Question 1

Which of the following primarily distinguishes case management from managed care?

Accepted Answer

Case management, in contrast to managed care, comprises activities implemented with individual clients in the system.

Question 2

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

Accepted Answer

Psychosocial hazards are factors and situations encountered or associated with one's job or work environment that create or potentiate stress, emotional strain, or interpersonal problems.

Question 3

For a CHN, which of the following describes the goal of advocacy?

Accepted Answer

The goal of advocacy is to promote self-determination in a constituency or client group. The constituency may be a client, family, group, or community. The advocate role includes the following three major strategies: (1) interacting with clients and families, (2) interacting with other health care providers, and (3) working through the system.

Question 4

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?

Accepted Answer

CHNs working in rural areas have a prestigious status in the community and are viewed as role models. They have greater (not less) independence and autonomy as well as fewer (not more) resources, and they need to have more generalist (not specialized) knowledge and skills.

Question 5

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?

Accepted Answer

Barriers to health care affecting all rural clients may be the availability, affordability, or accessibility of services and professionals. Two pertinent identified barriers to health care in rural areas are language barriers and lack of culturally appropriate care and services.

Question 6

What is the primary role of the forensic nurse in Canada?

Accepted Answer

In Canada, forensic nurses primarily work as SANEs.

Question 7

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?

Accepted Answer

The host is described as any susceptible human being; each sick nurse represents a host within the worker population group.

Question 8

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?

Accepted Answer

At the primary prevention level, campaigns to support regular exercise, greater emphasis on school-based physical education programs, and environmental and policy initiatives to create or enhance places for physical activity in communities can make significant contributions to improving the lifestyle of sedentary children. Developing individualized exercise programs for overweight children is an example of tertiary prevention. Monitoring body mass index in children to identify elevations before they become difficult to manage is an example of secondary prevention. Notifying parents or guardiAnswer of their child's height-weight scale in comparison with national norms increases family awareness but does not meet the definition of a preventive measure.

Question 9

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

Accepted Answer

In rural communities, often a health care professional may live and practice in a community for decades, also providing care to people who live in several other communities. A limited number of CHNs, such as PHNs or nurse practitioners, may offer a full range of services for all residents in a specified area, which may span more than 150 km. Consequently, rural physiciAnswer and CHNs provide care to individuals and families with all kinds of conditions, in all stages of life, and across several generations. In urban communities, residents are more likely to seek care from a medical specialist.

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