ATI RN
NCLEX Questions and Answers in Community Health Nursing Questions
Question 1 of 5
Which type of conflict may be experienced when a community health nurse (CHN) supports a palliative care client's decision to die at home but the family physician believes that the client should be in a hospital?
Correct Answer: D
Rationale: The correct answer is D: Interdisciplinary conflict. This type of conflict arises when professionals from different disciplines have differing opinions or approaches to a situation. In this scenario, the conflict stems from the differing perspectives of the community health nurse (CHN) and the family physician regarding the best care setting for the palliative care client. The CHN prioritizes the client's preference for dying at home, while the physician may prioritize medical care in a hospital setting. This conflict highlights the clash between healthcare professionals' roles, expertise, and values, leading to potential disagreements on the best course of action. Interpersonal conflict (A) involves conflicts between individuals, whereas intrapersonal conflict (B) is an internal conflict within an individual. Intergroup conflict (C) typically involves conflicts between different groups, rather than individual professionals within a healthcare team.
Question 2 of 5
What practice is being implemented by the occupational health nurse (OHN) who periodically conducts spirometry testing of employees working with hazardous gases?
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. Spirometry testing by the OHN aims to detect early signs of respiratory issues in employees exposed to hazardous gases, preventing further health deterioration. This falls under secondary prevention, as it involves early detection and intervention to reduce the impact of the disease. Primary prevention (A) focuses on preventing disease before it occurs, while tertiary prevention (C) and tertiary care (D) are aimed at managing and treating existing health conditions. Conducting spirometry testing aligns with the goal of secondary prevention, making it the most suitable choice in this scenario.
Question 3 of 5
Which group-building and maintenance role describes the person who tracks group process in writing and conveys information to the group?
Correct Answer: D
Rationale: The correct answer is D: Commentator. This role involves tracking group process in writing and providing information to the group. A Coordinator focuses on organizing tasks, an Encourager offers positive reinforcement, and an Orienter sets the direction for the group. Commentator's role aligns closely with tracking and conveying information, making it the most suitable choice.
Question 4 of 5
Which one of the following is a feature of community capacity building?
Correct Answer: C
Rationale: Community capacity building involves empowering communities to identify and address their own needs. Option C, obtaining sustainable financial resources, is a key feature as it enables communities to fund projects and initiatives independently. This increases their autonomy and sustainability. Asking why (Option A) is a critical thinking skill but not a specific feature of capacity building. Assessing the status quo (Option B) is important for understanding current community strengths and weaknesses but does not necessarily build capacity. Ensuring government involvement (Option D) is beneficial but not a defining feature of community capacity building, as true empowerment comes from community-led initiatives.
Question 5 of 5
A home health nurse (HHN) in training states, "I don't understand why we have to collaborate with so many other disciplines. Doesn't this conflict with the concept of holistic nursing practice?" What would be the best response by an experienced colleague?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Interdisciplinary collaboration in home health nursing does not negate holistic nursing practice. It enhances it by bringing together various professionals to address the client's physical, emotional, and social needs comprehensively. 2. Collaboration prevents fragmentation of care by ensuring that all aspects of the client's well-being are considered and addressed collectively. 3. Holistic nursing involves viewing the client as a whole person and addressing all aspects of their health, which can be best achieved through collaboration with other disciplines. 4. Choice A acknowledges the importance of holistic nursing while also emphasizing the necessity of working with other disciplines to provide optimal care. Summary of Incorrect Choices: B: This choice inaccurately limits the application of holistic nursing to tertiary facilities and fails to address the benefits of interdisciplinary collaboration in home health settings. C: This choice undermines the significance of holistic nursing in home health by suggesting it is less holistic than other areas of community health nursing. D: This choice inaccurately implies that interdisciplinary collaboration conflicts