Ch. 3: Community Nursing In Canada( quiz 1)
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Questions and Answers

Which statement best describes the concept of public health?

  • Health care provision offered in primary and secondary institutions or in clients' homes
  • Use of the nursing process and evidence-informed practice to meet the objectives for community health improvement
  • A population health approach designed to prevent disease, promote health, and protect populations (correct)
  • Provision of health care services in institutions located in the community but outside the hospital

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?

  • Training as a registered nurse
  • Training as a registered practical nurse
  • A baccalaureate degree in nursing (correct)
  • A master of science degree in nursing

What is a core competency required of public health nurses (PHNs)?

  • Highly tuned skills for assessment of critically ill clients
  • Advanced knowledge in the use of high-technology diagnostics
  • Familiarity with current life-support technology
  • Skill in developing policy and planning programs to improve health (correct)

A health centre administrator is in the process of hiring a new community health nurse (CHN). Which statement by a potential employee would raise the greatest concern for the employer?

<p>“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.” (C)</p> Signup and view all the answers

Which one of the following is a primary prevention activity for decreasing the incidence of communicable diseases?

<p>Partnering with schoolteachers to teach handwashing to elementary school children and observe their techniques (D)</p> Signup and view all the answers

What activity is the public health nurse (PHN) participating in when tracing the sexual contacts of clients with sexually transmitted infections (STIs) for potential screening purposes?

<p>Secondary prevention (A)</p> Signup and view all the answers

Which community health nursing activity demonstrates tertiary prevention related to mental health?

<p>Providing case management services that link clients with serious mental illnesses to mental health and community support services (D)</p> Signup and view all the answers

Which of the following represents the main difference between parish nursing and all other fields of nursing?

<p>Affiliation with a church or congregation (B)</p> Signup and view all the answers

Which statement by a parish nurse exhibits a misunderstanding of the concept of pastoral care?

<p>“I incorporate pastoral care in my practice when I involve the pastor in ministering to the members of the congregation.” (A)</p> Signup and view all the answers

What is the central difference between home health care and other types of health care?

<p>Home health care is provided in the client's environment. (A)</p> Signup and view all the answers

A community health nurse (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?

<p>Home health nursing (A)</p> Signup and view all the answers

Which of the following is the best way for a home health nurse (HHN) to help a client who has right-sided paresis secondary to a stroke?

<p>Teaching self-care to the client (D)</p> Signup and view all the answers

A home health nurse (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?

<p>“The nurse still functions holistically; however, interdisciplinary collaboration is necessary to prevent fragmentation of care.” (C)</p> Signup and view all the answers

A family member asks an home health nurse (HHN) to explain the concept of hospice care. Which action would the HHN need to include as the fundamental underlying philosophy of hospice?

<p>Providing respite and comfort measures before death (C)</p> Signup and view all the answers

In an effort to prevent drug abuse among junior high-school students, a public health nurse (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?

<p>Primary prevention (A)</p> Signup and view all the answers

The community health nurse (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?

<p>Secondary (D)</p> Signup and view all the answers

A community health nurse (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?

<p>Tertiary (C)</p> Signup and view all the answers

What practice is being implemented by the occupational health nurse (OHN) who removes a foreign body from a client's eye?

<p>Primary care (D)</p> Signup and view all the answers

What practice is being implemented by the occupational health nurse (OHN) who periodically conducts spirometry testing of employees working with hazardous gases?

<p>Secondary prevention (A)</p> Signup and view all the answers

An employee in a laboratory drops a flask, resulting in the chemical splashing into her eyes. What is the agent in this scenario?

<p>Chemical (B)</p> Signup and view all the answers

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?

<p>Each sick nurse (B)</p> Signup and view all the answers

What hazard tends to particularly affect employees who work in two-week shifts?

<p>Psychosocial hazards (C)</p> Signup and view all the answers

What is the primary role of the forensic nurse in Canada?

<p>Sexual assault nurse examiner (SANE) (B)</p> Signup and view all the answers

From which health care professional is a rural resident with asthma more likely to receive health care services?

<p>Nurse practitioner (D)</p> Signup and view all the answers

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?

<p>Absence of culturally appropriate care (C)</p> Signup and view all the answers

For the community health nurse (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?

<p>“Community members will probably hold you in higher regard and will look up to you.” (A)</p> Signup and view all the answers

Which of the following primarily distinguishes case management from managed care?

<p>Case management is implemented with individual clients. (C)</p> Signup and view all the answers

Research demonstrates that exercise is important for general wellness and weight control. The community health nurse (CHN) can use this information to implement primary prevention by doing which of the following?

<p>Drafting policy for increases in noncompetitive physical activity programs (B)</p> Signup and view all the answers

The ability to access, comprehend, evaluate, and communicate information as a way to promote, maintain and improve health in a variety of settings across the life-course is defined as:

<p>Health literacy (C)</p> Signup and view all the answers

Flashcards

What is public health?

A population health approach that focuses on preventing disease, promoting health, and protecting populations.

What is the minimum education required for a PHN?

Public health nurses (PHNs) must have at least a baccalaureate degree in nursing.

What is a core competency of a PHN?

PHNs have a variety of competencies, including developing policy and planning programs to improve health.

Why is teamwork important for CHNs?

Collaborative partnerships are essential for community health nurses. Teamwork allows for multiple perspectives and stronger solutions.

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What is primary prevention?

Primary prevention aims to prevent a condition before it even starts.

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What is secondary prevention?

Secondary prevention involves early detection and intervention to stop or slow the progress of a condition.

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What is tertiary prevention?

Tertiary prevention focuses on managing a long-term condition to improve quality of life.

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What type of prevention is contact tracing for STIs?

Tracing the sexual contacts of clients with STIs for potential screening is an example of secondary prevention. It aims to identify and intervene with individuals who might be at risk.

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What type of prevention is case management for severe mental illness?

Providing case management services that link individuals with severe mental illness to support services is an example of tertiary prevention. It focuses on managing the condition to improve outcomes.

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What makes parish nursing different from other fields of nursing?

Parish nursing is unique because it's specifically affiliated with a church or congregation, incorporating spiritual aspects into nursing care.

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What is pastoral care in parish nursing?

Pastoral care emphasizes the spiritual dimension of nursing, offering support during times of joy and sorrow.

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What is the key difference between home health care and other types of care?

The main difference between home health care and other types of health care is that home health care is provided in the client's environment, wherever that may be.

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What is the primary objective of home health care?

Home health care focuses on self-care to empower clients with some control over their lives and activities.

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Why is interdisciplinary collaboration necessary in home health nursing?

Interdisciplinary collaboration is essential in home health nursing to ensure comprehensive and coordinated care.

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What is the core concept of hospice care?

Hospice care focuses on providing respite and comfort measures to the very ill and dying.

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What type of prevention is involving role models in an anti-drug presentation?

Enlisting high school role models for an anti-drug presentation is an example of primary prevention. By educating youth, it aims to prevent drug abuse before it starts.

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What type of prevention is visual acuity testing for school children?

Screening children for visual acuity to identify those who need glasses is an example of secondary prevention. It aims to detect a potential problem early.

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What type of prevention is teaching asthma management techniques?

Helping children with chronic asthma learn how to use a peak flow meter is an example of tertiary prevention. It focuses on managing an existing condition.

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What type of care is removing a foreign body from the eye?

Removing a foreign body from a client's eye is an example of primary care, providing immediate treatment for an injury.

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What type of prevention is spirometry testing for employees?

Periodically conducting spirometry testing of employees working with hazardous gases is an example of secondary prevention. It aims to identify potential health problems early.

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What is the agent in the scenario of the chemical splash?

The chemical that splashed in the employee's eye is the agent in the scenario. The agent is the factor that causes the illness or injury.

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What is the host in the scenario of nurses contracting a disease?

Each sick nurse represents a host in the scenario. The host is the susceptible individual who can be affected by the agent.

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What type of hazard is particularly relevant to shift work?

Psychosocial hazards are factors or situations that create stress, emotional strain, or interpersonal problems in the workplace. Shift work often falls into this category.

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What is the primary role of a forensic nurse in Canada?

Forensic nurses in Canada primarily work as Sexual Assault Nurse Examiners (SANEs).

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Which healthcare professional is most likely to provide care to a rural resident with asthma?

Nurse practitioners are often the primary healthcare providers in rural areas, providing a range of services to residents.

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What is an additional healthcare barrier for migrant farm workers?

Mexican migrant farm workers may face additional barriers to healthcare, such as lack of culturally appropriate care.

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What are some key considerations for a CHN moving from an urban to a rural setting?

Community health nurses in rural areas are generally highly respected and have more autonomy than urban CHNs.

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What is the main difference between case management and managed care?

Case management is focused on individual clients, providing support and coordination of resources.

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How can CHNs implement primary prevention related to exercise?

Implementing policies to encourage physical activity programs is an example of primary prevention. It aims to prevent health problems related to physical inactivity.

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Study Notes

  • Public health is a population health approach designed to prevent disease, promote health, and protect populations.
  • Public health nurses (PHNs) work with many partners to protect and promote health and prevent disease.
  • The current minimum level of educational preparation for a public health nurse is a baccalaureate degree.
  • A core competency required of public health nurses is the skill in developing policy and planning programs to improve health.
  • Teamwork in the workplace is better than work done by individuals.
  • A primary prevention activity for communicable diseases is partnering with schoolteachers to teach handwashing to elementary school children and observe their techniques.
  • Tertiary prevention related to mental health is providing case management services.
  • Parish nursing differs from other fields of nursing by being affiliated with a church or congregation.
  • A parish nurse providing care by stressing the spiritual dimension of nursing, lending support during times of joy and sorrow, and helping identify spiritual strengths is practicing pastoral care.
  • Home health care is different from other types of care because it is provided in the client's environment.
  • A home health nurse can help a client with right-sided paresis by assisting with activities of daily living and teaching self-care to the client.
  • A community health nurse (CHN) can utilize health promotion to prevent drug abuse among junior high school students with the help of high school role models.
  • Tracering sexual contacts of clients with sexually transmitted infections (STIs) demonstrates secondary prevention.
  • Visual acuity testing for determining if students need glasses demonstrates secondary prevention.
  • Removing a foreign body from a client's eye demonstrates primary care.
  • Conducting spirometry testing for employees working with hazardous gases demonstrates secondary prevention.
  • Sexually transmitted infections (STIs) are a secondary prevention activity.
  • Chemical, employee, flask, and laboratory are examples of agents in the context of occupational exposures.
  • The host in a scenario where nurses are missing work due to a communicable disease is the sick nurse.
  • Psychosocial hazards can particularly affect employees in two-week shifts.
  • The primary role of a forensic nurse in Canada is as a sexual assault nurse examiner (SANE).
  • Rural residents are more likely to receive care from nurse practitioners than from specialists.
  • A barrier to care for a Mexican migrant farm worker is a lack of culturally appropriate care.
  • Case management is targeted toward a specific segment of the population.
  • Primary prevention aims at preventing a condition from developing.
  • Primary prevention in the context of exercise involves developing individualized exercise programs for overweight children.
  • Health literacy is defined as the ability to access, comprehend, evaluate and communicate information as a way to promote, maintain and improve health.

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Description

This quiz covers the foundational principles of public health nursing, including key competencies, educational requirements, and prevention strategies. Explore the roles of public health nurses and their partnerships in promoting community health and preventing disease. Test your understanding of the unique aspects of parish nursing and teamwork in public health settings.

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