NSE31 Final Exam With
Complete Solution
What is a community nurse? - ANSWER
What are the six nursing competences? - ANSWER communication, collaboration,
conflict management, self-reflection, ethical practice, and professionalism
What ethical principles are community nursing based on? - ANSWER Social justice and
equity, respect of diversity, capacity rather than needs-based perspective, working
"with"
What are the 7 CHN Standards? - ANSWER Health Promotion
Prevention and Health Protection
Health Maintenance, Restoration and Palliation
Professional Relationships
Capacity Building
Access and Equity
Professional Responsibility and Accountability
If you want your work ethic to be grounded in social justice, what three main features
must you look at? - ANSWER power
positionality + interconnectedness
issues of everyday life
What does it mean to use a critical lens in practice? - ANSWER Derived from Critical
Social Theory
Talks about thinking about it form multiple angles, intersectionality
Talks about background and how they came to be in this state and how certain groups
have access and some don't, look at history
Because of this individuality, client-centredness is important, so voluntary behaviour
change; will probably need to look at behaviour change theories
Because of this complexity, perhaps harm reduction will need to be taken into account
What is a behaviour lens? - ANSWER Derived from behaviour change theories such as:
, Bandura's self-efficacy
Health belief model
Theory of reasoned action
Stages of change
Theory of Diffusion
Health promotion does mean a change in behaviour, however BC theories only change
behaviour w/ the right CONDITIONS/ CONTEXT
Otherwise behaviour change can be interpreted as victim-blaming
This is why harm reduction is used
How would you apply the Health Belief Model to this example: smoking reduction? -
ANSWER Make a healthy choice voluntarily if they believe:
1) high risk
2) serious consequences - affect kids, second-hand
3) benefit form action - more time with families, more sense of control
4) few obstacles in making change - will be provided support, talk about the process
5) reminders
6) self-efficacy - believe they can, believe in themselves
What is the difference between Upstream, Midstream and Downstream, vs Primary,
Secondary and Tertiary strategies of Health Promotion? - ANSWER Upstream and
midstream are primary prevention, non-reactive.
upstream is more on promotion, policies services, of the ENTIRE population. Barriers :
non individual responsibility only LT, target is general.
What is an example of upstream aproach versus a downstream approach? - ANSWER
They differ in TARGET, RESPONSE and RESPONSIBILITY
Upstream would be more about PROMOTION, advocating and lobbying
Would be less individualized, more targeting change in whole population
Midstream is also primary but more focused on PREVENTION, for @ risk groups or
individuals, barriers: rely on individual for follow-up, unsure about LT
Downstream: Secondary (Identify illness) and teritary (treat illness). This is more
focused on individual level, with barriers: no general responsibility, result is only LT,
target is too individual-focused.
Complete Solution
What is a community nurse? - ANSWER
What are the six nursing competences? - ANSWER communication, collaboration,
conflict management, self-reflection, ethical practice, and professionalism
What ethical principles are community nursing based on? - ANSWER Social justice and
equity, respect of diversity, capacity rather than needs-based perspective, working
"with"
What are the 7 CHN Standards? - ANSWER Health Promotion
Prevention and Health Protection
Health Maintenance, Restoration and Palliation
Professional Relationships
Capacity Building
Access and Equity
Professional Responsibility and Accountability
If you want your work ethic to be grounded in social justice, what three main features
must you look at? - ANSWER power
positionality + interconnectedness
issues of everyday life
What does it mean to use a critical lens in practice? - ANSWER Derived from Critical
Social Theory
Talks about thinking about it form multiple angles, intersectionality
Talks about background and how they came to be in this state and how certain groups
have access and some don't, look at history
Because of this individuality, client-centredness is important, so voluntary behaviour
change; will probably need to look at behaviour change theories
Because of this complexity, perhaps harm reduction will need to be taken into account
What is a behaviour lens? - ANSWER Derived from behaviour change theories such as:
, Bandura's self-efficacy
Health belief model
Theory of reasoned action
Stages of change
Theory of Diffusion
Health promotion does mean a change in behaviour, however BC theories only change
behaviour w/ the right CONDITIONS/ CONTEXT
Otherwise behaviour change can be interpreted as victim-blaming
This is why harm reduction is used
How would you apply the Health Belief Model to this example: smoking reduction? -
ANSWER Make a healthy choice voluntarily if they believe:
1) high risk
2) serious consequences - affect kids, second-hand
3) benefit form action - more time with families, more sense of control
4) few obstacles in making change - will be provided support, talk about the process
5) reminders
6) self-efficacy - believe they can, believe in themselves
What is the difference between Upstream, Midstream and Downstream, vs Primary,
Secondary and Tertiary strategies of Health Promotion? - ANSWER Upstream and
midstream are primary prevention, non-reactive.
upstream is more on promotion, policies services, of the ENTIRE population. Barriers :
non individual responsibility only LT, target is general.
What is an example of upstream aproach versus a downstream approach? - ANSWER
They differ in TARGET, RESPONSE and RESPONSIBILITY
Upstream would be more about PROMOTION, advocating and lobbying
Would be less individualized, more targeting change in whole population
Midstream is also primary but more focused on PREVENTION, for @ risk groups or
individuals, barriers: rely on individual for follow-up, unsure about LT
Downstream: Secondary (Identify illness) and teritary (treat illness). This is more
focused on individual level, with barriers: no general responsibility, result is only LT,
target is too individual-focused.
