ATI RN
Community Health Verified Questions and Answers Test Bank Questions
Extract:
Question 1 of 5
Which of the following is responsible for the dramatic increase in life expectancy during the twentieth century?
Correct Answer: C
Rationale: The correct answer is C: Sanitation and other public health activities. This is because improvements in sanitation practices, such as clean water supply and waste disposal, played a significant role in reducing the spread of infectious diseases, leading to a dramatic increase in life expectancy. Other choices are incorrect because while technology, surgical advances, and antibiotics have certainly contributed to improving healthcare outcomes, they were not the primary factors responsible for the substantial increase in life expectancy seen during the twentieth century.
Question 2 of 5
Which action can a nurse take to cultivate mindful awareness in interactions with clients?
Correct Answer: A
Rationale: The correct answer is A: Practicing active listening and seeking to understand the speaker's perspective without interruptions. This action fosters mindful awareness by promoting present moment focus, empathy, and non-judgmental attentiveness. By actively listening and understanding the client's perspective without interruptions, the nurse can demonstrate respect, build trust, and create a supportive environment for effective communication and relationship-building. This approach encourages mindfulness by enhancing awareness of the client's thoughts, feelings, and needs, leading to improved client outcomes.
Choices B, C, and D are incorrect because they involve behaviors that are counterproductive to cultivating mindful awareness. Making quick judgments and relying on biases (
B) hinder genuine understanding and empathy. Avoiding reflection and self-awareness (
C) prevents the nurse from connecting deeply with the client and understanding their needs. Embracing a fixed mindset and resisting new information (
D) limit the nurse's ability to adapt, learn, and grow in their interactions with clients.
Question 3 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 4 of 5
Persons in an auditorium may have been exposed to a disease. If they are infected, it is crucial that they receive immediate treatment and not take the disease home to their families. Which of the following characteristics would be most important to consider when selecting the screening test to be used?
Correct Answer: C
Rationale: The correct answer is C: The sensitivity of the test. Sensitivity refers to the ability of a test to correctly identify those individuals who have the disease. In this scenario, selecting a test with high sensitivity is crucial because we want to ensure that infected individuals are not missed and receive timely treatment to prevent spreading the disease to their families.
Incorrect choices:
A: The negative predictive value - This represents the probability that a negative test result is truly negative. While important, in this context, identifying true positives (sensitivity) is more critical.
B: The positive predictive value - This is the probability that a positive test result is truly positive. While useful, it is not the most critical factor in this scenario.
D: The specificity of the test - This refers to the ability of a test to correctly identify those individuals who do not have the disease. While important, in this case, sensitivity takes precedence to avoid missing infected individuals.
Question 5 of 5
Which of the following is the primary focus of public health nursing?
Correct Answer: D
Rationale: The correct answer is D: Promotion of quality of life. Public health nursing focuses on improving the overall health and well-being of communities through preventive measures and health promotion. By prioritizing the promotion of quality of life, public health nurses aim to enhance the physical, mental, and social aspects of individuals and communities. This approach encompasses a holistic view of health and addresses various determinants of health.
Choice A: Families and groups - While public health nursing may involve working with families and groups, the primary focus is broader and includes the entire community.
Choice B: Illness-oriented care - Public health nursing emphasizes preventive care and health promotion rather than focusing solely on illness-oriented care.
Choice C: Individuals within the family unit - While individuals within families may be a part of public health nursing interventions, the primary focus is on the community as a whole.
In summary, the correct answer, D, is the primary focus of public health nursing as it aligns with the overarching goal of enhancing the quality of life