ATI Community Health Nursing Test Bank

ATI Community Health Nursing Test Bank Related

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A community health nurse (CHN) is part of a palliative consultation team that provides care for people living on the streets, in parks, or in shelters or who are unwilling or unable to come to the clinic, hospital, or hospice to receive end of life care. How can this type of nursing service be best classified?

  • A. Community-oriented nursing
  • B. Home health nursing
  • C. Outpost nursing
  • D. Private duty nursing
Correct Answer: C

Rationale: Step 1: Outpost nursing involves providing care to underserved populations in remote or hard-to-reach areas, like people living on the streets or in shelters.
Step 2: This type of nursing focuses on meeting the healthcare needs of individuals where they are, rather than in traditional healthcare settings.
Step 3: Outpost nursing aligns with the scenario of providing end-of-life care to those unable to access traditional healthcare facilities.
Step 4: Community-oriented nursing focuses on improving overall health of a community, not specific end-of-life care.
Step 5: Home health nursing involves providing care in a patient's home, not necessarily for individuals living on the streets or in shelters.
Step 6: Private duty nursing involves providing one-on-one care to an individual in a private setting, which does not apply to the scenario provided.
Summary: Outpost nursing is the best classification as it aligns with providing care to underserved populations in non-traditional settings, while the other choices

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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.

A community health nurse (CHN) is demonstrating the use of a peak flow meter to help children with chronic asthma recognize when they need to use a rescue inhaler. What is the level of prevention represented by this activity?

  • A. Primary
  • B. Secondary
  • C. Tertiary
  • D. Both primary and secondary
Correct Answer: B

Rationale: The correct answer is B: Secondary prevention. Secondary prevention focuses on early detection and intervention to prevent the progression of a disease. In this case, the CHN is helping children with asthma recognize early signs of worsening symptoms through peak flow meter use, enabling them to take action with a rescue inhaler. This intervention aims to prevent exacerbation of asthma symptoms, making it a secondary prevention strategy.

A: Primary prevention focuses on preventing the onset of a disease through health promotion and education before it occurs.
C: Tertiary prevention involves managing and reducing the impact of a disease that has already occurred to prevent complications.
D: Both primary and secondary prevention do not apply in this scenario as it specifically targets early detection and intervention for those with an existing condition.

What is the biggest challenge for community health nurses (CHNs) who are familiar with evidence-informed practice and want to implement it in their care of clients?

  • A. Interpreting vast amounts of evidence and integrating it into practice
  • B. Advocating for change and convincing others that it is beneficial
  • C. Distinguishing evidence-informed practice from practice based on old standards
  • D. Showing clients that evidence-informed practice will improve their health outcomes
Correct Answer: A

Rationale: The correct answer is A because interpreting vast amounts of evidence and integrating it into practice is a significant challenge for community health nurses (CHNs) familiar with evidence-informed practice. CHNs need to sift through numerous research studies, guidelines, and data to make informed decisions about client care. By effectively integrating evidence into practice, CHNs can ensure that their interventions are based on the best available evidence, leading to improved client outcomes.

Choice B is incorrect because advocating for change is not the primary challenge related to implementing evidence-informed practice. Choice C is incorrect because distinguishing evidence-informed practice from outdated standards is important but not the biggest challenge. Choice D is incorrect because showing clients the benefits of evidence-informed practice is essential but not the main challenge faced by CHNs in implementing it.

Which of the following is an example of primary prevention?

  • A. Papanicolaou (Pap) tests to detect cervical cancer
  • B. Screening of pregnant women for gestational diabetes
  • C. COVID-19 immunization clinics
  • D. Mammography to detect breast cancer
Correct Answer: C

Rationale: Primary prevention aims to prevent the occurrence of a disease before it occurs. COVID-19 immunization clinics fall under primary prevention as they help prevent individuals from contracting the virus in the first place. By administering vaccines, the spread of the disease is reduced, ultimately preventing new cases. This is different from the other options: A and D involve screening tests to detect existing diseases, while B focuses on identifying a health condition in pregnant women rather than preventing its development. Thus, C is the correct choice for primary prevention.

A client with tuberculosis (TB) wants to know why directly observed therapy (DOT) is required as part of the treatment. What community health nurse (CHN) response would be the most appropriate one?

  • A. "Clients with TB are often nonadherent to their medication regimen; DOT will ensure that you take the medications prescribed to you."
  • B. "This therapy is recommended by TB experts as the best way to ensure that you receive the treatment you need and that the infection doesn't become resistant to treatment."
  • C. "This ensures that you get your medication even at the late stages of TB, when your memory may be affected by inadequate oxygenation to the brain."
  • D. "TB medications are very expensive, and this method ensures that government health care resources are not wasted by those who will not take the medications regularly."
Correct Answer: B

Rationale: The correct answer is B because directly observed therapy (DOT) is recommended by TB experts to ensure treatment adherence and prevent drug resistance. TB treatment requires strict adherence to a regimen to prevent the development of drug-resistant strains. DOT involves a healthcare provider directly observing the client taking their medication to ensure compliance. Choice A addresses nonadherence but does not emphasize the importance of preventing drug resistance. Choices C and D are incorrect as they do not directly relate to the main purpose of DOT in preventing drug resistance and ensuring treatment effectiveness.

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