ATI RN
Community Health Nursing Exam Questions Questions
Question 1 of 5
Which practice demonstrates cultural competency for the care of clients with a cultural background different to one's own?
Correct Answer: A
Rationale: The correct answer is A because maintaining an open attitude that welcomes differences is a key aspect of cultural competency. This approach shows respect for diverse cultural backgrounds and allows for effective communication and understanding between the caregiver and the client. Choice B is incorrect because cultural neutrality may come off as insensitivity and lack of understanding. Choice C is incorrect as friendly gestures alone may not convey a deep understanding of cultural differences. Choice D is incorrect because cultural competency involves recognizing and adapting to individual cultural norms rather than using a one-size-fits-all approach.
Question 2 of 5
A nurse practitioner (NP) has just found out that her new immigrant client is not taking the penicillin prescribed because he believes his illness is "hot" and that penicillin, a "hot" medicine, will not provide balance. If the NP changes the penicillin to a different but equally effective antibiotic, which cultural attribute will the NP be demonstrating?
Correct Answer: B
Rationale: The correct answer is B: Cultural brokering. By changing the antibiotic to accommodate the client's cultural beliefs, the NP is engaging in cultural brokering, which involves bridging the gap between different cultures to provide effective healthcare. This demonstrates the ability to negotiate and adapt care to align with the client's cultural perspectives, promoting trust and cooperation. Other choices are incorrect because: A: Cultural awareness refers to recognizing and understanding different cultures, but the NP's actions go beyond awareness to actively adjusting care. C: Cultural knowledge is important but does not capture the dynamic interaction and adaptation required in this scenario. D: Cultural skill typically involves the ability to communicate effectively across cultures, which is not the primary focus in this situation.
Question 3 of 5
Which actions could be taken by the community health nurse (CHN) who wishes to provide secondary prevention to decrease the incidence of obesity in elementary school children?
Correct Answer: A
Rationale: The correct answer is A because giving a presentation on the importance of exercise and physical fitness aligns with secondary prevention strategies for obesity. This educational approach aims to raise awareness and promote healthy behaviors to prevent obesity rather than treating existing cases. It focuses on early intervention and educating children on healthy habits. Choices B, C, and D are incorrect because designing a game or weighing students do not directly address preventive measures for obesity. Putting students on a diet without proper assessment or medical supervision can be harmful and is not recommended as a primary approach in a school setting.
Question 4 of 5
A community health nurse (CHN) determines that out of 8,000 women screened for breast cancer, 35 have previously been diagnosed with a cancer event and 20 are newly diagnosed with a cancer event. What is the prevalence rate in this group?
Correct Answer: D
Rationale: The prevalence rate is the total number of existing cases in a population at a given time. In this case, the total number of women with a cancer event is 35 (previously diagnosed) + 20 (newly diagnosed) = 55. To calculate prevalence rate, we divide the total number of cases (55) by the total population screened (8,000), giving us 55/8,000 = 0.006875 or 0.6875%, which is equivalent to 0.7% (Choice B). Therefore, the correct answer is D because it correctly represents the calculation for prevalence rate. Choice A is incorrect as it does not reflect the correct calculation. Choice C is incorrect as it presents the prevalence rate as a percentage without the correct value.
Question 5 of 5
Which measure of community health will be examined by the community health nurse (CHN) who wishes to assess the status of a community's health?
Correct Answer: D
Rationale: The correct answer is D: Vital statistics. Vital statistics provide quantifiable data on births, deaths, marriages, and diseases in a community, allowing the CHN to assess the community's health status objectively. This information helps in identifying health trends, planning interventions, and evaluating the effectiveness of health programs. A: Community awareness is important but does not provide concrete data on the community's health status. B: Health facilities focus on the availability and accessibility of healthcare services, not the overall health of the community. C: Health care manpower refers to the healthcare workforce in the community, which is important but does not provide a comprehensive assessment of the community's health status.