ATI RN
Community Health Verified Questions and Answers Test Bank Questions
Extract:
Question 1 of 5
A nurse advocates and intervenes between the health care system and the client's cultural beliefs on behalf of the client. Which term best describes the nurse's action?
Correct Answer: B
Rationale: The correct answer is B: Culture brokering. Culture brokering involves advocating and mediating between the healthcare system and the client's cultural beliefs to ensure the client's needs are met. This term implies a proactive role in facilitating communication and understanding between the two parties. Cultural accommodation (
A) involves adapting to the client's cultural practices without necessarily advocating for them. Cultural preservation (
C) focuses on maintaining traditional cultural practices without necessarily mediating with the healthcare system. Cultural repatterning (
D) involves changing or modifying cultural beliefs and practices, which is not the same as advocating and intervening on behalf of the client.
Question 2 of 5
A woman is sitting in a corner of the clinical waiting room, crying audibly. The nurse asks, "What's wrong? Can I help?" The woman responds, "They just told me I have a positive mammogram and I need to see my doctor for follow-up tests. I know I'm going to die of cancer. How can I tell my family?" Which of the following information does the nurse need to know in order to help the woman cope with this finding?
Correct Answer: A
Rationale: The correct answer is A: The negative predictive value of mammography. This is because the woman is distressed about the possibility of having cancer after receiving a positive mammogram result. Understanding the negative predictive value will help the nurse explain to the woman that a positive result does not necessarily mean she has cancer, as there can be false positives. This information can provide reassurance and help the woman cope with her anxiety.
Choice B, the positive predictive value, is not as relevant in this situation because the woman is already aware of her positive result and is more concerned about the implications of that result.
Choices C and D, reliability and validity of mammography, are important factors to consider in assessing the accuracy of the test but do not directly address the woman's emotional distress and need for coping strategies.
Question 3 of 5
A nurse is using analytic epidemiology when conducting a research project. Which of the following projects is the nurse most likely completing?
Correct Answer: B
Rationale: The correct answer is B: Determining factors contributing to childhood obesity. Analytic epidemiology involves investigating the causes and determinants of health and disease within a population. By studying the factors contributing to childhood obesity, the nurse is engaging in analyzing the relationships between risk factors and the health outcome, which is characteristic of analytic epidemiology. Reviewing communicable disease statistics (
A) involves descriptive epidemiology. Analyzing locations where family violence is increasing (
C) pertains to descriptive epidemiology as well. Documenting population characteristics for healthy older citizens (
D) is more aligned with descriptive epidemiology as it focuses on understanding the health status of a specific population group rather than investigating causal relationships.
Question 4 of 5
Which of the following public health nurses most clearly fulfills the responsibilities of this role?
Correct Answer: A
Rationale: The correct answer is A because meeting with several groups to discuss community recreation issues aligns with the core responsibilities of a public health nurse. This activity involves community engagement, promoting health and wellness, and addressing social determinants of health.
Choice B, attending meetings of health agencies, may be relevant but lacks the direct community involvement aspect.
Choice C focuses on individual health concerns rather than broader community issues.
Choice D, watching a city council meeting, is passive and doesn't involve active engagement or intervention.
Therefore, choice A best reflects the proactive and community-oriented role of a public health nurse.
Question 5 of 5
Using the National CLAS as a guide, which service should be offered to clients who have LEP?
Correct Answer: B
Rationale: The correct answer is B: Language assistance in the client's preferred language. According to the National CLAS standards, providing language assistance in the client's preferred language is essential to ensure effective communication and quality care for individuals with Limited English Proficiency (LEP). This approach promotes cultural competency and helps avoid misunderstandings or errors that can arise from language barriers. Offering interpreter services at a minimal fee (
A) may still pose a financial burden for some clients, contradicting the goal of equitable care. Using family members (
C) may compromise confidentiality and accuracy. Trained interpretation within 48 hours of hospital admission (
D) is not immediate and could lead to delayed or inadequate care for LEP clients.