ATI RN
Community Health Nursing Exam Questions Questions
Question 1 of 5
Which of the following primarily distinguishes case management from managed care?
Correct Answer: C
Rationale: The correct answer is C because case management is focused on providing individualized care coordination and support to specific clients to help them navigate the healthcare system effectively. This distinguishes it from managed care, which is more about organizing and financing healthcare services for a broader population. Choices A and D are incorrect because case management is not limited to health maintenance organizations or monitoring health status for an aggregate. Choice B is incorrect because case management can be aimed at various populations, not just a specific segment.
Question 2 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 3 of 5
What is the ultimate contribution of the disaster preparedness plan?
Correct Answer: A
Rationale: The correct answer is A because the ultimate goal of a disaster preparedness plan is to reduce injuries by effectively planning and implementing measures to mitigate the impact of disasters on individuals and communities. This involves strategies such as early warning systems, evacuation procedures, and emergency response training. Choice B is incorrect because while collaboration among community partners is important in disaster preparedness, it is not the ultimate goal of the plan. Choice C is incorrect because while reducing stress and panic behaviors is a positive outcome, it is not the primary purpose of a disaster preparedness plan. Choice D is incorrect because a disaster preparedness plan aims to increase involvement and preparedness, not reduce it.
Question 4 of 5
What is an example of a nonfunctional group role?
Correct Answer: B
Rationale: The correct answer is B: Recognition seeker. Nonfunctional group roles hinder the group's progress and cohesion. A recognition seeker seeks attention for personal gain, which can disrupt group dynamics and distract from the task at hand. In contrast, other choices like A (Opinion giver) contribute by sharing viewpoints, C (Follower) provides support, and D (Feasibility tester) helps evaluate ideas for practicality. Therefore, a recognition seeker stands out as a nonfunctional role due to its self-centered nature and potential to disrupt teamwork.
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.