Question 1

Which areas should be targeted by the community health nurse (CHN) who wishes to successfully establish a program to decrease childhood mortality rates?&#10;A) Accidents and injuries&#10;B) Acquired immune deficiency syndrome (AIDS)&#10;C) Childhood obesity&#10;D) Vaccine-preventable diseases

Accepted Answer

Injuries and accidents are the most common causes of preventable disease, disability, and death among children. Most accidents occur in the home; therefore, measures to promote home safety are important. In Canada, injuries and accidents in children aged 1 to 14 are the leading causes of death. Obesity, although a significant problem, is not a common cause of death in children.

Question 2

What is the primary determining factor of poor health outcomes in women?&#10;A) Feelings of powerlessness&#10;B) Lack of knowledge&#10;C) Poverty&#10;D) Stress

Accepted Answer

In most parts of the world, women live longer than men but are generally less healthy. This difference in health status is related to poverty.

Question 3

What is the nursing specialty that focuses on holistic care of older adult clients?&#10;A) Older adult care&#10;B) Geriatrics&#10;C) Geripsychiatric nursing&#10;D) Gerontological nursing

Accepted Answer

Gerontological nursing is the specialty of nursing concerned with assessment of the health and functional status of older adults, planning and implementing health care and services to meet the identified needs, and evaluating the effectiveness of such care.

Question 4

Testicular cancer is a common solid-tumour malignancy affecting men aged 15 to 35. What is the most common symptom of testicular cancer?&#10;A) Low back pain&#10;B) Fatigue&#10;C) Painless, firm scrotal mass or swelling&#10;D) Mild to moderate pressure to the scrotum

Accepted Answer

The most common presenting symptom is a painless, firm scrotal mass or swelling that is discovered by chance. Low back pain may occur with retroperitoneal lymph node involvement.

Question 5

What is the most important action to be taken by the CHN who wishes to decrease childhood obesity?&#10;A) Lobbying legislators to enact stronger legislation regarding unhealthy lunches and food from snack machines in schools&#10;B) Increasing availability of nutrition programs in which schoolchildren are taught to make healthy food choices&#10;C) Involving the entire family in the management of obesity in a child&#10;D) Providing after-school activities and summer camps that focus on diet and exercise

Accepted Answer

Interventions need to be based on lifestyle changes for the entire family. The goal is to modify the entire family's eating patterns, exercise levels, and daily activities. Teaching a child about nutrition, exercise, and a proper diet becomes ineffective if the family's meals do not also include proper food choices.

Question 6

Which preventative measure would be included as primary prevention of osteoporosis in women?&#10;A) A diet rich in calcium and vitamin D&#10;B) Exposure to sunlight for 40 minutes a day, recommended as an alternative source of vitamin D&#10;C) Exercise, especially non-weight-bearing activity&#10;D) Weight control

Accepted Answer

For the primary prevention of osteoporosis in women, the following preventive measures need to be included: eating foods high in calcium, taking vitamin D, and being physically active with weight-bearing exercises such as walking and involvement in sports, plus avoidance of smoking and excessive intake of caffeine and alcohol.

Question 7

What constitutes tertiary prevention by a CHN who wants to promote improved health in obese children?&#10;A) Establishing lifestyle improvement programs through local youth organizations&#10;B) Evaluating the food intake of a group of children for a 48-hour period&#10;C) Providing educational programs to overweight prospective parents because they are at greater risk of having overweight children&#10;D) Measuring body mass index in children during regularly scheduled well-child assessments

Accepted Answer

Tertiary prevention includes activities that are aimed at reducing the complications of the disease process. Examples of tertiary prevention for women with diabetes include intense monitoring of blood glucose levels, modification of diet and medications as indicated, and efforts to prevent long-term complications. Establishing lifestyle improvement programs is directed toward preventing problems in children who are already obese. Evaluating food intake and measuring body mass index are types of screening programs (secondary prevention). Providing educational programs to overweight prospective parents pertains to a future event-the child is not yet born.

Question 8

Which statement provides the best definition of women's health?&#10;A) Women's health is health care taken in fostering gynecological and reproductive wellness.&#10;B) Women's health is health care that assists the transition from girlhood to womanhood and through menopause.&#10;C) Women's health includes health promotion, health protection, and health maintenance across a woman's lifespan.&#10;D) Women's health is the management and treatment of conditions unique to the female sex.

Accepted Answer

Women's health is related to the entire lifespan of women and involves health promotion, health protection, disease prevention, and health maintenance in adult women. This broad emphasis on women's health contrasts with the view of women's health solely in terms of their reproductive health or their role as mothers.

Question 9

According to the Comprehensive School Health Framework of health promotion, what is the correct definition of primordial prevention?&#10;A) Interventions aimed at educating children about health risks&#10;B) Preventing risk factors of health issues from ever occurring&#10;C) Screening activities aimed at improving student health&#10;D) Activities aimed at reducing the health complications associated with disease

Accepted Answer

Primordial prevention is preventing the risk factors for health issues from ever occurring. The other Answerwer options are definitions of primary, secondary, or tertiary prevention.

Question 10

Which type of prevention is exemplified by the administration of vaccines to promote child and adolescent health?&#10;A) Primary prevention&#10;B) Secondary prevention&#10;C) Tertiary prevention&#10;D) Both primary and secondary prevention

Accepted Answer

Primary prevention activities are those activities undertaken to prevent a disease or condition from occurring.

Question 11

What would be the best CHN referral for a physically and mentally challenged older adult who wants to continue living with her family but whose family members are all working outside the home?&#10;A) Adult daycare services&#10;B) Home health care&#10;C) Long-term care&#10;D) Older adult centres

Accepted Answer

The answer of What would be the best CHN referral...

Question 12

The second leading cause of cancer deaths in Canadian women is colorectal cancer. What is key to improving long-term survival in women with colorectal cancer?&#10;A) Screening and treatment&#10;B) Primary prevention and early detection&#10;C) Providing information and chemotherapy&#10;D) Prevention of infections and smoking cessation

Accepted Answer

The answer of The second leading cause of cancer deaths...

Question 13

What constitutes secondary prevention by a CHN who wants to promote improved health in obese women?&#10;A) Educating women about the risks of obesity&#10;B) Preventing long-term complications of preexisting hypertension&#10;C) Modification of women's diet and medications, as indicated&#10;D) Screening using a full glucose tolerance test

Accepted Answer

The answer of What constitutes secondary prevention by a CHN...

Question 14

CHNs who work with older adults who have cognitive impairment and their caregivers should be aware of the difference between depression, delirium, and dementia, in order to identify the health concern accurately and intervene accordingly. What description relates specifically to dementia?

A) Dementia is a mood disorder.
B) Dementia is acute confusion.
C) Dementia means forgetfulness.
D) Dementia is progressive intellectual impairment.

Accepted Answer

The answer of CHNs who work with older adults who...

Question 15

What would constitute tertiary prevention by a CHN who wants to promote better health in women with diabetes?&#10;A) Establishing lifestyle improvement programs for women at risk of developing diabetes&#10;B) Including presentations on lifestyle management at women's conferences&#10;C) Monitoring blood glucose levels closely and recommending necessary diet modifications&#10;D) Screening glucose levels in women at risk for developing diabetes

Accepted Answer

The answer of What would constitute tertiary prevention by a...

Deck 11: Working With the Individual As Client: Health and Wellness Across the Lifespan