to help a client with right-sided paresis following a stroke because it promotes the client's independence and functional abilities. By assisting the client with ADLs, the nurse can help the client maintain their dignity and sense of self-worth while also focusing on rehabilitation and improving physical abilities. Choice A is incorrect because arranging for private duty nurses may not necessarily promote the client's independence and may not address the client's specific needs related to paresis. Choice C is incorrect because teaching self-care may not be feasible for a client with right-sided paresis, and they may require physical assistance. Choice D is incorrect because while teaching the family to assist the client with ADLs is important, the primary responsibility for direct care lies with the nurse in this scenario.
Question 2 of 5
What constitutes tertiary prevention by a community health nurse (CHN) who wants to promote improved health in obese children?
Correct Answer: A
Rationale: Step 1: Tertiary prevention focuses on reducing the impact of an already established disease or condition. Step 2: Lifestyle improvement programs for obese children fall under tertiary prevention by helping manage and improve their condition. Step 3: Establishing these programs through local youth organizations allows for wide-reaching support and resources. Step 4: Evaluating food intake (B) is more related to primary prevention. Providing educational programs to overweight parents (C) is secondary prevention. Measuring BMI in well-child assessments (D) is more about early detection rather than tertiary prevention. Therefore, option A is the correct choice for promoting improved health in obese children through tertiary prevention.
Question 3 of 5
The community health nurse (CHN) who is working with women at the senior citizens' centre reminds them that the only way the centre will be able to afford a driver and a van service for those who cannot drive themselves is to continue to write letters to their local city council representatives, requesting funding for such a service. What is the CHN doing?
Correct Answer: D
Rationale: The correct answer is D because the CHN is empowering the women to engage in political action locally by encouraging them to write letters to their city council representatives to request funding for a driver and a van service. This action not only raises awareness of the women's needs but also actively involves them in advocating for a solution. A) Incorrect: This choice implies that the CHN is avoiding responsibility, which is not the case. The CHN is actively guiding the women on how to address their transportation issue. B) Incorrect: While the CHN may understand the women's concerns and needs, the main focus of her action is to mobilize the women to take political action, rather than simply acknowledging their concerns. C) Incorrect: Although expressing empathy, support, and concern are important aspects of nursing care, the primary action here is to empower the women to engage in political action, not just provide emotional support.
Question 4 of 5
A client at a community health outpost who describes a culturally safe encounter describes which community health nursing practices?
Correct Answer: A
Rationale: The correct answer is A: Recognizing and respecting cultural identity. This is because cultural safety in nursing involves acknowledging and valuing a person's cultural beliefs, practices, and identity. By recognizing and respecting cultural identity, the nurse creates an environment where the client feels accepted and understood. B: Mirroring and matching of cultural behaviors may not always be appropriate as it can lead to stereotyping and assumptions. C: Seeking similarities and commonalities is important, but it does not necessarily ensure cultural safety as it may overlook the uniqueness of an individual's cultural background. D: Supporting the adoption of dominant cultural behaviors may not be culturally safe as it can marginalize or suppress the client's own cultural identity.
Question 5 of 5
At a local hospital, postpartum care policy requires that nurses observe the mother to assess her ability to care for the new baby and to promote bonding. A new immigrant mother says that, in her country, all infant care is provided by family members so that the mother can rest and recover. In her home country, it is believed that if the mother does not recover sufficiently, she will be unable to provide the best care. What actions will the culturally competent nurse take?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates cultural competence and respect for the mother's beliefs. By allowing family members to provide care and assessing the mother's knowledge of childcare through discussion, the nurse is acknowledging and respecting the mother's cultural practices while also ensuring the well-being of the baby. This approach promotes understanding and collaboration between the nurse and the mother, leading to better outcomes for both. Choice B is incorrect because it dismisses the mother's cultural beliefs and may come across as judgmental. Choice C is incorrect because it ignores the mother's cultural practices and imposes Western beliefs on her. Choice D is incorrect because it is authoritarian and does not take into account the mother's cultural background and beliefs.