Deck 14: Community Health Nursing

Question 1

The Canadian Public Health Association (CPHA)maintains that sustainable health care in Canada is dependent on several factors,including a focus on the broader determinants of health.What do these determinants include?

A)Hospitals,long-term care facilities,and improved technology
B)Socioeconomic status and education
C)Public participation and intersectoral cooperation
D)Accessibility to essential health services for all people

Answer 1

Socioeconomic status and education

Question 2

Which of the following is a principle of primary health care?

A)Empowerment
B)Advocacy
C)Policy development
D)Appropriate technology

Answer 2

Appropriate technology

Question 3

In what way does home health care nursing practice differ from nursing practice in acute care settings?

A)Nurses have a higher degree of autonomy and independence in home health care.
B)In home health care,the nursing process is utilized to organize care.
C)Clients don't require intravenous therapy in home health care.
D)In home health care,assessment monitoring is not required.

Answer 3

Nurses have a higher degree of autonomy and independence in home health care.

Question 4

The home health nurse has scheduled a visit to a client who lives in a neighbourhood that has a high rate of crime.Before going to the client's home,what should the nurse do?

A)Inform colleagues of the visit destination and expected time of return
B)Ask for a police escort to ensure the nurse's safety during the visit
C)Ask if the client could meet the nurse at the agency
D)Take a second nurse along on the visit

Question 5

A community health nurse (CHN)is speaking to a group of nursing students about the collaborative partnership model of health care.What are the key components necessary for collaboration?

A)Negotiation,mutual respect,and trust
B)Conflict management,trust,and decision making
C)Communication skills,trust,and decision making
D)Negotiation,conflict management,and mutual respect

Question 6

A parish health nurse is working with a particular congregation in setting up a support program for shut-ins within the congregation who are not able to come to regular prayer services.In this capacity,the nurse is working in which of the following roles?

A)Counsellor
B)Educator
C)Referral source
D)Facilitator

Question 7

A large community clinic provides health education,illness prevention,acute care,screening,rehabilitation,and health promotion services for the chronically ill.In assessing the type of approach this represents,the community health nurse would identify this as which of the following?

A)Community initiatives
B)Integrated health care system
C)Parish nursing
D)Community outreach program

Question 8

Primary health care (PHC)is described as a bottom-up approach to health.Why is this term used?

A)Multidisciplinary teams are included,but it is not physician-driven.
B)It is the same as the medical model of health care.
C)It requires community involvement in decision making.
D)Both promotion and prevention components are included.

Question 9

A group of health care providers in a community health centre have defined a problem and now are focusing on objectives and considering various viewpoints presented.Which of the competencies of collaboration does this describe?

A)Mutual respect
B)Trust
C)Communication
D)Decision making

Question 10

Which of the following is a characteristic of primary health care?

A)Community participation is client-directed.
B)Collaboration occurs among members of the health care team.
C)Focus is on individuals and families.
D)Empowerment is a provider-assisted process.

Question 11

Mrs.Prevost,31,has a terminal illness and tells the community health nurse that,with the exception of pain control,she does not want any other medical treatments used to prolong her life.The family wants everything done for her that is medically possible.How can the nurse advocate for Mrs.Prevost?

A)Support the family's decision because of Mrs.Prevost's young age
B)Convince Mrs.Prevost to undergo recommended treatments
C)Contact the physician immediately about the issue
D)Ensure that Mrs.Prevost's rights and desires are upheld

Question 12

A nursing student wants to understand the difference in care delivery between home health nursing and public health nursing (PHN).What characteristic of home health nursing makes it different from PHN?

A)Individuals,families,and groups
B)The individual and his or her family
C)The terminally ill client and his or her family
D)The home setting

Question 13

A home health nurse explains the procedures for preventing infection in a client's central venous access device and has the client's spouse watch while the nurse connects the client to the medication infusion.The nurse is acting in which of the following roles?

A)Health promoter
B)Advocate
C)Educator
D)Coordinator

Question 14

With help from the local recreation centre,a nurse establishes a gang prevention program to address concerns related to graffiti and "tagging" of buildings in her community.What does this depict?

A)A health-promotion program
B)Managed care
C)A community coalition
D)An outreach program

Question 15

Mrs.Leroux,83,has been admitted to an acute care hospital after sustaining an injury in a fall at home.It is uncertain whether Mrs.Leroux can return safely to her own home.How will the nurse assure continuity of care?

A)Starting discharge planning upon admission to hospital
B)Reviewing discharge goals with the physician before introducing them to the client
C)Including all health care team members when planning a client's care
D)Reviewing the final plan with the client and other family members

Question 16

Mr.Ivanko,68,decides to discontinue hemodialysis and his family is angry and upset about his decision.The home health nurse is meeting with the family to help them support Mr.Ivanko during this difficult time.The nurse is acting in which of the following roles?

A)Caregiver
B)Advocate
C)Educator
D)Counsellor

Question 17

A home health client,Mr.Brokoff,66,who has terminal cancer,has a respiratory arrest during one of the home health nurse's visits.Although he had previously signed a DNR (do not resuscitate)order,Mr.Brokoff's wife is second-guessing his wishes and tells the nurse to call 911.What should the nurse do?

A)Ignore the request
B)Call 911 immediately
C)Initiate CPR
D)Remind her of his wishes

Question 18

What is meant by development of a common purpose or care outcome,the acceptance and recognition of complementary skills and expertise among different providers?

A)Continuity of care
B)Interprofessional cooperation
C)Intraprofessional practice
D)Integrated health system

Question 19

What nursing group works in immunization and well-baby clinics,postnatal visiting programs,and population health-promotion programs?

A)Occupational health nurses
B)Public health nurses
C)Home care nurses
D)Parish nurses

Question 20

What similarity exists between primary health care and primary care?

A)In both,health care is provided where people live and work.
B)Prevention and promotion of health is a focus of both.
C)Both guarantee universal access to health care services.
D)The professional has an expert provider role in both.

Question 21

What is the term used to describe the pursuit of person-centred goals through a dynamic process that requires the active participation and agreement of all partners?

A)Mutual respect
B)Intraprofessional
C)Decision-making
D)Collaborative practice

Question 22

What term is used to describe an integrative health care model that tracks a client through a variety of care settings to ensure care continuity?

A)Interprofessional
B)Caregiver model
C)Case management
D)Outreach

Question 23

What is the role of a forensics nurse?

A)Forensic nurses care for victims as well as perpetrators.
B)They work exclusively with medical examiners in investigating deaths.
C)Infection control is their main role.
D)They focus on quality control for large organizations.

Question 24

One of the five principles of primary health care is intersectoral cooperation.Which of the following is reflective of this principle?

A)Enabling people to increase control over and improve their health
B)Commitment from government,community,and health care sectors to act on health determinants
C)Improved accessibility to health services with no unreasonable geographic or financial barriers
D)Improved methods of care,service delivery,procedures,and technological equipment