ATI RN
NCLEX Questions and Answers in Community Health Nursing Questions
Question 1 of 5
Which one of the following would be designated as a group in the community?
Correct Answer: C
Rationale: The correct answer is C: Passengers waiting at a bus stop. This choice represents a group in the community as it involves individuals gathered in a specific location for a common purpose, which is waiting for transportation. The key characteristics of a group in a community include shared location, common activity or goal, and interaction among members. In contrast, choices A, B, and D do not meet the criteria for a designated group in the community. Choice A involves individuals in an emergency room, which is a temporary setting for individual care. Choice B depicts shoppers in a mall elevator, which is a confined space for brief transit. Choice D refers to teens socializing on weekends, which is a vague description of a social activity without a specific community context. Therefore, choice C is the most appropriate as it aligns with the definition of a community group.
Question 2 of 5
Which argument was used to convince the Metropolitan Life Insurance Company to establish the first community health nursing program for workers in 1909?
Correct Answer: D
Rationale: The correct answer is D because using Public Health Nurses (PHNs) to keep workers healthier leading to increased productivity aligns with the company's primary goal of maximizing profits. This argument appeals to the company's financial interests by linking employee health to productivity. Choice A is incorrect because moral reasons alone may not be sufficient to convince a company to invest in a program. Choice B is incorrect because the cost comparison is not the main driver for establishing the program. Choice C is incorrect as although it may have some benefits, the primary concern for the company would likely be the bottom line, making choice D the most persuasive argument.
Question 3 of 5
Which community health nursing activity demonstrates tertiary prevention related to mental health?
Correct Answer: C
Rationale: The correct answer is C because providing case management services that link clients with serious mental illnesses to mental health and community support services is an example of tertiary prevention. Tertiary prevention focuses on managing and reducing the impact of established conditions. By linking clients with mental illnesses to necessary support services, the aim is to prevent further deterioration of their mental health and improve their overall well-being. A: Disseminating information about mental health to community organizations is more aligned with primary prevention, aiming to prevent the onset of mental health issues. B: Partnering with PHNs for early identification of children with mental health challenges is related to secondary prevention, focusing on early detection and intervention to prevent the progression of mental health issues. D: Screening clients at high risk for mental disorders is also an example of secondary prevention, aimed at early detection and intervention before the onset of serious mental health issues.
Question 4 of 5
What level of prevention is the community health nurse (CHN) implementing when participating in the development of a community-wide disaster management plan?
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. In this scenario, the CHN is focusing on preventing a disaster from occurring by participating in the development of a disaster management plan. Primary prevention aims to prevent the occurrence of a health problem before it happens. Secondary prevention focuses on early detection and treatment, while tertiary prevention involves managing the consequences of a health problem. Choice B, secondary prevention, would involve actions taken after a disaster has occurred to prevent further harm. Choice C, tertiary prevention, would involve actions taken to minimize the impact of a disaster that has already happened. Choice D is incorrect because the CHN's involvement in developing a disaster management plan specifically aligns with primary prevention efforts.
Question 5 of 5
How is health promotion distinct from health protection?
Correct Answer: B
Rationale: Health promotion is distinct from health protection because it focuses on empowering individuals to have increased control over factors influencing their health. This includes education, lifestyle changes, and creating supportive environments. Choice A is incorrect as quality of care is not the primary focus of health promotion. Choice C is incorrect as health promotion is not limited to the delivery of care by healthcare providers. Choice D is incorrect as health promotion is broader than just social marketing campaigns, encompassing a range of strategies to improve health outcomes.