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?

Accepted Answer

B

Question 2

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

Accepted Answer

Appropriate technology is a principle of primary health care, emphasizing the use of technology that is affordable, accessible, and suitable for the community's needs.

Question 3

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

Accepted Answer

Nurses in home health care often work independently, making decisions and providing care without direct supervision, unlike in acute care settings where there is a structured hierarchy and immediate access to colleagues and supervisors for consultation.

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?

Accepted Answer

Informing colleagues of the visit destination and expected time of return is a standard safety protocol for home health nurses, especially when visiting high-risk areas. This ensures that others are aware of the nurse's whereabouts and can take action if the nurse does not return as expected.

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?

Accepted Answer

Communication skills are essential for collaboration as it allows for effective exchange of information and ideas. Trust is also important in a collaborative partnership to ensure that all team members are working towards a common goal. Finally, decision making is necessary to come to a consensus and implement plans. While negotiation and conflict management are important skills, they are not the key components necessary for collaboration.

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?

Accepted Answer

The parish health nurse is facilitating the set-up of a support program for shut-ins within the congregation, making sure that resources are available and coordinating efforts among different individuals and groups involved in the process. This is most consistent with the role of a facilitator. The other options - counselor, educator, and referral source - may also be part of the nurse's role, but are not the primary focus of setting up the support program.

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?

Accepted Answer

An integrated health care system provides a variety of health services under one organization or network, which is what this community clinic is providing. The other options do not accurately describe the type of approach represented by the clinic.

Question 8

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

Accepted Answer

Primary health care is described as a bottom-up approach to health because it requires community involvement in decision making. The community is involved in identifying its health needs, prioritizing services, selecting appropriate strategies for health promotion and disease prevention, and taking responsibility for its health. This approach empowers individuals and communities to take control of their own health and well-being.

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?

Accepted Answer

Focusing on objectives and considering various viewpoints presented are key components of decision making, which is one of the competencies of collaboration. While mutual respect, trust, and communication are also important competencies, they are not specifically mentioned in this scenario.

Question 10

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

Accepted Answer

Community participation is a key component of primary health care, and it should be client-directed to ensure that the health care services are responsive to the needs of the community. Collaboration among members of the health care team (B) and focusing on individuals and families (C) are also important characteristics of primary health care, but they are not unique to it. Empowerment (D) is another important aspect of primary health care but it is a client-driven process rather than provider-assisted.

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?

Accepted Answer

The nurse's role is to advocate for the patient's rights and desires, and in this case, Mrs. Prevost has clearly stated that she does not want any medical treatments that prolong her life except for pain control. The nurse should ensure that Mrs. Prevost's wishes are respected and communicated to the healthcare team, including the family and physician. It is important to uphold the patient's autonomy and right to make decisions about their own care, even if it conflicts with the wishes of the family.

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?

Accepted Answer

Home health nursing primarily focuses on the individual and their family, providing care in the home setting, whereas public health nursing focuses on broader community health.

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?

Accepted Answer

The nurse is acting as an educator by explaining the procedures for preventing infection in a client's central venous access device and having the client's spouse watch while the nurse connects the client to the medication infusion.

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?

Accepted Answer

The establishment of a gang prevention program in collaboration with the local recreation centre shows that a community coalition has been formed to combat the issue of graffiti and tagging. This type of program involves the involvement of community members and resources to address a specific concern.

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?

Accepted Answer

Starting discharge planning upon admission to the hospital is the best choice as it allows for the nurse to begin the process of ensuring continuity of care from the outset of the client's hospitalization. This will also allow for any necessary assessments or arrangements to be made in a timely manner, increasing the chances of a successful discharge outcome. Reviewing discharge goals with the physician (B) and including all healthcare team members (C) are also important components of continuity of care, but starting the planning process early is the most essential step. Reviewing the final plan with the client and other family members (D) is important, but it is not the first step in ensuring continuity of care.

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?

Accepted Answer

The nurse is acting as an advocate for Mr.Ivanko by helping his family understand and support his decision to discontinue hemodialysis. The nurse may also help them consider other options for care and treatment. The nurse is not necessarily functioning as a caregiver, educator or counsellor in this scenario.

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?

Accepted Answer

As a home health nurse, it is important to respect the patient's wishes and ensure that their end-of-life care plans are followed. In this case, since the patient had previously signed a DNR order, the nurse should remind the patient's wife of his wishes and encourage her to honor his decisions. The nurse can also provide emotional support to the family during this difficult time. Calling 911 or initiating CPR would not be appropriate in this situation since the patient's wishes have already been established.

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?

Accepted Answer

The statement refers to interprofessional cooperation, which involves different healthcare providers working together with a common purpose towards achieving a specific care outcome. It also involves recognizing and accepting that each provider brings a unique set of skills and expertise to the table. Continuity of care is a related concept but does not fully capture the idea of interprofessional cooperation. Intraprofessional practice refers to collaboration within a specific profession, such as between different nurses or different physicians. An integrated health system refers to the coordination and organization of healthcare services across different levels and settings of care.

Question 19

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

Accepted Answer

Public health nurses specialize in community and population-based health promotion and disease prevention. They work in settings such as immunization and well-baby clinics, postnatal visiting programs, and population health-promotion programs. Occupational health nurses focus on workplace safety and health, home care nurses provide care in patients' homes, and parish nurses work within faith communities.

Question 20

What similarity exists between primary health care and primary care?

Accepted Answer

The answer of What similarity exists between primary health care...

Quiz 14: Community Health Nursing

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?