Community ATI Practice 2025 A
A client at an adult day care has been diagnosed with influenza A and contacted a community
health nurse. The nurse should take which of the following steps to help prevent an outbreak.
Administer antiviral medication to clients at the facility.
Schedule immunizations for clients at the facility.
Recommend closing the day care for two weeks. Give immune globulin to clients at the facility
who have early manifestations of influenza. - ANS-Administer antiviral medication to clients at
the facility.
People who have been exposed to influenza A are given antiviral medications to help prevent
an outbreak and provide immediate protection. A county-level environmental task force will be
led by a community health nurse. The nurse should direct the task force to complete which of
the following first? Examine epidemiological data specific to the community. Recommend that
local environmental policies be updated. Create program objectives that are in line with the
goals of Healthy People. Distribute environmental health education materials to community
members. - ANS-Review community-specific epidemiological data.
Rationale:
When using the nursing process, the nurse should instruct the task force to begin with a
community assessment that includes examining community-specific epidemiological data. The
community assessment will assist the task force in identifying environmental health concerns
within the county.
A community health nurse is conducting a needs assessment of a community. Which of the
following methods will provide direct data, should the nurse choose? Health studies Medical
files Informant interviews
Morbidity/mortality statistics - ANS-Informant interviews
The nurse should identify that informant interviews with community members or leaders will
provide direct data. This information can help the nurse identify services needed by the
community.
A community health nurse is creating a program to reduce violence in the community. The
nurse should choose which of the following interventions to use as secondary prevention.
Creating a message for the public about the signs of partner violence Recognizing and reporting
suspected maltreatment to the appropriate protective services
Collaborating with support agencies to ensure the ongoing treatment for maltreatment
Educating individuals and groups about preventing partner violence - ANS-Recognizing and
reporting suspected maltreatment to the appropriate protective services
An intervention known as secondary prevention focuses on facilitating the early diagnosis and
treatment of a health issue. Recognizing and reporting suspected abuse facilitates diagnosis
and intervention, helping to prevent further abuse.
A community health nurse is made aware that several children, who are from the same family
and did not receive immunizations, have contracted measles. Which of the following actions
should the nurse take?
, Report this information to the state health department.
Encourage the family to keep the children isolated during the incubation period.
Speak to the guardians about getting the children immunized after they are disease free.
Provide the infected children's names to the parents and guardians of children who might have
been exposed. - ANS-Report this information to the state health department.
Measles is listed as a disease that must be reported nationally by the CDC. Disease reporting
requirements are state-imposed rather than federally mandated. Therefore, the nurse should
report this occurrence to the state health department, which then determines if it will report to
the CDC.
A group session for clients with alcohol and substance use disorders includes a community
health nurse. Which of the following information about these people's support programs should
the nurse provide? Alcoholics Anonymous (AA) is a support group that requires disclosure of
attendance to employers.
Clients receive assistance through the one-on-one Narcotics Anonymous (NA) program.
Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with developing a
daily recovery program.
ANS-Alcoholics Anonymous (AA) assists a client with an alcohol addiction in developing a daily
recovery program. Both Narcotics Anonymous (NA) and Alcoholics Anonymous (AA) will cure a
client of their substance use disorder if they remain enrolled in the program. AA is a support
group that uses the 12-step method to help people with alcohol or substance use disorders
create a daily recovery plan. The primary objective of AA is to assist the client in achieving and
maintaining sobriety. A community health nurse is participating in a quality improvement plan for
a local health department. Which of the following techniques should the nurse use for process
evaluation of the facility?
Select all that apply.
Focus groups
Written audits
Satisfaction survey
Interviews
Values self-study - ANS-Focus groups is correct. For the facility's process evaluation, the
nurse ought to include focus groups, which are small groups of people who use health
department services. The facility's strengths and weaknesses in terms of the quality of client
care delivery can be examined using this information. Written audits is correct. The nurse
should include written audits, which are written evaluations of the quality of care provided by the
health department, for process evaluation of the facility. This information allows for review of the
facility's strengths and weaknesses in the quality of client care delivery.
Satisfaction survey is correct. For the purpose of the facility's process evaluation, the nurse
ought to include satisfaction surveys, which are telephone or written questionnaire assessments
of clients' perceptions of their care. The interview is accurate. The nurse should include
interviews of clients who use the health department's services for process evaluation of the
facility.
A presentation for adults who have a family history of Alzheimer's disease is being planned by
a community health nurse. The nurse should include which of the following behaviors as an
early sign of Alzheimer's disease? Withdrawal from social activities
A client at an adult day care has been diagnosed with influenza A and contacted a community
health nurse. The nurse should take which of the following steps to help prevent an outbreak.
Administer antiviral medication to clients at the facility.
Schedule immunizations for clients at the facility.
Recommend closing the day care for two weeks. Give immune globulin to clients at the facility
who have early manifestations of influenza. - ANS-Administer antiviral medication to clients at
the facility.
People who have been exposed to influenza A are given antiviral medications to help prevent
an outbreak and provide immediate protection. A county-level environmental task force will be
led by a community health nurse. The nurse should direct the task force to complete which of
the following first? Examine epidemiological data specific to the community. Recommend that
local environmental policies be updated. Create program objectives that are in line with the
goals of Healthy People. Distribute environmental health education materials to community
members. - ANS-Review community-specific epidemiological data.
Rationale:
When using the nursing process, the nurse should instruct the task force to begin with a
community assessment that includes examining community-specific epidemiological data. The
community assessment will assist the task force in identifying environmental health concerns
within the county.
A community health nurse is conducting a needs assessment of a community. Which of the
following methods will provide direct data, should the nurse choose? Health studies Medical
files Informant interviews
Morbidity/mortality statistics - ANS-Informant interviews
The nurse should identify that informant interviews with community members or leaders will
provide direct data. This information can help the nurse identify services needed by the
community.
A community health nurse is creating a program to reduce violence in the community. The
nurse should choose which of the following interventions to use as secondary prevention.
Creating a message for the public about the signs of partner violence Recognizing and reporting
suspected maltreatment to the appropriate protective services
Collaborating with support agencies to ensure the ongoing treatment for maltreatment
Educating individuals and groups about preventing partner violence - ANS-Recognizing and
reporting suspected maltreatment to the appropriate protective services
An intervention known as secondary prevention focuses on facilitating the early diagnosis and
treatment of a health issue. Recognizing and reporting suspected abuse facilitates diagnosis
and intervention, helping to prevent further abuse.
A community health nurse is made aware that several children, who are from the same family
and did not receive immunizations, have contracted measles. Which of the following actions
should the nurse take?
, Report this information to the state health department.
Encourage the family to keep the children isolated during the incubation period.
Speak to the guardians about getting the children immunized after they are disease free.
Provide the infected children's names to the parents and guardians of children who might have
been exposed. - ANS-Report this information to the state health department.
Measles is listed as a disease that must be reported nationally by the CDC. Disease reporting
requirements are state-imposed rather than federally mandated. Therefore, the nurse should
report this occurrence to the state health department, which then determines if it will report to
the CDC.
A group session for clients with alcohol and substance use disorders includes a community
health nurse. Which of the following information about these people's support programs should
the nurse provide? Alcoholics Anonymous (AA) is a support group that requires disclosure of
attendance to employers.
Clients receive assistance through the one-on-one Narcotics Anonymous (NA) program.
Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with developing a
daily recovery program.
ANS-Alcoholics Anonymous (AA) assists a client with an alcohol addiction in developing a daily
recovery program. Both Narcotics Anonymous (NA) and Alcoholics Anonymous (AA) will cure a
client of their substance use disorder if they remain enrolled in the program. AA is a support
group that uses the 12-step method to help people with alcohol or substance use disorders
create a daily recovery plan. The primary objective of AA is to assist the client in achieving and
maintaining sobriety. A community health nurse is participating in a quality improvement plan for
a local health department. Which of the following techniques should the nurse use for process
evaluation of the facility?
Select all that apply.
Focus groups
Written audits
Satisfaction survey
Interviews
Values self-study - ANS-Focus groups is correct. For the facility's process evaluation, the
nurse ought to include focus groups, which are small groups of people who use health
department services. The facility's strengths and weaknesses in terms of the quality of client
care delivery can be examined using this information. Written audits is correct. The nurse
should include written audits, which are written evaluations of the quality of care provided by the
health department, for process evaluation of the facility. This information allows for review of the
facility's strengths and weaknesses in the quality of client care delivery.
Satisfaction survey is correct. For the purpose of the facility's process evaluation, the nurse
ought to include satisfaction surveys, which are telephone or written questionnaire assessments
of clients' perceptions of their care. The interview is accurate. The nurse should include
interviews of clients who use the health department's services for process evaluation of the
facility.
A presentation for adults who have a family history of Alzheimer's disease is being planned by
a community health nurse. The nurse should include which of the following behaviors as an
early sign of Alzheimer's disease? Withdrawal from social activities
