Question 1

During the first meeting with a new patient, the nurse asks the patient about family history to gather information on which social determinant of health?

Accepted Answer

Information about the social determinants of health can be acquired when taking a patient's health history.Inquiring about a patient's family history can provide information about the social determinant biology and genetics.

Question 2

When reviewing the inequities in health of certain populations in Canada, the nurse recognizes that social and health inequities can increase morbidity as a result of infectious diseases among:

Accepted Answer

First Nations and Inuit peoples have shorter life expectancies and higher rates of morbidity from infectious diseases, such as tuberculosis, compared with the rest of Canadians because of growing social and health inequities.

Question 3

To gain information about a patient's use of health services, the nurse can inquire about the patient's:

Accepted Answer

Inquiring about a patient's most recent medical and dental examinations can yield information about the patient's access and use of health services.

Question 4

What are some conditions for which the nurse would normally screen a 75-year-old patient?

Accepted Answer

The nurse would screen the older adult patient for risks, such as falls, loss of hearing, and visual acuity loss.Screening is based on the higher prevalence of these risks in the older adult population.

Question 5

To implement primary prevention in practice.The nurse will: (Select all that apply.)

Accepted Answer

Immunization is an example of primary prevention in protecting individuals and populations from acquiring certain diseases in the first place.Encouraging the use of bicycle helmets is primary prevention in helping patients prevent injury to stay healthy.Mammography is an example of screening to detect disease early in secondary prevention.Teaching on heart failure management would be tertiary prevention to decrease the potential for complications when a disease is already present.Weight loss strategies for individuals with obesity would be tertiary prevention to help avoid or reduce complications associated with obesity.

Question 6

What are some of the factors the nurse should consider when deciding whether to screen the 48-year-old female patient for breast cancer? (Select all that apply.)

Accepted Answer

Screening is based on the relatively high prevalence of a disease in a specific age, gender, or ethnic population; the individual's risk as assessed through the health history; and the availability of a screening tool and acceptable treatment interventions.

Question 7

The nurse is working with a five-member family of recent refugees from Afghanistan.During assessment, what information shared by the family might cause the nurse to be concerned about their health?

Accepted Answer

Health inequities for refugees resulting from poor social and economic conditions, such as overcrowding and inadequate housing, have been connected to poor health.

Question 8

When discussing primary prevention, the nurse recognizes that it is best exemplified as:

Accepted Answer

The definition of primary prevention refers to the promotion of health and the prevention of illness by assisting individuals, families, and communities to prevent known health problems, protect existing states of health, and promote psychosocial wellness.

Question 9

A committee of health care professionals is discussing the need for an upstream approach to decrease homelessness in the city.Which statement best describes the concept of an upstream approach?

Accepted Answer

An upstream approach is aligned with primary prevention and strives to act to prevent a problem before it occurs.Focusing upstream is to determine and take action on the root causes of health conditions that impact individuals.An upstream approach would be to target groups at risk for becoming homeless because of such factors as abuse, addiction, and unemployment.

Question 10

To implement primary prevention during the influenza season, the nurse will promote:

Accepted Answer

Hand washing (hygiene) and immunization (with influenza vaccination) are examples of primary prevention in protecting individuals and populations from acquiring certain diseases (influenza) in the first place.

Question 11

The nurse is reviewing health history information with the 48-year-old Indigenous patient.What is a condition for which the nurse might want to screen the patient?

Accepted Answer

Screening is based on the prevalence of a disease in a population.Tuberculosis is highly prevalent among Indigenous populations which supports screening for it.

Question 12

Why is the concept of health being more than the absence of disease important in nursing practice?

Accepted Answer

It is important to include understanding of the importance of the physical and social environments in defining health.

Question 13

The nurse is working with a population of refugees from Syria.What concerns might the nurse have regarding their health? (Select all that apply.)

Accepted Answer

Health disparities occur as a result of the differences in health status between segments of the population as influenced by the social determinants of health.Health inequities result from unavoidable disparities and can negatively influence the health of certain populations, such as refugees.

Question 14

The nurse is working with families with newborns.What should the nurse include when assessing the babies?

Accepted Answer

Considering the effects of environment on early childhood development, the Canadian Paediatric Society has endorsed the systematic use of a developmental screening tool (e.g., NDDS, ASQ, PEDS) at each 18-month well-baby visit.

Question 15

The nurse teaches a 65-year-old patient about using medication safely to prevent polypharmacy.The nurse is promoting health through:

Accepted Answer

The use of health education is one intervention strategy that is used by nurses to promote patients' health.

Question 16

During a health encounter with a patient, which statement by the patient demonstrates readiness for a health education intervention?

Accepted Answer

One of the factors health education interventions need to consider is the individual's readiness to engage in discussions related to the health information.Other factors include the developmental level and the cultural, social, and economic contexts of the individual; the availability of resources; and prevalent health conditions the individual may be at risk for.

Question 17

When working with young families in a community with limited health services, the nurse uses the Population Health Promotion Model and considers the need to:

Accepted Answer

The Population Health Promotion Model can help the nurse integrate the social determinants of health during patient interactions and guide health promotion strategies when working with individuals, families, and communities.For young families in a community with limited access to health services, reorienting health services to provide easier access in that community would be a strategy to promote the health of these young families.

Question 18

A new family is attending the clinic for their first appointment.To practise primary prevention, the nurse will:

Accepted Answer

Primary prevention aims to provide health information to individuals, families, and communities to sustain present health and prevent known health problems.

Quiz 2: Health Promotion in the Context of Health Assessment