Solutions
A busy CHN who is concerned that obesity is increasing rapidly
among children in her community wants to implement evidence-
informed practice but faces barriers because of time constraints.
A knowledge manager can help this CHN by doing which of the
following?
a) Identifying students who are obese in order to closely monitor
for weight control success or failure
b) Evaluating best practices to identify those practices that have
the highest success rates for weight control in children
c) Organizing files, scheduling appointments, and handling
phone calls in order to decrease interruptions
d) Setting up an obesity management program for children
whose body mass index exceeds normal Correct Answers B-
The knowledge manager's role is to assist in the implementation
of evidence-informed practice through collection and
dissemination of the collective knowledge within an
organization. To increase the likelihood of success, the
knowledge manager can equip the CHN with needed
information and knowledge to develop interventions that are
research based.
A CHN asks a class to describe the ways in which HIV can be
transmitted. Which of the following responses by a student
indicates a need for additional teaching?
a) "HIV can be transmitted by droplet spread from sneezing or
coughing."
b) "HIV can be transmitted by having unprotected sex with
someone who is infected."
,c) "HIV can be transmitted by sharing needles when shooting up
drugs."
d) "HIV can be transmitted through transfusions of blood
products that are contaminated with HIV." Correct Answers A-
HIV transmission can occur via sexual contact, involving the
exchange of body fluids, with an infected person; sharing or
reusing needles, syringes, or other equipment used to prepare
injectable drugs; perinatal transmission from an infected mother
to her fetus during pregnancy or delivery or to an infant when
breastfeeding; and transfusions or other exposure to HIV-
contaminated blood or blood products, organs, or semen.
A CHN desires greater understanding of the physiological
effects of selected chemicals on humans. Which specialist would
the CHN most likely find is the best repository of information
about this subject?
a) A chemist
b) An epidemiologist
c) A pharmacologist
d) A toxicologist Correct Answers D- Toxicology is the basic
science that studies the health effects associated with chemical
exposures. A toxicologist would likely be able to provide the
most information related to physiological processes.
A CHN is asked by a parent group to explain the risk factors for
alcoholism. Which of the following statements should the CHN
include in the explanation?
a) Alcoholism is determined solely by environment.
b) Alcoholism is determined partly by genes.
c) Alcoholism is higher in women.
,d) Persons born with fetal alcohol syndrome are alcoholics from
birth. Correct Answers B- Research has shown conclusively
that alcoholism is, at least in part, genetic and not just the result
of family environment.
A CHN is checking the records of a health unit to compare the
number of new teen clients who have sought contraceptive
counselling and management in the 2 months before and after an
education intervention program to decrease teen pregnancy.
What step of the evaluation process does the CHN's action
represent?
a) Determining outcome goal measurement
b) Goal setting
c) Measuring the goal effect
d) Evaluating the program Correct Answers C- Measuring the
achievement of a goal is accomplished by reviewing the records
and summarizing the incidence of the condition in question
before and after the program.
A CHN is concerned about caregiver stress in the children of
older clients with health concerns. Which of the following
secondary prevention strategies can the CHN implement to limit
caregiver stress?
a) Asking caregivers how they are coping with their role
b) Encouraging caregivers to periodically take a few hours away
from their duties
c) Establishing support groups for caregivers of older adult
parents
d) Referring some caregiving responsibilities to home health
nurses (HHNs) or professional caregivers Correct Answers A-
Secondary prevention includes screening that allows for early
, recognition of health concerns so that prompt interventions can
prevent long-term disabilities. By asking caregivers how they
are coping (thus screening) the CHN can identify problems early
so that interventions can be made to limit the extent of stress.
A CHN is orienting a new recruit to a health clinic that primarily
serves vulnerable populations. Which of the following
statements by the CHN indicates a need for additional
information?
a) "If a client who does not speak English comes in, you must
obtain an interpreter right away."
b) "We try to take care of as many problems as possible in one
visit, so when you check the client in, ask about additional
concerns."
c) "You will like working with Filipino immigrants because they
have close-knit family structures."
d) "You will need to assist the client by scheduling any referral
or follow-up appointments." Correct Answers C- Assumptions
are not helpful. Each person and family should be assessed
individually.
A CHN often used to sit with his legs crossed at the knees when
collecting a client's history. However, he stopped doing this
around his Iranian clients after being told that they were
offended because this posture exposed the sole of his foot. In
changing his behaviour, which culture-related response did the
CHN exhibit?
a) Cultural sensitivity
b) Cultural awareness
c) Cultural knowledge