Deck 3: Community Health Nursing in Canada: Settings, Functions, and Roles

Question 1

Which of the following best describes the concept of public health?

A)A population health approach designed to prevent disease, promote health, and protect populations
B)Health care provision offered in primary and secondary institutions or in clients' homes
C)Provision of health care services in institutions located in the community but outside the hospital
D)Use of the nursing process and evidence-informed practice to meet the objectives for community health improvement

Answer 1

A population health approach designed to prevent disease, promote health, and protect populations

Question 2

A CHN has just received word that the provincial health care plan will provide compensation for the care that she provided to a homeless man with schizophrenia, who was unwilling to come to the clinic to receive health care.How can this type of nursing service be best classified?

A)Community-oriented nursing
B)Home health nursing
C)Hospice nursing
D)Private duty nursing

Answer 2

Home health nursing

Question 3

Which one of the following is a primary prevention activity for decreasing the incidence of communicable diseases?

A)Identifying and treating clients in a clinic for sexually transmitted infections ( STIs )
B)Partnering with school teachers to teach handwashing to elementary school children and observe their techniques
C)Providing case management services that link clients with communicable diseases to health care and community support services
D)Providing directly observed therapy ( DOT ) to clients with active tuberculosis ( TB )

Answer 3

Partnering with school teachers to teach handwashing to elementary school children and observe their techniques

Question 4

As part of primary prevention, a parish nurse wants to encourage some elementary school students to increase their vigorous exercise.Which action by the parish nurse will help these students attain an improved health status?

A)Encouraging families to ensure that the students receive healthy diets and plenty of rest
B)Fostering relationships among families with children of similar ages so that they can work together toward goal attainment
C)Partnering with a youth pastor to establish sports activities that will include those individuals with special needs
D)Working with faith-based school teachers to include in the curriculum teaching about healthy diet and food selection

Question 5

In an effort to prevent drug abuse among junior high-school students, a CHN has enlisted the assistance of high-school role models in the areas of both sports and scholarship for an antidrug presentation.Which level of prevention is represented by this activity?

A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Both primary and secondary prevention

Question 6

Which of the following is the best way a home health nurse (HHN) can help a client who has right-sided paresis secondary to a stroke?

A)Arranging for private duty nurses to assist the client with daily needs
B)Assisting the client with activities of daily living (ADLs)
C)Teaching self-care to the client
D)Teaching the family to assist the client with ADLs

Question 7

A CHN is demonstrating the use of a peak flow meter to help children with chronic asthma recognize when they need to use a rescue inhaler.Which level of prevention is represented by this activity?

A)Primary
B)Secondary
C)Tertiary
D)Both primary and secondary

Question 8

To help congregation members better meet their nutritional needs, a parish nurse encourages them to participate in activities that focus on fellowship, as well as serving healthy meals to both attending and homebound church members.What do programs such as this exemplify?

A)Entitlement programs
B)Health ministries
C)Partnerships
D)Pastoral care practices

Question 9

A PHN is participating in which activity when tracing the sexual contacts of clients with STIs for screening purposes?

A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Secondary and tertiary prevention

Question 10

A public health administrator is in the process of hiring a new PHN.Which of the following statements by a potential employee would raise the greatest concern for the employer?

A)"I like to be the only person working on a project because individual team members have their own ideas and plans, and the resulting debate slows progress."
B)"I prefer to work in teams because no single person has too much responsibility and the burden is shared."
C)"Teamwork is better than work done by individuals because teamwork incorporates different perspectives."
D)"Whether teamwork is better than work done by individuals depends on the nature of the work being performed."

Question 11

Which of the following represents the primary difference between parish nursing and all other fields of nursing?

A)Affiliation with a church or congregation
B)Incorporation of spiritual aspects into nursing care
C)Provision of holistic nursing care
D)Residence within the community of service

Question 12

A family member asks an HHN to explain the concept of hospice care.Which of the following actions would the HHN need to include as the fundamental underlying philosophy of hospice?

A)Making it possible for the client to die at home
B)Ensuring that the client's living will is honoured
C)Placing experts in the position of power of attorney
D)Providing comfort measures before death

Question 13

What is the basic difference between home health care and other types of health care?

A)Home health care is individualized care for the client and family.
B)Home health care is provided in the client's environment.
C)Reimbursement for home health care is different from that of care provided in institutions.
D)Home health care focuses on community health.

Question 14

The increasing complexity of societal needs and rapid changes in public health no longer allow adequate time for on-the-job training and education.As a result, which of the following is the current minimum level of educational preparation for a military nurse?

A)Training as a registered practical nurse
B)Training as a registered nurse
C)A baccalaureate degree in nursing
D)A master of science degree in nursing

Question 15

Through which one of the following actions can the community health nurse (CHN) provide tertiary prevention?

A)Disseminating information about mental health to community organizations
B)Partnering with PHNs for early identification of children with mental health challenges
C)Providing case management services that link clients with serious mental illnesses to mental health and community support services
D)Screening clients at high risk for mental disorders

Question 16

Through which one of the following interventions can the parish nurse implement primary prevention of obesity in school-aged church members?

A)Establishing a walking program that is sufficiently challenging, yet not too strenuous, for those who are obese
B)Partnering with youth camp cooks to ensure that a nutritious diet is provided
C)Supervising height and weight measurements taken by clinic assistants
D)Working with parents of obese children to implement lifestyle changes in the family

Question 17

The CHN has arranged for students in all classes at the local school to receive visual acuity testing to determine if they need glasses.Which level of prevention is represented by this activity?

A)Primary
B)Secondary
C)Tertiary
D)Both primary and secondary

Question 18

An HHN in training states, "I don't understand why we have to collaborate with so many other disciplines.Doesn't this conflict with the concept of holistic nursing practice?" Which of the following statements would be the best response by an experienced colleague?

A)"The nurse still functions holistically; however, interdisciplinary collaboration is necessary to prevent fragmentation of care."
B)"Holistic nursing is a concept applied to care in tertiary facilities such as hospitals, where materials are centrally located in one facility.In home health, this is not possible."
C)"Even though home health nursing is not as holistic as other areas of community health nursing, each discipline contributes to client needs from its special knowledge base."
D)"Yes, it does create conflict, but we as nurses are mandated to practise interdisciplinary collaboration."

Question 19

Which of the following is a core competency required of PHNs?

A)Advanced knowledge in the use of high-technology diagnostics
B)Familiarity with current life-support technology
C)Highly tuned skills for assessment of critically ill clients
D)Skill in developing policy and planning programs to improve health

Question 20

Which statement by a parish nurse exhibits a misunderstanding of the concept of pastoral care?

A)"By working with my clients to help them identify their spiritual strengths, I am drawing on the pastoral care aspects of practice."
B)"I incorporate pastoral care in my practice when I involve the pastor in ministering to the members of the congregation."
C)"I am practising pastoral care when I emphasize the spiritual dimension of nursing while providing care."
D)"Lending support to clients during their times of joy as well as times of sorrow is part of providing pastoral care."

Question 21

Research demonstrates that exercise is important for general wellness and weight control.The CHN can use this information to implement primary prevention by doing which of the following?

A)Developing individualized exercise programs for overweight children
B)Drafting policy for increases in noncompetitive physical activity programs
C)Monitoring body mass index in children to identify elevations before they become difficult to manage
D)Notifying parents or guardians of their child's height-weight scale in comparison with national norms

Question 22

From which of the following health care professionals is a rural resident with asthma more likely to receive health care services?

A)Allergist
B)Nurse practitioner
C)Pediatrician
D)Pulmonologist

Question 23

A hospital nurse working in employee health notes that several nurses from one unit are missing from work after having contracted a communicable disease from a client.In this scenario, which one of the following is the host?

A)Each sick nurse
B)The communicable disease
C)The hospital
D)The client

Question 24

Which of the following is being practised by the OHN who periodically conducts spirometry testing of employees working with hazardous gases?

A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Tertiary care

Question 25

Which of the following primarily distinguishes case management from managed care?

A)Case management is a tool for health maintenance organizations.
B)Case management is targeted toward a specific segment of the population.
C)Case management is implemented with individual clients.
D)Case management is used to monitor the health status, resources, and outcomes for an aggregate.

Question 26

For a CHN, which of the following describes the goal of advocacy?

A)Gaining organizational and governmental support for the promotion of nursing objectives
B)Improving community service needs identified by research findings
C)Integrating evidence-informed practice guidelines in the provision of community nursing service
D)Promoting self-determination in a client, family, group, or community

Question 27

For the CHN who plans to move from an urban centre to a rural region of the country, which one of the following statements should be included in the advice on preparing for role alterations?

A)"Community members will probably hold you in higher regard and will look up to you."
B)"Expect to have less autonomy than you have working as a CHN in the city."
C)"You can expect more resources and supplies because there are fewer clinics."
D)"You will need to focus on developing specialized knowledge and skills."

Question 28

In addition to the common barriers faced by most rural residents, which one of the following is an additional barrier to health care that a Mexican migrant farm worker is more likely to encounter?

A)Absence of culturally appropriate care
B)Availability of specialists
C)Distance of health care facilities from the place of residence
D)Lack of anonymity

Question 29

Which one of the following hazards tends to particularly affect employees who work in 2-week shifts?

A)Biological hazards
B)Environmental hazards
C)Physical hazards
D)Psychosocial hazards

Question 30

An employee in a laboratory drops a flask, resulting in the chemical splashing into her eyes.Which of the following is the agent in this scenario?

A)Chemical
B)Employee
C)Flask
D)Laboratory

Question 31

Which of the following is being implemented by the occupational health nurse (OHN) who removes a foreign body from a client's eye?

A)Primary care
B)Primary prevention
C)Secondary prevention
D)Tertiary prevention

Question 32

Which of the following is the primary role of the forensic nurse in Canada?

A)Health promoter
B)Disaster planner
C)Sexual assault nurse examiner (SANE)
D)Outreach worker