Question 1

Which one of the following examples would constitute secondary prevention by a CHN who wants to promote improved health in obese women?

Accepted Answer

Secondary prevention includes screening activities.Screening for diabetes is an example of secondary prevention.Preventing long-term complications of pre-existing hypertension and modification of diet and medications are actions aimed at reducing complications of a disease process (tertiary prevention).Educating women about the risks of obesity falls under primary prevention and includes interventions aimed at educating women about diabetes, nutrition, and the risks of obesity, smoking, and physical inactivity.

Question 2

Which of the following examples constitutes tertiary prevention by a CHN who wants to promote improved health in obese children?

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 3

According to the Comprehensive School Health Framework of health promotion, which one of the following is the correct definition of primordial prevention?

Accepted Answer

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

Question 4

Which measure needs to be included in the primary prevention of osteoporosis in women?

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 5

Which of the following statements is the best definition of women's health?

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 6

Which one of the following is the nursing specialty that focuses on holistic care of older adult clients?

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 7

The second leading cause of cancer deaths in Canadian women is colorectal cancer.Which of the following options is key to improving long-term survival in women with colorectal cancer?

Accepted Answer

Primary prevention and early detection are the keys to surviving colorectal cancer.CHNs can inform women of their risks, the signs and symptoms to be aware of, and screening opportunities in their communities.

Question 8

Which referral would be the best recommendation by the CHN 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?

Accepted Answer

Adult daycare services are intended for individuals whose mental or physical functioning requires additional health care and supervision.Long-term care would take the client outside of the home.Home health care would leave the client alone for periods of unsupervised time during which the client could encounter problems and not be able to access any services.

Question 9

Which type of prevention is exemplified by the administration of vaccines to promote child and adolescent health?

Accepted Answer

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

Question 10

Testicular cancer is a common solid-tumour malignancy affecting men age 15 to 35.Which one of the following is the most common symptom of testicular cancer?

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 11

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.Which of the following descriptions relates specifically to dementia?

Accepted Answer

All of the options can indicate cognitive impairment, but dementia is progressive intellectual impairment.The term mood disorder relates to depression, and acute confusion relates more specifically to delirium.

Question 12

Which one of the following examples constitutes tertiary prevention by a CHN who wants to promote better health in women with diabetes?

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 of diabetes.

Question 13

Which of the following areas should be targeted by the community health nurse (CHN) who wishes to successfully establish a program to decrease childhood mortality rates?

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 14

Which of the following is the most important action to be taken by the CHN who wishes to decrease childhood obesity?

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 15

Which of the following is the primary determining factor of poor health outcomes in women?

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.

Quiz 13: Working With Client As Individual: Health and Wellness Across the Lifespan