ATI RN
ATI Community Health Nursing Test Bank Questions
Question 1 of 5
Which public health service best represents primary prevention?
Correct Answer: B
Rationale: The correct answer is B because initiating an infant car seat safety screening program for parents in low-income housing best represents primary prevention. Primary prevention aims to prevent the occurrence of a disease or injury before it occurs. In this case, educating parents on proper car seat safety practices helps prevent injuries to infants in the first place. Administering the influenza vaccine (A) is an example of secondary prevention as it aims to detect and treat existing conditions. Starting a rehabilitation clinic (C) and setting up a blood pressure screening clinic (D) are also examples of secondary prevention as they focus on managing existing health conditions rather than preventing them.
Question 2 of 5
A 40-year-old Bosnian Muslim woman who does not speak English presents to a community health centre in obvious pain and requests a female health care provider. She indicates through gestures that the pain originates in either the pelvic or the genital region. Assuming several people are available to interpret, who would be the most appropriate choice of interpreter?
Correct Answer: B
Rationale: The correct answer is B: A female from the client's community. This choice is the most appropriate because it ensures cultural and linguistic sensitivity. Here's the rationale: 1. Cultural Sensitivity: A female from the client's community would likely understand the client's cultural nuances and beliefs, which can enhance effective communication. 2. Linguistic Competency: Being from the same community, the interpreter is more likely to speak the client's language fluently and accurately convey the client's messages. 3. Comfort and Trust: The client may feel more comfortable and trusting when communicating with someone from her own community, especially in sensitive matters like health. 4. Privacy and Dignity: Having a familiar female interpreter can help maintain the client's privacy and dignity during discussions about sensitive health issues. Summary: - Choice A: A female who does not know the client may lack cultural understanding and linguistic competency. - Choice C: A male certified as a medical interpreter may not be as culturally sensitive and might not be preferred
Question 3 of 5
A committee of health care professionals would like to establish a district-wide program to improve access to culturally competent health care services for Vietnamese immigrants. Who would be the best person to select as a key informant about this community's needs?
Correct Answer: B
Rationale: The correct answer is B: A Vietnamese community leader. This individual is the best choice as a key informant because they have firsthand knowledge and understanding of the needs, preferences, and challenges faced by Vietnamese immigrants in the district. They can provide valuable insights into the cultural nuances, barriers to accessing health care services, and specific needs of the community. The hospital administrator may have general knowledge but lacks specific insights into the Vietnamese immigrant community. The national expert on cultural competency may have theoretical knowledge but may not understand the local context. The government official may have a broader perspective but lacks the community-specific knowledge necessary for this program.
Question 4 of 5
Which was a very important factor in the success of early visiting nurses?
Correct Answer: B
Rationale: The correct answer is B because early visiting nurses were successful due to the more economical care they provided to families. Visiting nurses offered cost-effective healthcare services, making them accessible to a wider population. This affordability factor contributed to their success in providing care to those in need. Choice A is incorrect because early visiting nurses did not necessarily serve as a model for all later hospitals. Choice C is incorrect as the success of visiting nurses was not solely dependent on a role model like Edna Moore. Choice D is incorrect because the success of visiting nurses was not primarily attributed to a publicity campaign by health departments.
Question 5 of 5
Which of the following demonstrates the final phase of application of the community health nursing process?
Correct Answer: A
Rationale: The correct answer is A: Presenting feedback about a 6-week fitness class. This demonstrates the final phase of the community health nursing process, which involves evaluating the outcomes of implemented interventions. By presenting feedback, the nurse is assessing the effectiveness of the fitness class in improving community health. Choice B, determining the needs of the community, is part of the assessment phase, not the final phase. Choice C, developing a wellness program, is part of the planning phase. Choice D, supervising a fitness class, is part of the implementation phase. Thus, only choice A aligns with the final phase of the community health nursing process.