Question 1

Which of the following groups of health concerns affect youth,young men,and those in Aboriginal communities in particular?&#10;A) Depression, suicide, unemployment, and unintentional injuries&#10;B) Chronic illness, mental illness, impaired function, and nutrition&#10;C) Physical abuse, emotional abuse, sexual abuse, and neglect&#10;D) Substance abuse, alcoholism, sexually transmitted diseases, and AIDS

Accepted Answer

Depression and suicide are more prevalent among youth and young men. Unemployment is also a concern specifically for young people. Aboriginal communities also face a higher rate of unintentional injuries, making this combination of health concerns particularly relevant for them. Chronic illness, impaired function, and nutrition, as well as physical and emotional abuse, are important health concerns, but are not as specific to these particular groups. Substance abuse, alcoholism, and sexually transmitted diseases, while important health concerns, are not as common among youth, young men, and Aboriginal communities as depression, suicide, unemployment, and unintentional injuries.

Question 2

Which of the following must the nurse do in order to be culturally competent?&#10;A) Be sensitive to a client's cultural uniqueness.&#10;B) Evaluate a client's beliefs and values about health in terms of the nurse's own experience.&#10;C) Be able to appraise and understand a client's cultural beliefs, values, and practices.&#10;D) Be ready to discuss a client's beliefs and values with him or her.

Accepted Answer

Being able to appraise and understand a client's cultural beliefs, values, and practices is an essential element of cultural competence. It requires the nurse to have knowledge of diverse cultural practices and customs, and the ability to recognize and respect the client's cultural uniqueness. Option A is partially correct but does not encompass the whole idea of being culturally competent. Option B is incorrect as it suggests imposing the nurse's beliefs and values instead of acknowledging the client's own. Option D is also incorrect as not all clients may be willing or comfortable discussing their beliefs and values with the nurse.

Question 3

Which of the following is true in regard to public health nursing?&#10;A) The main focus of public health nursing is on political processes for healthy public policy.&#10;B) Public health nursing is the same as community health nursing.&#10;C) Public health nursing focuses on the incidence of disease.&#10;D) Public health nursing includes direct care and services to various populations.

Accepted Answer

Public health nursing includes direct care and services to various populations, as well as health promotion, disease prevention, and advocating for healthy public policies. Option A is partially correct, as political processes for healthy public policy is one aspect of public health nursing, but not the main focus. Option B is incorrect, as community health nursing is a broad term that includes both public health nursing and other types of nursing practices. Option C is not entirely true, as public health nursing focuses on both the incidence and prevalence of disease, but also addresses environmental and social determinants of health.

Question 4

The nurse is working in a free clinic and caring for a homeless client diagnosed with paranoid schizophrenia.The client reports,"I hurt my foot running away from them.It hurts so bad I can hardly walk now." On assessment,the nurse notices bruising on the client's back,arms,and thighs,a red rash on her neck and face,and poor personal hygiene,in addition to edema of the left ankle.Which of the following pose a risk to this client?

A) Physical abuse and assault
B) Drug addiction relating to pain
C) Communicable immune disorders
D) Hospitalization due to a mental disorder

Accepted Answer

The bruising on the client's back, arms, and thighs may indicate physical abuse or assault, which poses a risk to the client's safety. The client may also be at risk for further abuse or assault if their paranoid schizophrenia symptoms make them more vulnerable. The other answer choices are not supported by the presented assessment findings.

Question 5

Community assessments are important in order for the nurse to understand and respond to the needs of the population.What will the nurse focus on when assessing the structure of the community?&#10;A) Collecting demographic data on age distribution&#10;B) Visiting neighbourhood schools to review health records&#10;C) Interviewing clients to determine the cultural makeup of subgroups&#10;D) Observing the physical environment and location of services

Accepted Answer

When assessing the structure of the community, the nurse should focus on observing the physical environment and location of services. This includes identifying the availability and accessibility of healthcare facilities, transportation, housing, sanitation, and other infrastructure. This information will help the nurse understand the community's resources and potential barriers to accessing healthcare services. Collecting demographic data on age distribution, visiting neighbourhood schools to review health records, and interviewing clients to determine the cultural makeup of subgroups may be important for other aspects of the community assessment, but are not specifically related to the structure of the community.

Question 6

The nurse is planning interventions for the clients of a homeless shelter.Which of the following activities represents a primary level intervention regarding sexually transmitted infections?&#10;A) HIV screening for all residents&#10;B) Sex education for teenage residents&#10;C) Treatment for residents diagnosed with AIDS&#10;D) Gynecological referrals for female residents

Accepted Answer

Primary level interventions focus on preventing the occurrence of a disease. Sex education for teenage residents falls under this category as it aims to educate and empower them to make informed decisions about sexual activity and protect themselves from sexually transmitted infections. The other interventions listed are secondary or tertiary level interventions, which focus on detecting and treating existing infections or complications.

Question 7

Which of the following is an example of a harm reduction program?&#10;A) A nutrition clinic&#10;B) A prenatal clinic&#10;C) A needle exchange program&#10;D) An exercise program

Accepted Answer

Needle exchange programs are a common example of harm reduction programs, which aim to reduce the negative consequences of risky behaviors rather than eliminating the behaviors themselves. Needle exchange programs provide clean needles to intravenous drug users in order to reduce the spread of diseases like HIV and hepatitis. A nutrition clinic, prenatal clinic, and exercise program are all important for promoting health and preventing disease, but they are not examples of harm reduction programs.

Question 8

When assessing members of a vulnerable population,which of the following should the community health nurse realize is their primary need?&#10;A) Obtaining a culturally competent assessment&#10;B) Receiving food security&#10;C) Providing a comfortable, nonthreatening environment&#10;D) Assessing for indications of mental or physical abuse

Accepted Answer

Providing a comfortable, nonthreatening environment is the primary need of members of a vulnerable population because it helps to establish trust and rapport, which is essential for building a therapeutic relationship and providing effective care.

Question 9

Which of the following is a key characteristic of a healthy community?&#10;A) A collective capacity to solve problems&#10;B) Proximity to lakes and forests&#10;C) Access to recreational facilities&#10;D) Government interventions to solve community problems

Accepted Answer

A collective capacity to solve problems is a key characteristic of a healthy community as it enables individuals to work together to identify and address issues effectively. While proximity to natural environments and access to recreational facilities can contribute to a community's overall well-being, they are not as essential as the ability to problem-solve. Government interventions can be helpful in some cases, but a community that relies solely on these interventions may not be as resilient or self-sufficient in the long run.

Question 10

Which of the following is true in regard to social justice?&#10;A) The focus of social justice is on disease prevention.&#10;B) Social justice is used only with people in precarious situations.&#10;C) Social justice is rooted in societal responsibility and fairness.&#10;D) Social justice is a process to exercise the ability to enhance control.

Accepted Answer

Social justice is based on the principles of fairness, equality, and societal responsibility. It involves promoting equal treatment and opportunities for all individuals regardless of their background, race, gender, or economic status. It aims to eliminate discrimination, inequality, and poverty, and to create a fair and just society. Social justice is not limited to specific groups or situations, but rather it is a universal concept that applies to all individuals and communities.

Question 11

Which of the following clients presents the highest risk for health-related concerns?&#10;A) Ms. Madison, a 25-year-old woman living in a woman's shelter&#10;B) Mr. Saliman, a 62-year-old man taking medication for chronic hypertension and diabetes&#10;C) Mr. Joseph, a 17-year-old man attending an outpatient mental health clinic&#10;D) Ms. Tray, a 31-year-old woman addicted to cocaine

Accepted Answer

The answer of Which of the following clients presents the...

Question 12

A client is being discharged home from an acute care facility following a total hip replacement.She will require follow-up for health care and also exercise.In addition to a home health nurse,what other service will this client require?

A) Dietitian
B) Social worker
C) Physiotherapist
D) Respiratory therapist

Accepted Answer

The answer of A client is being discharged home from...

Question 13

Among the following nursing skills,which one must be demonstrated to successfully fulfill the role of facilitator?&#10;A) Advocacy&#10;B) Paternalism&#10;C) Autonomy&#10;D) Negotiation

Accepted Answer

The answer of Among the following nursing skills,which one must...

Question 14

Unsafe sexual practices remain high among young people.Which of the following actions should the nurse initially undertake to address unsafe sexual practices with a client?&#10;A) Document the unsafe practices.&#10;B) Complete a physical assessment.&#10;C) Decide what strategies would work best for the client.&#10;D) Assess the circumstances that contribute to the unsafe practices.

Accepted Answer

The answer of Unsafe sexual practices remain high among young...

Question 15

Which of the following statements describes a population?&#10;A) A group of people who live in a given community&#10;B) Geographic groupings, such as individuals, who live in neighbourhoods&#10;C) A collection of individuals who have personal and environmental characteristics in common&#10;D) A group of individuals who are engaged in collective relationships that create a supportive living environment

Accepted Answer

The answer of Which of the following statements describes a...

Deck 4: Community Health Nursing Practice