ATI RN
Community Health Verified Questions and Answers Test Bank Questions
Extract:
Question 1 of 5
Two nurses plan to walk under a huge downtown bridge where various homeless persons live. Why
Correct Answer: A
Rationale: The correct answer is A because introducing a heart-healthy curriculum from the first grade onwards is a proactive approach to promoting cardiac health. By educating children early on about diet and exercise, they are more likely to adopt healthy habits and reduce the risk of developing cardiac diseases later in life. This preventive measure aligns with the concept of primary prevention, which focuses on stopping the development of diseases before they occur.
Choice B focuses on online activities and smoking reduction, which may not directly address the specific scenario of encountering homeless persons under the bridge.
Choice C mentions distribution of handouts, which may not be effective in reaching the target audience in a meaningful way.
Choice D involves enrolling clients with CAD into rehabilitation programs, which is more oriented towards secondary prevention and does not address the primary prevention aspect of the scenario.
Question 2 of 5
Which action by a nurse promotes a welcoming environment for culturally diverse clients?
Correct Answer: C
Rationale: The correct answer is C. Displaying brochures and posters that represent diversity promotes a welcoming environment for culturally diverse clients by showing inclusivity and respect for different cultures. It signals that the healthcare setting values and acknowledges diversity. Calling the client by the name on their birth certificate (
A) may not be culturally sensitive if the client prefers a different name. Using a family member to interpret (
B) can lead to miscommunication and breaches confidentiality. Providing a client's bill of rights in multiple languages (
D) is important but does not directly create a welcoming environment like visual displays of diversity.
Question 3 of 5
A nurse believes that the best treatment for illness is the use of Western medicine and alternative therapies should not be used for healing. Which of the following best describes what has happened?
Correct Answer: A
Rationale: The correct answer is A: Ethnocentrism. This is because the nurse is judging other cultures' healing practices based on the standards of their own culture, believing Western medicine is superior. Ethnocentrism involves viewing one's own culture as superior to others. Cultural imposition (
B) would involve forcing one's own cultural beliefs on others. Racism (
C) involves discrimination based on race, not cultural beliefs. Stereotyping (
D) is making assumptions about individuals based on their group membership.
Question 4 of 5
Which action by a nurse demonstrates conscious impermeability in the continuum of developing cultural humility?
Correct Answer: A
Rationale: The correct answer is A because operating spontaneously from a place of cultural humility indicates a deep internalization and understanding of cultural humility principles. The nurse doesn't need to consciously think about it, demonstrating genuine and ingrained behavior. This level of consciousness reflects true cultural humility.
Choice B implies a struggle to demonstrate cultural humility, indicating a lack of natural integration.
Choices D, E, F, and G are incomplete or lack the depth and immediacy of action seen in choice A.
Question 5 of 5
A nurse is administering a tuberculosis skin test to a client who has AIDS. Which of the following results should the nurse anticipate when using this screening test?
Correct Answer: C
Rationale:
Correct Answer: C - Decreased sensitivity
Rationale: In clients with AIDS, the immune system is compromised, leading to decreased sensitivity of the skin test in detecting tuberculosis. The weakened immune response can result in false-negative results, as the body may not mount a sufficient reaction to the tuberculin protein. This means the test may not accurately identify individuals who actually have tuberculosis.
Summary of Other
Choices:
A: Decreased positive predictive value - Not necessarily affected by AIDS; depends on the prevalence of the disease.
B: Decreased reliability - Reliability refers to consistency, not directly impacted by AIDS.
D: Decreased specificity - Specificity is not typically affected by AIDS; refers to the test's ability to correctly identify those without the disease.