Community 2024
What is a CHN implementing when advising a client with osteoporosis to have three
servings of Milk or diary products daily?
a) Primary Prevention
b) Secondary Prevention
c) Tertiary Prevention
d) Treatment, but not prevention - ANSWERSc) Tertiary Prevention
Which scenario exemplifies the occupational health nurse's practice of primary
prevention to improve health outcomes from environmental health risks?
a) Teaching new employees who will work outdoors about the signs and the symptoms
of health-related illness
b) Using spirometry to rule out obstructive or restrictive lung disease in workers before
they start using mask respirators
c) Irrigating the eyes of an employee who has had a chemical splash to the face
d) Using radiation detectors to detect unsafe levels of radiation exposure - ANSWERSa)
Teaching new employees who will work outdoors about the signs and the symptoms of
health-related illness
What definition accurately reflects the meaning go the term inequities?
a) Health inequities are the accumulation of multiple factors that lead to poor health
b) 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
d) Health inequalities occur when people are more inclined to become ill and usually do
not seek appropriate care - ANSWERSc) Health inequities are unfair differences in
health that could be avoided with reasonable action
A client with TB wants to know why directly observation therapy (DOT) is required as
part of the treatment. What CHN response would be the most appropriate one?
a) "TB medications are very expensive, and this method ensures that government
health care resources are not wasted by those who will not take the drugs regularly"
b)"Clients with TB are often non-compliant; DOT will ensure that you take the drugs
prescribed to you"
c) "This ensures that you get your medication even at the late stages of TB when your
memory may be affected by inadequate oxygenation of the brain"
, d) The therapy is recommended by TB experts as the best way to ensure that you
receive the treatment you need, and that the infection doesn't become resistant to the
treatment." - ANSWERSb)"Clients with TB are often non-compliant; DOT will ensure
that you take the drugs prescribed to you"
What is the first step to understanding the potential environmental health risks in a
community in order to conduct an environmental health assessment?
a) Conduct a health risk assessment of randomly selected individuals
b) Review facility permits and consumer confidence reports
c) Survey community members
d) Preform a windshield survey - ANSWERSa) Conduct a health risk assessment of
randomly selected individuals. (Not to sure)
A CHN suspects that an elementary school student is being physically abused. Which
action would be the most appropriate one for the CHN to take?
a) Ask the student about the abuse
b) Document findings in the student's school record
c)Discuss the suspicious of abuse with the student's teachers or the family's spiritual
leader
d) Notify legal authorities - ANSWERSd) Notify legal authorities
A client who uses intravenous (IV) drugs admits to the CHN that he has no desire to
change behaviour, so the CHN counsels him on the importance of exchanging his used
needles for new ones to prevent infection and transmission of blood-borne diseases.
Which level of prevention does this action represent?
a)Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Primary and tertiary prevention - ANSWERSd) Primary and tertiary prevention
Which type of thinking is most reflective of looking at a Macroscopic, big-picture
population focus?
a)Downstream thinking
b) Collaborative thinking
c) Upstream thinking
d) Holistic Thinking - ANSWERSc) Upstream thinking
When involving the community-client as partner, during which phase does data
collection take place to determine the community's health and structure?
a) Assessment phase
b) Planning phase