answers A+Graded (100%)
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 - CORRECT ANSWERS-c. Tertiary
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 - CORRECT ANSWERS-b. Home health nursing
A CHN often has to make resource allocation decisions. In such cases, which approach
will most help the CHN to arrive at the decision?
a. Choosing a moral or ethical principle
b. Choosing the cheapest, most economical approach
c. Choosing the most rational outcome
d. Choosing the needs of the aggregate, rather than the needs of a few individuals -
CORRECT ANSWERS-d. Choosing the needs of the aggregate, rather than the needs
of a few individuals
A community health nurse (CHN) is the leader of a group that has the stated purpose of
improving cardiovascular fitness. Which leadership style can the CHN adopt to increase
member involvement and the group's progress toward health goals?
a. Authoritarian
b. Democratic
,c. Patriarchal
d. Paternal - CORRECT ANSWERS-b. Democratic
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 - CORRECT ANSWERS-d.
Providing respite and comfort measures before death
A group leader attempts to resolve conflict among members by asking questions to
uncover the meanings underlying their interactions and restating them for verification.
This behaviour would fall into which classification?
a. Advising
b. Analyzing
c. Clarifying
d. Confronting - CORRECT ANSWERS-c. Clarifying
A group member who has exhibited an angry emotional outburst tearfully apologizes to
the group for being "hateful." The group leader responds, "I believe I speak for all of us
when I say that you did not appear hateful. You just appeared to be passionate about
your beliefs." In this scenario, which of the following behaviours is the group leader
exhibiting?
a. Analyzing
b. Clarifying
c. Evaluating
d. Reflecting - CORRECT ANSWERS-d. Reflecting
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." - CORRECT ANSWERS-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."
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 - CORRECT ANSWERS-a. Each sick nurse
A PHN strives to prevent disease and disability, often in partnership with other
community groups. Which statement is an appropriate summary of the PHN's role?
a. The PHN asks the political leaders what interventions should be chosen.
b. The PHN assesses the community and decides on appropriate interventions.
c. The PHN uses data from the main health care institutions in the community to
determine needed health services.
d. The PHN works with community members to carry out public health functions. -
CORRECT ANSWERS-d. The PHN works with community members to carry out public
health functions.
A registered nurse (RN), has just been employed as a CHN. Which question would be
most relevant to her practice as she begins her position?
a. "Which community groups are at greatest risk for problems?"
b. "Which patients should I see first as I begin my day?"
c. "With which physicians will I be collaborating most closely?"
d. "Who is the nursing assistant to whom I can refer patients?" - CORRECT
ANSWERS-a. "Which community groups are at greatest risk for problems?"
According to the five stages of group development outlined by Tuckman and Jensen
(1977), which stage of group development is a group in when it focuses on the group
work with a sharing of ideas in a supportive group environment?
a. Forming
b. Storming
c. Norming
d. Performing - CORRECT ANSWERS-d. Performing
According to Tuckman and Jensen's (1977) five stages of group development, a group
is in which stage when it is working on the task and related issues and some level of
comfort has been established?
a. Forming
b. Storming
,c. Norming
d. Performing - CORRECT ANSWERS-b. Storming
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 - CORRECT ANSWERS-a. Chemical
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." - CORRECT ANSWERS-a. "The nurse still functions
holistically; however, interdisciplinary collaboration is
necessary to prevent fragmentation of care."
Conflict transformation draws upon which power when incorporating variety within the
group, through sharing leadership and promoting communication skill development?
a. The power of diversity
b. The power of solidarity
c. The power of shared responsibility
d. The power of bilateral friction - CORRECT ANSWERS-b. The power of solidarity
During which phase would the CHN determine the ability of specific interventions to
achieve an increase to at least 90% in the proportion of all pregnant women who
receive first-trimester prenatal care?
a. Assessment phase
b. Planning phase
c. Implementation phase
d. Evaluation phase - CORRECT ANSWERS-d. Evaluation phase
Eunice Dyke was a public health nursing pioneer in Canada. In which area did she play
a key role at the beginning of the twentieth century?
,a. Decentralization of public health nursing
b. Specialization of public health nursing
c. Inclusion of powerful citizens on health department boards to ensure adequate
funds to pay for care
d. Development of a system for accurate records of births and deaths - CORRECT
ANSWERS-a. Decentralization of public health nursing
Following the release of the Romanow Report in 2002, which type of care was identified
as the most rapidly growing area of community health care?
a. Home care
b. Community problems
c. Immunization
d. Women's issues - CORRECT ANSWERS-a. Home care
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 - CORRECT
ANSWERS-d. Promoting self-determination in a client, family, group, or community
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." - CORRECT
ANSWERS-a. "Community members will probably hold you in higher regard and will
look up to
you."
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 - CORRECT ANSWERS-b. Nurse practitioner
,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 - CORRECT ANSWERS-a. Absence of culturally appropriate care
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 - CORRECT ANSWERS-a. Primary
prevention
In which practice area were the first PHNs in Canada employed?
a. Healthy baby clinics
b. Outpost nursing
c. School health programs
d. Tuberculosis education, prevention, and treatment - CORRECT ANSWERS-d.
Tuberculosis education, prevention, and treatment
In which scenario is the PHN most comprehensively fulfilling collaborative practice
responsibilities?
a. The PHN meets with several groups about community recreation issues.
b. The PHN spends the day attending meetings at various health agencies.
c. The PHN talks to several people about their particular health concerns.
d. The PHN watches television, including a telecast of a city council meeting on the
local cable station. - CORRECT ANSWERS-b. The PHN spends the day attending
meetings at various health agencies.
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 - CORRECT ANSWERS-b. Drafting policy for increases in
noncompetitive physical activity programs
The ability to work with diverse groups is an important skill required in community health
nursing. What best defines cohesion, one of the core concepts of working in groups?
a. Cohesion is anything a member does that makes an intentional contribution to the
group's purpose.
b. Cohesion is the perception of a definite move toward meeting the group's goals
and tasks.
c. Cohesion is encouraging all members to describe the experiences in their families
and workplaces that they perceive as relevant.
d. Cohesion is a measure of attraction between individual members and the group. -
CORRECT ANSWERS-d. Cohesion is a measure of attraction between individual
members and the group.
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 - CORRECT ANSWERS-b. Secondary
The CHN identified that a knowledge deficit is the primary reason why new mothers in a
region choose not to breastfeed and wants to determine the best strategy to implement
an intervention. What should this intervention emphasize?
a. Alternate dimension
b. Process dimension
c. Status dimension
d. Structural dimension - CORRECT ANSWERS-b. Process dimension
The CHN is preparing to organize a small group with the purpose of sustaining weight
loss in obese individuals. What is the ideal number of members for this group?
a. 12 members
b. 18 members
c. 25 members
d. 30 members - CORRECT ANSWERS-a. 12 members
The CHN working with women at the senior citizens' centre reminds them that the only
way the centre will be able to afford a driver and a van service for those who cannot
,drive themselves is to continue to write letters to their local city council representatives,
requesting funding for such a service. What is the CHN doing?
a. Ensuring that the women do not expect the CHN herself to do anything about
their problem
b. Demonstrating that she understands the women's concerns and needs
c. Expressing empathy, support, and concern
d. Helping the women engage in political action locally - CORRECT ANSWERS-d.
Helping the women engage in political action locally
The health of which of the following is the primary focus of public health nurses (PHNs)?
a. Families
b. Groups
c. Individuals
d. Populations - CORRECT ANSWERS-d. Populations
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 - CORRECT ANSWERS-c. A baccalaureate
degree in nursing
The Industrial Revolution caused earlier caregiving approaches—where care was
provided by families, friends, and neighbours—to become inadequate because of
constantly increasing demand. Which situation also contributed to the inadequacy of
caregiving approaches at this time?
a. Ongoing wars, which caused frequent deaths and injuries
b. Horrific plagues that swept through Europe
c. Migration and urbanization
d. The need to pay caregivers - CORRECT ANSWERS-c. Migration and urbanization
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 - CORRECT ANSWERS-b. Secondary prevention
What CHN activity demonstrates the role of a change partner?
,a. Administers vaccinations to preschoolers
b. Analyzes community problems to determine the best interventions
c. Establishes a care centre for older adults living with family members who work in
jobs outside the home
d. Teaches anger management skills to a group of teens in a halfway house -
CORRECT ANSWERS-d. Teaches anger management skills to a group of teens in a
halfway house
What defines group process?
a. Group process is the degree of attraction and commitment of group members.
b. Group process is how the group works as a unit and how members interact.
c. Group process is how the group members connect and relate to each other.
d. Group process is the attraction between individual members and the group. -
CORRECT ANSWERS-b. Group process is how the group works as a unit and how
members interact.
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 - CORRECT ANSWERS-d. Psychosocial hazards
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 - CORRECT
ANSWERS-d. Skill in developing policy and planning programs to improve health
What is an example of a nonfunctional group role?
a. Opinion giver
b. Recognition seeker
c. Follower
d. Feasibility tester - CORRECT ANSWERS-b. Recognition seeker
What is an example of an intradisciplinary team?
a. A registered nurse, 4 licensed/registered practical nurses
b. Two registered nurses, a social worker, a physician
c. A physician, a dietitian, a registered nurse
, d. A registered nurse, a licensed/registered practical nurse, a social worker - CORRECT
ANSWERS-a. A registered nurse, 4 licensed/registered practical nurses
What is the best resource for the CHN who wants information about the leading causes
of morbidity and mortality in a local region of the country?
a. Hospital records and statistics
b. Online information from Statistics Canada
c. The local chamber of commerce
d. The obituary columns of local newspapers - CORRECT ANSWERS-b. Online
information from Statistics Canada
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. - CORRECT ANSWERS-b. Home
health care is provided in the client's environment.
What is the correct definition of group involvement?
a. Group involvement is the degree of attraction and commitment of group
members.
b. Group involvement is how the group works as a unit and how members interact.
c. Group involvement is how the group members connect and relate to each other.
d. Group involvement is the attraction between individual members and the group. -
CORRECT ANSWERS-a. Group involvement is the degree of attraction and
commitment of group
members.
What is the main achievement of the Community Health Nurses Association of Canada
(CHNAC)?
a. Licensed practical nurses (LPNs) as well as registered nurses (RNs) were allowed
to join the association.
b. Nurses who were not PHNs were encouraged to join.
c. National standards of practice were developed.
d. A process was developed to choose the organization's leaders and officers. -
CORRECT ANSWERS-c. National standards of practice were developed.
What is the main influence on the effectiveness of a group's work?
a. The general knowledge of group members