ATI Community Health Final Prep Graded A 2025

1. The nurse is working with a community of solutions. Which of the following would the nurse expect to find? a. A health problem affecting the group b. common goal binding members together c. sharing of a similar goal d. locational boundaries - a. Health problem affecting the group 2. A group of community health nursing students deign education program for a group of pregnant teens that includes teaching nutrition during pregnancy, demonstrating helpful exercises, and discussing their concerns. This is an example of which of the following/ a. health promotion b. treatment of disorders c. rehabilitation d. evaluation - a. health promotion 3. a community health nurse is engaging in the core function of policy development. With which of the activities would the nurse most likely be involved? a. monitoring health status to identify community health problems b. empowering communities about important health issues c. linking individuals to needed personal health services d. ensuring a competent health care workforce - b. 4. a community health nurse has collected data for several months on the birth weights of newborns to mothers who smoked throughout their pregnancy. This nurse is acting in which role? a. collaborator b. manager c. researcher d. clinician - C. 5. A nurse in community health nursing setting works with police officers, social workers, health educators, and other nurses to promote the health of clients. The nurse i acting in which role? a. clinician b. educator c. researcher d. collaborator - d. 6. which of the following best exemplifies the attributes of a community health nurse in the researcher role? a. gaining the trust and respect of the staff members b. interpreting abstract ideas so others can understand c. implementing a staff development program for technique d. evaluating the correlation between variables in specific health conditions - D. 7. a community health nurse is working as a lobbyist for health legislation for AIDS research at the state capital. This nurse is practicing in which setting? a. faith community b. ambulatory service c. residential institution d. community at large - d. 8. a nursing student is interviewing a community health nurse about the various roles the nurse assumes and the skills and behaviors necessary to perform each role. Which of the following would the community health nurse identify as being essential to the role of an advocate? SATA a. assertiveness b. ability to plan c. ability to negotiate d. risk taking e. holistic view f. questioning attitude - a, c, d 9. before the mid- 1800, early home care nursing was best recognized by which of the following? a. technical advances with the industrial revolution making major changes b. care provided by family members, friends, and religious groups in the home c. accomplishments stemming from the work of Florence Nightingale d. formal organization of visiting nursing to provide care to the sick poor - B. 10. which factor was the most significant feature associated with district nursing? a. caring for the sick b. teaching hygiene and cleanliness c. preventing illness d. gathering statistical data - B. 11. Which of the following statements about the steps of the EBP process is most accurate? A) One of the last steps of the EBP process is to search for and collect the most relevant best evidence. B) One of the earliest steps in the EBP process is to disseminate the outcomes of the EBP decision or change. C) It is optional to integrate the best evidence with one's clinical expertise and patient preferences and values in making a practice decision or change. D) The first step in the EBP process is to cultivate a spirit of inquiry - D 12. Which one of the following statements about cultivating a spirit of inquiry is most accurate? A) It is not very important; research will be performed anyway. B) In order for effective change to occur, current practices must be continually examined, questioned, and challenged. C) It involves "asking the burning clinical question." D) The agency does not have an important role in cultivating a spirit of inquiry. - B 13. Application of nursing research results to community health nursing practice is essential. Which of the following must occur first before results can be applied? A) Be informed about research findings B) Demonstrate skill in examining research reports C) Assess abstracts of relevant research studies D) Check if the study was funded by a drug company - A 14. Which of the following would the community health nurse do first when making an ethical decision? A) Engage in critical thinking B) Choose a value C) Identify isolated values D) Clarify one's values - D 15. A group of students are reviewing for an examination on values. Identification of which of the following as an instrumental value indicates the need for continued study? A) Spiritual salvation B) Confidentiality C) Honesty D) Promise keeping - A 16. A community health nurse obtains a client's informed consent for care demonstrating the understanding that this is derived from which value? A) Self-interest B) Well-being C) Equity D) Self-determination - D 17. Which of the following statements about basic values that guide decision making in community health nursing is true? A) Client empowerment means that the provider must use a paternalistic approach to health care. B) Self-interest does not interfere with self determination. C) When matters of well-being are considered, the client's preferences and needs should not be considered. D) Equity is not possible in times of limited resources. - D 18. Situations in which self-determination should be restricted include which of the following? Select all that apply. A) When some objectives of individuals are contrary to the public interest or the interests of others in society B) When a person's decision making is so defective or mistaken that the decision fails to promote the person's own values or goals C) When it interferes with self-interest D) Self-determination and personal autonomy must never be restricted. E) When self-determination deteriorates into self-interest and poses a major roadblock to equitable care - A & B 19. A community health nurse discovers that a bill in the legislature would eliminate a state law that currently funds child health promotion services for low-income children. Which action at the primary level of prevention would be most appropriate? A) Advocate for amendment to the passed law to allow some funding for children to remain B) Once the bill has been passed, seek private resources to support funding of health promotion services for low-income children C) Gather a group of health professionals to volunteer to provide the health promotion services eliminated by the passed bill D) Advocate through active lobbying against the bill and gather community support - D 20. A community health nurse working with a group of families who come to local community health care center tells them that she is going to be setting up child care so that the families can participate in the various classes being offered by the center. Three months have passed, and the nurse still has not instituted the child care program. The nurse has violated which ethical principle? A) Veracity B) Fidelity C) Justice D) Respect - B 21. A public health nurse is faced with an ethical dilemma. Which question should the nurse consider first when deciding how to resolve the dilemma? A) "What exactly is the ethical dilemma?" B) "What are the alternative courses of action?" C) "What are the consequences of each alternative courses of action?" D) "How should this dilemma be solved?" - A 22. After discussing the meaning of cultural diversity and its significance for community health nursing, the nursing instructor recognizes that some points need to be clarified when a student makes which of the following comments? A. "Dominant values are those held by the male head of the household in most American families." B.) "The percentages of White European descent Americans are rising, while the percentages of other ethnicities are declining and this is projected to continue into the year 2050 at least." C.) "Nurses maintain their original culture as they are socialized throughout the educational process." D.) "America has become an amalgamation of people who have different values, ideals, and behaviors, rather than the melting pot that was once envisioned" - A 23. The population that community health nurses serve in the United States is changing. Because of population shifts, nurses must become sensitive to the cultural differences and language differences among new community members. Which minority group currently represents the largest group? A.) African Americans B.) Hispanic Americans C.) Asian Americans D.) American Indians - B 24. While providing care to a community group, a community health nurse provides culturally sensitive care by avoiding which of the following? A.) Ethnocentrism B.) Ethnorelativism C.) Enculturation D.) Ethnicity - A 25. What is the most serious negative effect of a nurse maintaining ethnocentric views but not recognizing or acknowledging this? A.) The nurse fails to understand the views of other cultures because of his or her ethnocentrism. B.) The nurse does not communicate effectively with members of other cultures because of his or her ethnocentrism. C.) The nurse's ethnocentrism causes damage to interpersonal relationships and interferes with the effectiveness of nursing interventions. D.) Nurses are immune to the effects of ethnocentrism. - C 26. A community health nurse working a large metropolitan city has a large Asian American client base. Which of the following would the nurse be least likely to assess in this population? A.) Belief that illness results from a body imbalance B.) Reliance on Western medical practices C.) Use of traditional self-care practices D.) A focus on patriarchal family structures - B 27. While visiting an Asian American family in their home, the community health nurse inspects the skin of the 3-year-old child and notices a bruise-like lesion on the child's abdomen. The mother states that the child has been experiencing diarrhea for 2 days. Which of the following would the nurse do next? A.) Report the family to the local child abuse agency B.) Recognize this as a normal skin variation C.) Question the family about the use of cupping D.) Obtain a blood test for clotting function - C 28. The community health nurse is working in the health department of a major city that has a large Hispanic/Latino population. Which of the following would the nurse need to integrate into the plan of care for this population? A.) View of the female as superior to the male B.) Importance of an extended, cohesive family C.) Males as the binding force of the family D.) Adherence to strict time schedules - B 29. A community health nurse is developing health promotion programs for a local community that consists predominantly of African Americans. Which of the following areas would be a priority for health promotion with this group? 30. A.)Cardiac health 31. B.) Respiratory care 32. C.) Mental health 33. D.) Skin care - A 34. What is the most important reason for the nurse to conduct a cultural assessment? A.) Because it is often assigned by nursing faculty B.) Because usually there is some culturally based reason that causes clients to engage in or avoid certain actions C.) To meet the nurse's professional learning needs D.) Because understanding the values, beliefs, and practices of a designated cultural group is critical to effective nursing action - D 35. A community health nurse is providing care to several cultural groups in the community. When providing transcultural nursing, which of the following would be the priority? A) Examining one's own culture carefully and recognizing that alternative viewpoints are possible B) Recognizing that cultural values, beliefs, and practices influence people's health and lifestyles C) Obtaining health-related information about a cultural group concerning their values, beliefs, and practices D) Actively and attentively listening to demonstrate respect while learning about other cultures - A 36. When working with immigrant groups in community health care, which of the following would be least appropriate for the community health nurse to do? A) Permit ample time for interviewing to allow time to evaluate beliefs B) Develop educational programs to correct misconceptions C) Assume that the client has a basic understanding of health issues D) Ensure an appropriate interpreter for communication if needed - C. we never assume anything.. makes an ASS out of U and ME 37. Over the past century, many health-related changes have occurred affecting morbidity and mortality. As community health nurses assess and plan for services in the community, an understanding of which of the following changes would the nurses need to integrate into their plans? Select all that apply. A) High levels of chronic disease B) Shortened life spans C) Increased teen pregnancies D) Abuse of multiple substances E) Increased maternal mortality F) Multidrug-resistant diseases - A, C, D, F 38. provision of care to clients in a clinic setting at the local health department. This nurse is engaging in which core public health function? A) Clinical B) Assessment C) Policy development D) Assurance - D 39. Which of the following statements about the core public health functions are true? A) Public health nurses practice as partners with other public health professionals within these core functions. B) Assessment involves the actual provision of services. C) Policy development relates to assessment. D) Assurance means that the public health agency must directly provide the needed services. - A 40. Which of the following most well describes a public health care agency? A) The agency most often has a very specific focus. B) The agency is responsible for promoting and protecting the health of all within their jurisdiction. C) The agency only employs nurses and environmental health practitioners. D) The agency is able to perform its work independently with complete autonomy - B 41. Which statement regarding the potential impact of health care reform on community health nursing is most accurate? A) Health care reform does not affect community health nursing. B) Community health nurses know that outcomes research is unnecessary. C) Public health nurses can lead the effort in making health care more accessible to all citizens. D) Community health nurses will only be able to work in public health agencies. - C 42. An instructor is discussing the worldwide distribution of AIDS. Which term would the instructor use to describe this situation? A) Epidemic B) Pandemic C) Endemic D) Pathogenicity - B 43. After a class describing the contributions of Florence Nightingale to epidemiology, the instructor determines that the class needs additional instruction when they state which of the following is associated with Nightingale? A) Establishment of the need for a clean environment B) A sophisticated coding system for medical conditions C) Proper wound cleansing and bandaging techniques D) Separation of infected individuals from those injured - B 44. When applying the epidemiologic triad model to a community's plan of care, which of the following would the community health nurse address? A) Incidence, prevalence, and case-fatality B) Health, illness, and injury C) Host, agent, and environment D) Immunity, causation, and risk - C 45. A community health nurse is explaining the chain of causation to a family that includes a child who has developed Lyme disease. The nurse correctly describes the opening in the child's skin caused by the actual tick bite as the A) reservoir. B) mode of transmission. C) portal of entry. D) host. - C