Engaging Community Health ATI
A group of newly hired nurses is listening to a case management nurse talk about
medicalization. ANS: "Medicalization is the practice of prescribing medications for conditions
that could be treated using nonpharmacological strategies." Which of the following statements
indicates an understanding of "medicalization"? At the community health clinic, a client with
diabetes mellitus shows up for a follow-up appointment. The client has revealed that they have
recently broken up with their partner, which makes them appear anxious. Which of the following
actions should the nurse take first? - ANS-Provide an opportunity to listen to and comfort the
client.
A community clinic recently added a bilingual nurse to their staff to provide better health
teaching with their Hispanic and Latino clients. Which of the following is evidence of improved
client health outcomes? - An ANS-A client's blood glucose levels have stabilized. Every year, a
community health nurse goes to the American Public Health Association (APHA) meeting to
meet colleagues from all over the country and stay up to date on the latest developments in the
field. Which of the fundamental responsibilities of epidemiology is performed by the nurse? -
ANS-Linkages A community health nurse has been tasked with providing a daily expense report
of clients that have utilized the community health center for assistance with basic needs.
ANS-Domain 7: Financial Planning, Evaluation, and Management Skills - Which of the eight
domains of public health nursing practice includes providing data for the health center? A
community health nurse is assisting with initiating a community's disaster plan following a
nearby disaster. ANS-Local government: Which of the following resources responds to the
disaster first? A community health nurse is assisting with the development of a program aimed
at decreasing health issues among community residents who are pregnant. Using
FOCUS-PDSA framework, which of the following steps is the first the nurse will take in the
quality improvement process? - ANS-Identify the prevalence of anemia during pregnancy
A community health nurse is calculating the number of deaths of school age children in a
county. Which of the following methods should the nurse use to obtain this data? -
ANS-Age-specific mortality rate
A community health nurse is calculating the top three causes of death in a county. Which of the
following mortality measures should the nurse use to obtain this data? - ANS-Cause-specific
mortality rate
A client is being educated by a community health nurse about the consequences of a screening
test result that is falsely negative. "If I have a false negative screening, I may miss the
opportunity for early treatment," the client stated, indicates that they are aware of a false
negative screening. A community health nurse is educating a newly licensed nurse about
sensitivity and specificity using a two-by-two table. Which of the following statements by the
newly licensed nurse indicates an understanding of the table related to false negatives? -
ANS-"False negatives are represented in the table cell that indicates the person has the disease
and the test does not indicate disease."
, A community health nurse is establishing a care plan for a 12-year-old client who is disruptive
in school. One of the interventions in the care plan is a referral to a mentorship program by the
nurse. The nurse should use which of the following justifications to make the referral:
ANS-Students who are mentored have a better chance of succeeding in school. In a community
where residents express concerns regarding social justice, a community health nurse
participates in community-engaged research. Which of the following principles of
community-engaged research best addresses their concerns? ANS-Community-engaged
research encourages a partnership that is both equitable and collaborative throughout the
entirety of the research process. When working with clients, a community health nurse is
working to improve their cultural competence. The nurse must recognize and comprehend
which of the following client characteristics in order to develop cultural competence: -
ANS-Diversity A community health nurse is meeting with leaders of the city to discuss the
impact of community-sponsored secondary prevention interventions on the cost of elderly health
care. The nurse should recommend which of the following: - ANS-Offering diabetes and
hypertension screening fairs A community health nurse is part of a team that plans to propose a
policy that improves access to primary care. Identifying the appropriate level and jurisdiction at
which an idea can be introduced is the first step in becoming competent as a policy advocacy
advocate. A community health nurse is planning a program to educate parents and caregivers in
the community about childhood immunizations. When incorporating evidence-based practice,
the nurse should identify that which of the following is a focus of implementing the program? -
ANS-The values and preferences of the community
A community health nurse is preparing an in-service for staff to define the conditions of
causation in epidemiological studies. Which of the following descriptions should the nurse use
to define a temporal relationship to establish causation? - ANS-"The exposure must come
before the disease develops."
A community health nurse is preparing an in-service for staff to define the conditions of
causation in epidemiology studies. Which of the following descriptions should the nurse use to
define a cessation of exposure to establish causation? - ANS-"When the exposure is decreased
or eliminated, the risk of disease declines or is eliminated."
A community health nurse is providing education to a group of nurses about the functions of
various government agencies. The nurse should include in the teaching that which of the
following government agencies addresses food security by directly providing food to select
populations? - ANS-U.S. Department of Agriculture (USDA)
A community health nurse is providing teaching to a client about primary prevention methods
for sexually transmitted infections. The nurse should identify that the teaching reflects which of
the following stages of the natural history of disease model? - ANS-Stage of susceptibility
A community health nurse is providing teaching to a client who is being enrolled in a
cross-sectional study. Which of the following statements by the client indicates an
understanding of the teaching? - ANS-"The survey will take an hour to complete and then I'll be
done."
A community health nurse is providing teaching to a client who is being enrolled in a
randomized controlled trial. Which of the following statements by the client indicates an
understanding of the teaching? - ANS-"I will not know if I am going to be in the intervention or
control group."
A group of newly hired nurses is listening to a case management nurse talk about
medicalization. ANS: "Medicalization is the practice of prescribing medications for conditions
that could be treated using nonpharmacological strategies." Which of the following statements
indicates an understanding of "medicalization"? At the community health clinic, a client with
diabetes mellitus shows up for a follow-up appointment. The client has revealed that they have
recently broken up with their partner, which makes them appear anxious. Which of the following
actions should the nurse take first? - ANS-Provide an opportunity to listen to and comfort the
client.
A community clinic recently added a bilingual nurse to their staff to provide better health
teaching with their Hispanic and Latino clients. Which of the following is evidence of improved
client health outcomes? - An ANS-A client's blood glucose levels have stabilized. Every year, a
community health nurse goes to the American Public Health Association (APHA) meeting to
meet colleagues from all over the country and stay up to date on the latest developments in the
field. Which of the fundamental responsibilities of epidemiology is performed by the nurse? -
ANS-Linkages A community health nurse has been tasked with providing a daily expense report
of clients that have utilized the community health center for assistance with basic needs.
ANS-Domain 7: Financial Planning, Evaluation, and Management Skills - Which of the eight
domains of public health nursing practice includes providing data for the health center? A
community health nurse is assisting with initiating a community's disaster plan following a
nearby disaster. ANS-Local government: Which of the following resources responds to the
disaster first? A community health nurse is assisting with the development of a program aimed
at decreasing health issues among community residents who are pregnant. Using
FOCUS-PDSA framework, which of the following steps is the first the nurse will take in the
quality improvement process? - ANS-Identify the prevalence of anemia during pregnancy
A community health nurse is calculating the number of deaths of school age children in a
county. Which of the following methods should the nurse use to obtain this data? -
ANS-Age-specific mortality rate
A community health nurse is calculating the top three causes of death in a county. Which of the
following mortality measures should the nurse use to obtain this data? - ANS-Cause-specific
mortality rate
A client is being educated by a community health nurse about the consequences of a screening
test result that is falsely negative. "If I have a false negative screening, I may miss the
opportunity for early treatment," the client stated, indicates that they are aware of a false
negative screening. A community health nurse is educating a newly licensed nurse about
sensitivity and specificity using a two-by-two table. Which of the following statements by the
newly licensed nurse indicates an understanding of the table related to false negatives? -
ANS-"False negatives are represented in the table cell that indicates the person has the disease
and the test does not indicate disease."
, A community health nurse is establishing a care plan for a 12-year-old client who is disruptive
in school. One of the interventions in the care plan is a referral to a mentorship program by the
nurse. The nurse should use which of the following justifications to make the referral:
ANS-Students who are mentored have a better chance of succeeding in school. In a community
where residents express concerns regarding social justice, a community health nurse
participates in community-engaged research. Which of the following principles of
community-engaged research best addresses their concerns? ANS-Community-engaged
research encourages a partnership that is both equitable and collaborative throughout the
entirety of the research process. When working with clients, a community health nurse is
working to improve their cultural competence. The nurse must recognize and comprehend
which of the following client characteristics in order to develop cultural competence: -
ANS-Diversity A community health nurse is meeting with leaders of the city to discuss the
impact of community-sponsored secondary prevention interventions on the cost of elderly health
care. The nurse should recommend which of the following: - ANS-Offering diabetes and
hypertension screening fairs A community health nurse is part of a team that plans to propose a
policy that improves access to primary care. Identifying the appropriate level and jurisdiction at
which an idea can be introduced is the first step in becoming competent as a policy advocacy
advocate. A community health nurse is planning a program to educate parents and caregivers in
the community about childhood immunizations. When incorporating evidence-based practice,
the nurse should identify that which of the following is a focus of implementing the program? -
ANS-The values and preferences of the community
A community health nurse is preparing an in-service for staff to define the conditions of
causation in epidemiological studies. Which of the following descriptions should the nurse use
to define a temporal relationship to establish causation? - ANS-"The exposure must come
before the disease develops."
A community health nurse is preparing an in-service for staff to define the conditions of
causation in epidemiology studies. Which of the following descriptions should the nurse use to
define a cessation of exposure to establish causation? - ANS-"When the exposure is decreased
or eliminated, the risk of disease declines or is eliminated."
A community health nurse is providing education to a group of nurses about the functions of
various government agencies. The nurse should include in the teaching that which of the
following government agencies addresses food security by directly providing food to select
populations? - ANS-U.S. Department of Agriculture (USDA)
A community health nurse is providing teaching to a client about primary prevention methods
for sexually transmitted infections. The nurse should identify that the teaching reflects which of
the following stages of the natural history of disease model? - ANS-Stage of susceptibility
A community health nurse is providing teaching to a client who is being enrolled in a
cross-sectional study. Which of the following statements by the client indicates an
understanding of the teaching? - ANS-"The survey will take an hour to complete and then I'll be
done."
A community health nurse is providing teaching to a client who is being enrolled in a
randomized controlled trial. Which of the following statements by the client indicates an
understanding of the teaching? - ANS-"I will not know if I am going to be in the intervention or
control group."
