(C826) ATI-Community Health <WGU
Notes>
The mnemonic "I PREPARE" - ANS- I means investigate potential exposures P = current work
(exposures, use of personal protective equipment, MSDS location, taking home exposures,
trends) R is the house (age, heating, recent renovations, chemical storage, and water) E
denotes environmental issues (air, water, soil, nearby industries, and waste or landfill sites) ◯◯
P = Past work (exposures, farm work, military, volunteer, seasonal, length of work)
A denotes activities (including hobbies, activities, gardening, fishing, hunting, soldering,
melting, burning, eating, pesticides, and complementary and alternative therapies). ◯◯ R =
Referrals and resources (Environmental Protection Agency, Agency for Toxic Substances &
Disease Registry, Association of Occupational and Environmental Clinics, MSDS, OSHA, local
health department, environmental agency, poison control)
◯◯ E = Educate (risk reduction, prevention, follow-up)
1. A preschool-aged child is the subject of a well-child visit by a nurse at a community clinic.
Which of the following is an indication of child neglect and should the nurse look for? (Select all
relevant options.) A. Underweight
B. Healing spiral fracture of the arm
C. irritated genitalia D. Burns on the palms of the hands
E. Poor hygiene - ANS-A. CORRECT: An underweight child is a manifestation of child neglect.
B. INCORRECT: A healing spiral fracture is a manifestation of physical abuse.
C. Incorrect: irritated genitalia are signs of sexual abuse. D. INCORRECT: Burns on the palms
of the hands are a manifestation of physical abuse.
E. CORRECT: Poor hygiene is manifestation of child neglect.
1. To address community health issues, a nurse is forming partnerships. The nurse should be
aware that which of the following characteristics must exist for partnerships to be successful?
(Select all that apply.)
A. A leading partner with decision-making authority
B. Flexibility among partners when considering new ideas
C. partners' adherence to ethical principles D. Varying goals for the different partners
E. Willingness of partners to negotiate roles - ANS-A. INCORRECT: Shared power must exist
for a partnership to be successful.
B. CORRECT: Flexibility must exist for a partnership to be successful.
C. CORRECT: Integrity must exist for a partnership to be successful.
D. INCORRECT: Shared goals must exist for a partnership to be successful.
E. CORRECT: Negotiation must exist for a partnership to be successful.
1. A nurse is preparing a community health program on communicable diseases. When
discussing modes of transmission, the nurse should include which of the following as an
airborne illness?
, A. Cholera
B. Malaria
C. Influenza
D. Salmonellosis - ANS-A. False: Cholera is a disease spread through water. B. Incorrect:
Malaria is a vector-borne illness.
C. Correct: When discussing modes transmission, the nurse should include influenza as an
airborne illness.
D. False: Salmonellosis is a disease brought on by food. 1. An educational program on
cultural perspectives in nursing is being prepared by a nurse. The nurse should
Which of the following factors is influenced by a person's culture? (Select all that apply.)
A. Nutritional practices
B. Family structure
C. Health care interactions
D. Biological variations
E. Views about illness - ANS-A. CORRECT: Culture is the beliefs, values, attitudes, and
behaviors shared by a group of people
and transmitted from generation to generation. Nutritional practices are influenced by an
individual's culture.
B. CORRECT: Culture is the beliefs, values, attitudes, and behaviors shared by a group of
people and
passed down from one generation to the next. Family structure is influenced by an individual's
culture.
C. CORRECT: Culture is the beliefs, values, attitudes, and behaviors shared by a group of
people
and passed down from one generation to the next. Health care interactions are influenced by
an
individual's culture.
D. INCORRECT: Biological variations are physical, biological and physiological differences
between races,
and are unaffected by an individual's beliefs, values, or attitudes. E. CORRECT: Culture is the
beliefs, values, attitudes, and behaviors shared by a group of people and
passed down from one generation to the next. Culture has an impact on how people think
about illness. 1. A nurse is preparing to conduct a windshield survey. Which of the following
data should the nurse collect as a component of this assessment? (Select all that apply.)
A. Ethnicity of community members
B. Individuals who hold power within the community
C. Natural community boundaries
D. The incidence of disease E. Presence of public protection - ANS-A. Correct: As part of a
windshield survey, the nurse should determine the ethnicity of the community's visible residents.
B. Incorrect: Individuals who hold power are identified through formal and informal observations
of community activities, as a participant observer.
C. Correct: The nurse should identify natural community boundaries as a component a
windshield survey.
, D. Incorrect: Prevalence of disease is incorrect. A component of secondary data is disease
prevalence, which is determined by the community's morbidity rates. E. Correct: The nurse
should identify the presence of public protection, such as police, fire, and animal control, as a
component a windshield survey.
1. A nurse is talking to a client who asks for additional information about hospice. Which of the
following is an appropriate statement by the nurse?
A. "Clients who require skilled nursing care at home qualify for hospice care."
B. "Teaching clients about life-sustaining measures is one function of hospice." C. "Hospice
assists clients to develop the skills needed to care for themselves independently."
D. "A component of hospice care is to control the client's symptoms." - ANS-A. In error, clients
who require home-based skilled nursing care are eligible for home health care. B. Incorrect:
Clients may receive instruction on life-sustaining measures from home health care providers;
however, is not a function of hospice.
C. INCORRECT: Home health assists clients to develop the skills needed to care for
themselves independently.
D. Correct: Hospice care includes managing the client's symptoms. 1. A community agency's
nurse manager is creating an orientation program for newly hired nurses. When discussing the
differences between community-based and community-oriented nursing, the nurse
should include, as examples of community-based nursing, which of the following? (Select all
that apply.)
A. A home health nurse performing wound care for a client who is immobile
B. An occupational health nurse providing classes on body mechanics at a local industrial plant
C. A school nurse teaching a student who has asthma about medications
D. A parish nurse teaching a class on low-sodium cooking techniques
E. A mental health nurse discussing stress management techniques with a support group -
ANS-A. CORRECT: This is an example of community-based nursing, which involves
management of acute
and chronic conditions in a community setting.
B. INCORRECT: This is an example of community-oriented nursing, which involves health care
of
individuals, families and groups to improve the collective health of the community.
C. CORRECT: This is an example of community-based nursing, which involves management
of acute
and chronic conditions in a community setting.
D. INCORRECT: This is an example of community-oriented nursing, which involves health care
of
individuals, families and groups to improve the collective health of the community.
E. INCORRECT: This is an example of community-oriented nursing, which involves health care
of
individuals, families, and groups to boost the community's overall health. 2. A home health
nurse is discussing portals of entry with a group of newly hired assistive personnel. Which of
the following are portals of entry the nurse should discuss? (Select all that apply.)
A. Secretions from the lungs B. Skin
C. Genitourinary tract
Notes>
The mnemonic "I PREPARE" - ANS- I means investigate potential exposures P = current work
(exposures, use of personal protective equipment, MSDS location, taking home exposures,
trends) R is the house (age, heating, recent renovations, chemical storage, and water) E
denotes environmental issues (air, water, soil, nearby industries, and waste or landfill sites) ◯◯
P = Past work (exposures, farm work, military, volunteer, seasonal, length of work)
A denotes activities (including hobbies, activities, gardening, fishing, hunting, soldering,
melting, burning, eating, pesticides, and complementary and alternative therapies). ◯◯ R =
Referrals and resources (Environmental Protection Agency, Agency for Toxic Substances &
Disease Registry, Association of Occupational and Environmental Clinics, MSDS, OSHA, local
health department, environmental agency, poison control)
◯◯ E = Educate (risk reduction, prevention, follow-up)
1. A preschool-aged child is the subject of a well-child visit by a nurse at a community clinic.
Which of the following is an indication of child neglect and should the nurse look for? (Select all
relevant options.) A. Underweight
B. Healing spiral fracture of the arm
C. irritated genitalia D. Burns on the palms of the hands
E. Poor hygiene - ANS-A. CORRECT: An underweight child is a manifestation of child neglect.
B. INCORRECT: A healing spiral fracture is a manifestation of physical abuse.
C. Incorrect: irritated genitalia are signs of sexual abuse. D. INCORRECT: Burns on the palms
of the hands are a manifestation of physical abuse.
E. CORRECT: Poor hygiene is manifestation of child neglect.
1. To address community health issues, a nurse is forming partnerships. The nurse should be
aware that which of the following characteristics must exist for partnerships to be successful?
(Select all that apply.)
A. A leading partner with decision-making authority
B. Flexibility among partners when considering new ideas
C. partners' adherence to ethical principles D. Varying goals for the different partners
E. Willingness of partners to negotiate roles - ANS-A. INCORRECT: Shared power must exist
for a partnership to be successful.
B. CORRECT: Flexibility must exist for a partnership to be successful.
C. CORRECT: Integrity must exist for a partnership to be successful.
D. INCORRECT: Shared goals must exist for a partnership to be successful.
E. CORRECT: Negotiation must exist for a partnership to be successful.
1. A nurse is preparing a community health program on communicable diseases. When
discussing modes of transmission, the nurse should include which of the following as an
airborne illness?
, A. Cholera
B. Malaria
C. Influenza
D. Salmonellosis - ANS-A. False: Cholera is a disease spread through water. B. Incorrect:
Malaria is a vector-borne illness.
C. Correct: When discussing modes transmission, the nurse should include influenza as an
airborne illness.
D. False: Salmonellosis is a disease brought on by food. 1. An educational program on
cultural perspectives in nursing is being prepared by a nurse. The nurse should
Which of the following factors is influenced by a person's culture? (Select all that apply.)
A. Nutritional practices
B. Family structure
C. Health care interactions
D. Biological variations
E. Views about illness - ANS-A. CORRECT: Culture is the beliefs, values, attitudes, and
behaviors shared by a group of people
and transmitted from generation to generation. Nutritional practices are influenced by an
individual's culture.
B. CORRECT: Culture is the beliefs, values, attitudes, and behaviors shared by a group of
people and
passed down from one generation to the next. Family structure is influenced by an individual's
culture.
C. CORRECT: Culture is the beliefs, values, attitudes, and behaviors shared by a group of
people
and passed down from one generation to the next. Health care interactions are influenced by
an
individual's culture.
D. INCORRECT: Biological variations are physical, biological and physiological differences
between races,
and are unaffected by an individual's beliefs, values, or attitudes. E. CORRECT: Culture is the
beliefs, values, attitudes, and behaviors shared by a group of people and
passed down from one generation to the next. Culture has an impact on how people think
about illness. 1. A nurse is preparing to conduct a windshield survey. Which of the following
data should the nurse collect as a component of this assessment? (Select all that apply.)
A. Ethnicity of community members
B. Individuals who hold power within the community
C. Natural community boundaries
D. The incidence of disease E. Presence of public protection - ANS-A. Correct: As part of a
windshield survey, the nurse should determine the ethnicity of the community's visible residents.
B. Incorrect: Individuals who hold power are identified through formal and informal observations
of community activities, as a participant observer.
C. Correct: The nurse should identify natural community boundaries as a component a
windshield survey.
, D. Incorrect: Prevalence of disease is incorrect. A component of secondary data is disease
prevalence, which is determined by the community's morbidity rates. E. Correct: The nurse
should identify the presence of public protection, such as police, fire, and animal control, as a
component a windshield survey.
1. A nurse is talking to a client who asks for additional information about hospice. Which of the
following is an appropriate statement by the nurse?
A. "Clients who require skilled nursing care at home qualify for hospice care."
B. "Teaching clients about life-sustaining measures is one function of hospice." C. "Hospice
assists clients to develop the skills needed to care for themselves independently."
D. "A component of hospice care is to control the client's symptoms." - ANS-A. In error, clients
who require home-based skilled nursing care are eligible for home health care. B. Incorrect:
Clients may receive instruction on life-sustaining measures from home health care providers;
however, is not a function of hospice.
C. INCORRECT: Home health assists clients to develop the skills needed to care for
themselves independently.
D. Correct: Hospice care includes managing the client's symptoms. 1. A community agency's
nurse manager is creating an orientation program for newly hired nurses. When discussing the
differences between community-based and community-oriented nursing, the nurse
should include, as examples of community-based nursing, which of the following? (Select all
that apply.)
A. A home health nurse performing wound care for a client who is immobile
B. An occupational health nurse providing classes on body mechanics at a local industrial plant
C. A school nurse teaching a student who has asthma about medications
D. A parish nurse teaching a class on low-sodium cooking techniques
E. A mental health nurse discussing stress management techniques with a support group -
ANS-A. CORRECT: This is an example of community-based nursing, which involves
management of acute
and chronic conditions in a community setting.
B. INCORRECT: This is an example of community-oriented nursing, which involves health care
of
individuals, families and groups to improve the collective health of the community.
C. CORRECT: This is an example of community-based nursing, which involves management
of acute
and chronic conditions in a community setting.
D. INCORRECT: This is an example of community-oriented nursing, which involves health care
of
individuals, families and groups to improve the collective health of the community.
E. INCORRECT: This is an example of community-oriented nursing, which involves health care
of
individuals, families, and groups to boost the community's overall health. 2. A home health
nurse is discussing portals of entry with a group of newly hired assistive personnel. Which of
the following are portals of entry the nurse should discuss? (Select all that apply.)
A. Secretions from the lungs B. Skin
C. Genitourinary tract
