NUR 246 Community Nursing Exam 2025 With Correct Answers.

NUR 246 Community Nursing Exam 2025 With Correct
Answers




role of rural and remote area nurses in primary health care - correct answer Rural area nursing:
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presence of medical officer i i i




- serves a wide area, health services are limited (specialist surgery and maternity services)
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- nurses may provide other emergency, rehabilitation and primary healthcare depending on the
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presence/ absence of other health professionals i i i i i




Remote area nursing: absence of medical officer
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- scope of practice determined by lack of other healthcare professionals, many services are FIFO
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(physiotherapists, optometrists) i




- few inpatient facilities, healthcare centres open during office hours with on-call backup
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- nurses provide emergency services, age-appropriate wellness checks, detection/ monitoring of
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chronic diseases, mental health services and end-of-life care
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,interview and assessment techniques - correct answer Active listening: concentrates on patient
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responses - avoid formulating the next question during responses i i i i i i i i




- Facilitation: verbal/ non-verbal phrases to encourage patient to continue talking
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- Clarification: to gather more information
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- Restatement: repeating what patient said in different words to confirm interpretation
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- Reflection: repeating what the patient said to encourage elaboration
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- Confrontation: when inconsistencies are noted between patient's report and nurse's observations -
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use tone of voice to convey confusion
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- Interpretation: share conclusions drawn from data - patient may confirm, deny or revise
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factors that influence the interview - correct answer Nurse behaviours, type questions - how they are
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asked, personality/ behaviour of patient
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- Patient's age, physical/ mental/ emotional status
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- Talkative patients - refocus on events relevant to the present, close-ended questions
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- Language barriers - interpreter should be an objective observer of the same gender
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- Others in the room - don't assume, always clarify, parents may answer for child - ask adolescents
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directly



stages of the interview process - correct answer Introduction: prepare the patient for what to expect
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- Discussion: facilitate, collect, and record health history/ data- keep it patient-centred, nurse
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prompts questions + takes notes i i i i




- Summary: allows for clarification of data + accurate understanding, provides closure
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Discuss the application of the Australian Safety and Quality Framework for Health Care (ASQFHC) to
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primary healthcare i




skin tears, tissue types, and silicone foam adhesives - correct answer If viable, gently realign the flap
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back into place using a dampened cotton tip or gloved finger
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- 1A: edges can be realigned; skin colour is NOT dusky or darkened
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, - 1B: edges can be realigned; skin colour is dusky or darkened
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- 2A: edges can NOT be realigned; skin colour is NOT dusky or darkened
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- 2B: edges can NOT be realigned; skin colour is dusky or darkened
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- 3: skin flap is absent
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Silicone foam dressing: i i




- manages non to low exudate wounds and provides a moist wound environment which aids the
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wound healing process i i




- helps to minimise maceration and damage to the surrounding skin
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- provides cushioning and protects from water and bacteria
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- stay up to 7 days but should be changed once saturated with exudates
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evidence-based practice - correct answer Assessment, planning, implementation, review - care plans i i i i i i i i i i i




health promotion and behaviour change using theoretical and conceptual frameworks - correct
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answer Stages of change: pre-contemplation, contemplation, preparation, maintenance, relapse
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5 As:i




- Assess the client's beliefs, behaviour and knowledge
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- Advise the client about health risks + benefits of behavioural change
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- Assist the client in identifying personal barriers + work through these
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- Agree on goals based on client's interest + confidence to change behaviour
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- Arrange referrals to other services, plan for follow-up (visit/ phone call)
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Motivational interviewing: i




- Engaging: establish relationship with client
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- Focusing: developing a directed conversation about behaviour change
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- Evoking: identifying motivation for change
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- Planning: developing commitment to change + establish action plan
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- Intrinsic motivation: internal rewards for self
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