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

Question 1

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

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

Answer 1

Chemical

Question 2

What practice 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

Answer 2

Primary care

Question 3

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. What is the level of prevention represented by this activity?

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

Answer 3

Tertiary

Question 4

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 5

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

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

Question 6

The increasing complexity of societal needs and rapid changes in public health no longer allow for adequate time for on-the-job training and education. As a result, what is the current minimum level of educational preparation for a public health 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 7

Which community health nurse (CHN) activity demonstrates tertiary prevention related to mental health?

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 8

Which of the following is the best way for a home health nurse (HHN) to 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 9

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?" What 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 10

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

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

Question 11

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

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

Question 12

Which of the following represents the main 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 13

What 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 14

What is the central 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 15

A family member asks an HHN to explain the concept of hospice care. Which action 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 respite and comfort measures before death

Question 16

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)

Question 17

Which statement 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

Question 18

What practice is being implemented 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 19

A health centre administrator is in the process of hiring a new CHN. Which statement 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 20

A CHN is part of a palliative consultation team that provides care for people living on the streets, in parks, or in shelters or who are unwilling or unable to come to the clinic, hospital, or hospice to receive end of life care. How can this type of nursing service be best classified?

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

Question 21

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 22

What hazard tends to particularly affect employees who work in 2-week shifts?

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

Question 23

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 24

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 25

In addition to the common barriers faced by most rural residents, what 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 26

What 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

Question 27

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, what is considered to be the host?

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

Question 28

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 29

From which health care professional is a rural resident with asthma more likely to receive health care services?

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