ATI Community Health Nursing Test Bank

ATI Community Health Nursing Test Bank Related

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What is the most important action to be taken by the community health nurse (CHN) who wishes to decrease childhood obesity?

  • A. Lobbying legislators to enact stronger legislation regarding unhealthy lunches and food from snack machines in schools
  • B. Increasing availability of nutrition programs in which schoolchildren are taught to make healthy food choices
  • C. Involving the entire family in the management of obesity in a child
  • D. Providing after-school activities and summer camps that focus on diet and exercise
Correct Answer: C

Rationale: The correct answer is C. Involving the entire family in the management of obesity in a child is the most important action because family support and involvement are crucial for sustainable behavior change in children. The family plays a significant role in shaping a child's habits and lifestyle choices. By engaging the entire family, the community health nurse can create a supportive environment where healthy behaviors are encouraged and reinforced consistently. This approach addresses the root causes of childhood obesity by promoting healthy eating habits and physical activity within the child's daily life, rather than relying solely on external interventions like legislation or programs.

Choice A is less effective because while legislation can create a healthier environment, it may not directly address the underlying family dynamics influencing a child's behavior. Choice B is important but may not be as effective as involving the family since parental influence extends beyond school-based programs. Choice D is valuable but may not address the core issue of family involvement, which is crucial for sustainable behavior change.

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Historically, community health nurses (CHNs) focused on the care of individuals while viewing the families of individuals as either background resources or possible stressors. Which view of the family did this traditional conceptualization take?

  • A. Family as the client
  • B. Family as a component of society
  • C. Family as the context
  • D. Family as a system
Correct Answer: A

Rationale: The correct answer is A: Family as the client. In traditional CHN practice, the focus was on individual care with little regard for the family as a unit of care. By viewing the family as the client, CHNs can address the health needs of the entire family, recognizing that the family unit itself plays a significant role in individual health outcomes. This approach allows for a more holistic and comprehensive understanding of health within the family context. Choices B, C, and D are incorrect because they do not accurately represent the traditional conceptualization of the family in CHN practice.

Women who develop vaginal fungal infections (commonly referred to as yeast infections) usually have a history of having been prescribed antibiotics for bacterial infections. Which component of the epidemiological triangle (agent–host–environment) contributes most to the development of vaginal infections?

  • A. Agent
  • B. Environment
  • C. Host
  • D. Agent and host
Correct Answer: C

Rationale: Rationale: The correct answer is C: Host. Antibiotics disrupt the normal vaginal flora, creating an environment conducive to yeast overgrowth. The host's susceptibility to infection due to altered microbiota is the primary factor in developing vaginal fungal infections. The agent (yeast) and the environment (vaginal environment) play secondary roles. Choice A is incorrect because the yeast is the agent causing the infection, but it is the host's response that determines infection development. Choice B is incorrect because the vaginal environment is affected by antibiotics, but it is the host's response that leads to infection. Choice D is incorrect because while both agent and host are involved, it is the host's susceptibility that is the key factor.

What would be the best choice for the nurse researcher who wishes to identify the long-term benefits and risks of a treatment for hyperlipidemia?

  • A. A cross-sectional study
  • B. An ecological study
  • C. A clinical trial
  • D. A retrospective analysis
Correct Answer: C

Rationale: The correct answer is C: A clinical trial. Clinical trials are designed to assess the long-term benefits and risks of a treatment by monitoring participants over an extended period. They involve randomization, control groups, and follow-up assessments, making them ideal for determining treatment effectiveness.

A: A cross-sectional study only provides a snapshot of data at a single point in time and does not track long-term outcomes.

B: An ecological study examines population-level data and may not provide individual-level insights on long-term benefits and risks of a treatment.

D: A retrospective analysis looks at past data and may not adequately capture the long-term effects of a treatment compared to a prospective study like a clinical trial.

Activities that focus on rebuilding to predisaster or near-predisaster conditions, and on community safety so that the risk of a recurrence of the disaster is reduced, occur in which part of the disaster management cycle?

  • A. Disaster Vulnerability
  • B. Disaster Preparedness
  • C. Disaster Recovery
  • D. Disaster Response
Correct Answer: C

Rationale: The correct answer is C: Disaster Recovery. During the disaster recovery phase, activities aim to rebuild to predisaster or near-predisaster conditions and focus on enhancing community safety to reduce the risk of a recurrence of the disaster. This phase involves restoring infrastructure, services, and livelihoods while implementing measures to mitigate future disasters.

Choice A (Disaster Vulnerability) is incorrect because this phase focuses on assessing the vulnerabilities of a community to potential disasters.

Choice B (Disaster Preparedness) is incorrect as it involves planning and readiness activities before a disaster occurs to minimize its impact.

Choice D (Disaster Response) is incorrect as it deals with immediate actions taken during and immediately after a disaster to save lives, protect property, and meet basic needs.

Which of the following demonstrates the final phase of application of the community health nursing process?

  • A. Presenting feedback about a 6-week fitness class
  • B. Determining the needs of the community
  • C. Developing a 6-week wellness program
  • D. Supervising a fitness class at the local YWCA or YMCA
Correct Answer: A

Rationale: The correct answer is A: Presenting feedback about a 6-week fitness class. This demonstrates the final phase of the community health nursing process, which involves evaluating the outcomes of implemented interventions. By presenting feedback, the nurse is assessing the effectiveness of the fitness class in improving community health.

Choice B, determining the needs of the community, is part of the assessment phase, not the final phase. Choice C, developing a wellness program, is part of the planning phase. Choice D, supervising a fitness class, is part of the implementation phase. Thus, only choice A aligns with the final phase of the community health nursing process.

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