Community Nursing Exam Practice 2.0 Questions & Answers correct

Community Nursing Exam Practice 2.0 Questions & Answers correct The definition that most accurately reflects the meaning of the term health inequities is: a. Health inequities are the accumulation of multiple factors that lead to poor health b. Health inequities occur when people are more inclined to become ill and usually do not seek appropriate care c. Health inequities are unfair differences in health that could be avoided with reasonable action d. Health inequities are wide variations in health status and services among certain population groups c. Health inequities are unfair differences in health that could be avoided with reasonable action What outcome needs to occur to claim that advocacy has been truly successful or effective? a. Audiences agree with a CHN who is advocating a change b. Legislators discuss appropriate legislation to better allocate resources c. People demand that the disenfranchised be better treated d. Systematic social changes are made to improve quality of life d. Systematic social changes are made to improve quality of life The trans-theoretical model as a model of change: a. Is used for groups, individuals and communities b. Assists in changing one's behaviour permanently c. A process of individual change that can occur at various levels d. Is a step by step model c. A process of individual change that can occur at various levels ??? Based on the trans-theoretical model, what is the most appropriate response to the client that states: "Me, exercise? I haven't done that in years" a. I understand. Exercise is not good for you if you have not exercised in a while b. I understand. It is necessary, so I want you to walk 2 miles four times a week and I will see you in 1 month c. I understand. Tell me one reason why being more active would be helpful for you d. I understand. I would like you to ride your bike three times this week and eat at least four fruits and vegetables every day c. I understand. Tell me one reason why being more active would be helpful for you Which of the following accurately describes an appropriate starting point for the application of a population health approach? a. Emergency life-saving care b. The determinants of health c. Health promotion models d. Social marketing strategies b. The determinants of health The concept of prevention is a key component of modern community health practice. What is an example of primary prevention? a. Legislation and enforcement to ban or control hazardous products b. Blood pressure screening public clinics for hypertension c. Audiometric testing for hearing impairment in workplaces d. Support groups that allow members to share strategies for living well a. Legislation and enforcement to ban or control hazardous products Indigenous peoples of Canada are also affected by specific determinants of health. These are categorized as: a. Proximal, distal, and economic b. Intermediate and social c. Proximal, intermediate, and distal d. Proximal, ideological and distal c. Proximal, intermediate, and distal A CHN senses that a potential community partner has a perception of a program's benefits that differs from the proposed benefits of the project. How should the CHN follow up this observation? a. Encourage the potential partner to collaborate on a revision of the program's planned benefits b. Explain clearly to the potential partner that the project's identified benefits will be exclusive of other benefits c. Discuss the potential partner's agenda with other existing partners in the community to determine potential of new partner being considered d. Discuss with the potential partner his or her understanding of the benefits of the program d. Discuss with the potential partner his or her understanding of the benefits of the program ??? In which of the following activities does the CHN act in the role of a nurse epidemiologist? a. Eliciting the health history of a client presenting with an illness b. Performing a physical assessment of an ill client c. Providing treatment and health education to a client with a disease d. Evaluating the number of clients presenting with similar diseases d. Evaluating the number of clients presenting with similar diseases What epidemiologic function does the CHN take on during an epidemic? a. Conducting assessment of suspected cases to detect the communicable diseases b. Participating in the investigation to determine the source of epidemic c. Monitoring the condition of the cases affected by the communicable disease d. Teaching the community on preventive measures against the disease e. All of the above e. All of the above Health program management: a. Is something that only CHNs can perform b. Involves decision-making on the part of the CHN c. Consists of assessing, planning, implementing and evaluating d. Is done in health programs c. Consists of assessing, planning, implementing and evaluating What needs to happen for healthy public policy implementation? a. Removal of elected officials from the policy development process b. Cooperation between the different sectors that are involved with health c. Leadership of the policy development process by impartial experts d. Involvement of corporations in policy development b. Cooperation between the different sectors that are involved with health What practice demonstrates cultural competency for the care of clients with a cultural background different to one's own? a. Maintaining an open attitude that welcomes differences b. Keeping all behaviours culturally neutral c. Relying on friendly gestures to communicate a caring attitude d. Avoiding showing prejudice by using the same behaviour with all clients a. Maintaining an open attitude that welcomes differences The Program Logic Model is used in health care because: a. It follows sequential steps b. It is a helpful looking model in its depiction c. It clarifies linkages between inputs, outputs and outcomes d. Is used by those familiar with it c. It clarifies linkages between inputs, outputs and outcomes A CHN states, "The best way to treat clients from other countries is to care for them the same way we would want to be cared for ourselves. After all, we are all human beings with the same expectations and needs." This response exemplifies: a. Cultural awareness b. Cultural blindness c. Cultural knowledge d. Cultural preservation b. Cultural blindness What is the first stage of a community health assessment by a CHN? a. Learn about its people b. Understand the major illness c. Identify the community politicians d. Identify resources available in the community a. Learn about its people Harm Reduction: a. Is solely a preventative measure b. Is complementary to prevention and treatment c. Does not require abstinence or discontinuation of use d. Both b and c d. Both b and c The Canadian Community-As-Partner model is being applied to a community health promotion project initiative. The best way for the project organizers to integrate community members into the health promotion process is to: a. Enlist community members to provide input and advice about the formation of the interdisciplinary health team who will plan and implement the initiative b. Identify that the involvement of community members is only for the implementation stage of the process c. Identify suitable community members during the assessment stage, and then involve them in the implementation and evaluation stages of the process d. Enlist the community members to participate in all stages of the health promotion process beginning with assessment d. Enlist the community members to participate in all stages of the health promotion process beginning with assessment A health promotion team has been diligent in its efforts to collect current community data. Which of the following would the team consider as primary data? a. Interview results with community champions conducted by team members b. Demographic data collected from Statistics Canada reports c. Crime statistics provided by the local police services d. Data retrieved from library services documents in the community archives a. Interview results with community champions conducted by team members Public health nurses have been asked to plan an initiative aimed at reducing the incidence of chronic disease in their community. What initiative might be most relevant to the greatest number of community members? a. Conflict management b. Mental health management c. Glycemic control d. Weight management and food security d ??? A client at a community health outpost who describes a culturally safe encounter describes which CHN practices? a. Recognizing and respecting cultural identity b. Mirroring and matching of cultural behaviours c. Seeking similarities and commonalities d. Supporting the adoption of dominant cultural behaviours a. Recognizing and respecting cultural identity Which of the following will most likely directly impact the associations between population health and environmental factors? a. Programs that attempt to increase food security b. Community organized immunization campaigns c. Programs aimed at reducing energy consumption in the community d. Community education about chronic disease prevention a. Programs that attempt to increase food security ??? Which of the following best defines Cultural Competency: a. An attitude that recognizes the differences between cultures and that these differences are important to acknowledge in health care b. An approach to health care based on humble acknowledgement of oneself as a learner when it comes to understanding a person's experience c. An approach that considers how social and historical contexts, as well as structural and interpersonal power imbalances, shape health and health care experiences d. An approach that focuses on practitioners' attaining skills, knowledge, and attitudes to work in more effective and respectful ways with Indigenous patients and people of different cultures. d. An approach that focuses on practitioners' attaining skills, knowledge, and attitudes to work in more effective and respectful ways with Indigenous patients and people of different cultures. Which of the following is an example of a passive strategy of health promotion? a. Fluoridation of drinking water b. Smoking cessation programs c. Exercise training initiatives d. Weight reduction programs a. Fluoridation of drinking water What is the basis for the difference between health promotion and health protection? a. The assurance of the highest possible quality in care b. The motivation to change behaviour c. The delivery of care by a group of health care providers d. The achievements of social marketing campaigns b. The motivation to change behaviour ??? Weight bias is important to consider in healthy weight promotion because: a. It has implications for BMI b. Stigma of obesity has been shown to harm health and increase weight c. It assists in weight loss d. It has improved health b. Stigma of obesity has been shown to harm health and increase weight Which of the following objectives is most appropriate and SMART for developing a community health program? a. All mobile clients at City of Greater Sudbury HSN will receive daily physiotherapy within 2 days following knee replacement b. Eighty percent of City of Greater Sudbury mothers receiving nutrition counseling will identify five sources of calcium by the end of counseling class c. Ninety-five percent of City of Greater Sudbury children will be immunized by the age of 1 year d. There will be a 25% reduction in health disparities in City of Greater Sudbury by June 2025 b. Eighty percent of City of Greater Sudbury mothers receiving nutrition counseling will identify five sources of calcium by the end of counseling class The Community-As-Partner model is used by a CHN to complete a community health assessment. What does a high rate of immunity in this model represent? a. Normal line of defense b. Flexible line of defense c. Flexible line of resistance d. Flexible degree of normal response a. Normal line of defense Which of the following more closely parallels the community subsystems within the community-as-partner model? a. Broad determinants of health b. Groups in the community c. Lines of defense and resistance d. Various health care workers in the community a. Broad determinants of health ??? The health belief model addresses the relationship between a person's belief's and behaviours. Which of the following is true about the health belief model? a. The model is exemplified by a person who smokes for 20 years, and closely follows this model b. This model provides a basis for caring for clients of all ages with a health focus c. This model could be used by a person who does not take necessary medication safely d. This model provides a way to understand and predict how clients will behave in relation to their health and compliance with health care regimes d. This model provides a way to understand and predict how clients will behave in relation to their health and compliance with health care regimes ??? What is an example of risk communication as part of the CHN's role in environmental health? a. Interpreting and applying environmental health principles b. Responding in scientifically sound and humanely sensitive ways to community concerns c. Proposing, informing, and monitoring action from agencies, communities, and organization perspectives d. Detecting potential and actual exposure pathways and outcomes for clients cared for in acute care, chronic care, and healthy communities a. Interpreting and applying environmental health principles What are the core competencies of public health? a. Special knowledge, skills or abilities that are required for an aspect of public health practice b. Set of skills, knowledge and abilities necessary for the broad practice of public health c. Special public health knowledge required to perform certain functions or jobs such as in the areas of leadership, management and emergency preparedness d. Set of public health skills required to conduct assessment, implement policy and decrease environmental hazards b. Set of skills, knowledge and abilities necessary for the broad practice of public health ??? What is the major focus for environmental concerns in a community? a. Industry, waste, and water b. Air, soil, food c. Air pollution and waste disposal d. Radiation, lead, and water contamination b. Air, soil, food??? The CHN is examining blood lead levels in school-aged children one year after a community-wide education intervention. What term identifies this phase of the nursing process? a. Assessment b. Diagnosis c. Intervention d. Evaluation d. Evaluation What is an endemic? a. An endemic affects older adults in a particular population b. An endemic permanently exists in a geographic area c. An endemic is a disease that temporarily affects a particular population d. An endemic, like epidemic and pandemic, is worldwide in scope b. An endemic permanently exists in a geographic area A community member reports to a CHN in the public health department that the city's water has had an unusual taste for the past few months. What is the best CHN action? a. Advocate with or lobby decision makers to address the issue. b. Consult the Canadian Partnership for Children's Health & Environment (CPCHE). c. Check the most recent report on water quality in the community. d. Contact the poison control center. c. Check the most recent report on water quality in the community. National and international centers for disease control have established guidelines for emergency preparedness that facilitate the development of local public health response plans in anticipation of which of the following? a. Emergence of global non-communicable disease threats b. Rising global suicide rates c. An influenza pandemic d. The resurgence of tuberculosis c. An influenza pandemic Preventing an environmentally related health issue is less costly than fixing it. What secondary level disease prevention strategy do public health professionals utilize to help reduce environmental health risks? a. Community education on ways to reduce risk b. Good surveillance of the community's health status c. Working in partnership with others to treat documented environmental problems d. Advocating for healthy public policies that will prevent problems from occurring b. Good surveillance of the community's health status ??? After acquiring community member input, a team of PHNs is selecting intervention strategies. In this stage of community health program planning, which of the following principles should the team be familiar with? a. Strategies should be chosen that are appropriate and accessible to all members of the community b. Strategies should rely primarily on multimedia delivery rather than written materials c. No single strategy is going to be effective with every group d. As many strategies as possible should be adopted to ensure success a. Strategies should be chosen that are appropriate and accessible to all members of the community ??? For the following infectious disease interventions, which one is most representative of secondary prevention? a. Clients with human immunodeficiency virus (HIV) infection are encouraged to use condoms to protect their sexual partners b. Clients with HIV infection are given medications to improve immunological response c. Health care workers are encouraged to receive annual vaccinations for influenza d. Health care workers are required to have a tuberculosis (TB) skin test or chest X-ray d. Health care workers are required to have a tuberculosis (TB) skin test or chest X-ray