ATI RN
Community Health Nursing Practice Questions Questions
Question 1 of 5
Which was the first province in Canada to establish a public health nursing service?
Correct Answer: A
Rationale: The correct answer is A: Nova Scotia. Nova Scotia was the first province in Canada to establish a public health nursing service in 1908. This initiative was led by Jessie Ross, a pioneering public health nurse. Nova Scotia's early recognition of the importance of public health nursing laid the foundation for other provinces to follow suit. Summary: B: Ontario - Ontario established a public health nursing service in 1921, after Nova Scotia. C: British Columbia - British Columbia established a public health nursing service in 1919, after Nova Scotia. D: Manitoba - Manitoba established a public health nursing service in 1919, after Nova Scotia.
Question 2 of 5
The community health nurse (CHN) is examining blood lead levels in school-aged children one year after a community-wide education intervention. What term identifies this phase of the nursing process?
Correct Answer: D
Rationale: The correct answer is D: Evaluation. In this phase, the CHN is assessing the effectiveness of the community-wide education intervention by examining blood lead levels in school-aged children after one year. Evaluation involves determining if the intervention achieved the desired outcomes. Assessment (A) is the initial data collection phase. Diagnosis (B) involves identifying health problems. Intervention (C) is the phase where actions are taken to address the identified health problems. In this scenario, the focus is on evaluating the impact of the intervention, making D the most appropriate term.
Question 3 of 5
A community health nurse (CHN) researcher wants to know and better understand how the chronic illness of a child can affect a family's communication patterns, relationships, role expectations, and role behaviours. Which type of family nursing theory would best address the purpose of the CHN's research?
Correct Answer: B
Rationale: Step-by-step rationale for why choice B (Interactional theory) is correct: 1. Interactional theory focuses on how family members interact and communicate with each other. 2. It emphasizes the importance of relationships, communication patterns, and role expectations within the family. 3. This theory is best suited to understand how a child's chronic illness can impact family dynamics. 4. It helps in exploring how family members adapt and respond to changes in roles and relationships. 5. Unlike the other theories, Interactional theory directly addresses the impact of communication patterns and relationships on family dynamics. Summary of why other choices are incorrect: A: Developmental theory focuses on stages of family development, not specifically on communication patterns and relationships. C: Structure-function theory looks at the functions of family structures, not the impact of chronic illness on communication and relationships. D: Systems theory considers the family as a system with interrelated parts, but it does not specifically highlight communication patterns and relationships as central to understanding family dynamics in the context
Question 4 of 5
At a local hospital, postpartum care policy requires that nurses observe the mother to assess her ability to care for the new baby and to promote bonding. A new immigrant mother says that, in her country, all infant care is provided by family members so that the mother can rest and recover. In her home country, it is believed that if the mother does not recover sufficiently, she will be unable to provide the best care. What actions will the culturally competent nurse take?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates cultural competence and respect for the mother's beliefs. By allowing family members to provide care and assessing the mother's knowledge of childcare through discussion, the nurse is acknowledging and respecting the mother's cultural practices while also ensuring the well-being of the baby. This approach promotes understanding and collaboration between the nurse and the mother, leading to better outcomes for both. Choice B is incorrect because it dismisses the mother's cultural beliefs and may come across as judgmental. Choice C is incorrect because it ignores the mother's cultural practices and imposes Western beliefs on her. Choice D is incorrect because it is authoritarian and does not take into account the mother's cultural background and beliefs.
Question 5 of 5
Which one of the following is a reason to study nursing history?
Correct Answer: D
Rationale: Step-by-step rationale for why "D: To understand the present and plan for tomorrow" is correct: 1. Understanding nursing history provides insight into the evolution of healthcare practices. 2. By studying past successes and failures, nurses can make informed decisions for the future. 3. It helps in recognizing patterns, trends, and challenges in the profession. 4. Nursing history enhances critical thinking skills and fosters a deeper appreciation for the profession. Summary: A, B, and C focus on administrative or academic requirements, while D emphasizes the importance of studying nursing history for professional growth, strategic planning, and continuous improvement in the field.