H&H Practice Questions Chapter 11 PDF

Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ Chapter 11: Working with th...

Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ Chapter 11: Working with the Individual as Client: Health and Wellness Across the Lifespan MacDonald/Jakubec: Stanhope and Lancaster's Community Health Nursing in Canada, 4th Edition MULTIPLE CHOICE 1. Which areas should be targeted by the community health nurse (CHN) who wishes to successfully establish a program to decrease childhood mortality rates? a. Accidents and injuries b. Acquired immune deficiency syndrome (AIDS) c. Childhood obesity d. Vaccine-preventable diseases ANS: A Injuries and accidents are the most common causes of preventable disease, disability, and death among children. Most accidents occur in the home; therefore, measures to promote home safety are important. In Canada, injuries and accidents in children aged 1 to 14 are the leading causes of death. Obesity, although a significant problem, is not a common cause of death in children. PTS: 1 DIF: Cognitive Level: Application/Apply REF: Unintentional Injuries and Accidents OBJ: 11.3 TOP: Safe and Effective Care Environment 2. What is the most important action to be taken by the community health nurse (CHN) who wishes to decrease childhood obesity? a. Lobbying legislators to enact stronger legislation regarding unhealthy lunches and food from snack machines in schools b. Increasing availability of nutrition programs in which schoolchildren are taught to make healthy food choices c. Involving the entire family in the management of obesity in a child d. Providing after-school activities and summer camps that focus on diet and exercise ANS: C Interventions need to be based on lifestyle changes for the entire family. The goal is to modify the entire family’s eating patterns, exercise levels, and daily activities. Teaching a child about nutrition, exercise, and a proper diet becomes ineffective if the family’s meals do not also include proper food choices. PTS: 1 DIF: Cognitive Level: Application/Apply REF: Physical Activity OBJ: 11.3 TOP: Health Promotion and Maintenance 3. What constitutes tertiary prevention by a community health nurse (CHN) who wants to promote improved health in obese children? a. Establishing lifestyle improvement programs through local youth organizations b. Evaluating the food intake of a group of children for a 48-hour period c. Providing educational programs to overweight prospective parents because they are at greater risk of having overweight children ______________________________________________________________________________________________ 63 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ d. Measuring body mass index in children during regularly scheduled well-child assessments ANS: A Tertiary prevention includes activities that are aimed at reducing the complications of the disease process. Examples of tertiary prevention for women with diabetes include intense monitoring of blood glucose levels, modification of diet and medications as indicated, and efforts to prevent long-term complications. Establishing lifestyle improvement programs is directed toward preventing problems in children who are already obese. Evaluating food intake and measuring body mass index are types of screening programs (secondary prevention). Providing educational programs to overweight prospective parents pertains to a future event—the child is not yet born. PTS: 1 DIF: Cognitive Level: Analysis/Analyze REF: Diabetes Mellitus OBJ: 11.3 TOP: Health Promotion and Maintenance 4. Which statement provides the best definition of women’s health? a. Women’s health is health care taken in fostering gynecological and reproductive wellness. b. Women’s health is health care that assists the transition from girlhood to womanhood and through menopause. c. Women’s health includes health promotion, health protection, and health maintenance across a woman’s lifespan. d. Women’s health is the management and treatment of conditions unique to the female sex. ANS: C Women’s health is related to the entire lifespan of women and involves health promotion, health protection, disease prevention, and health maintenance in adult women. This broad emphasis on women’s health contrasts with the view of women’s health solely in terms of their reproductive health or their role as mothers. PTS: 1 DIF: Cognitive Level: Knowledge/Remember REF: Women's Health OBJ: 11.4 TOP: Health Promotion and Maintenance 5. What constitutes secondary prevention by a community health nurse (CHN) who wants to promote improved health in obese women? a. Educating women about the risks of obesity b. Preventing long-term complications of preexisting hypertension c. Modification of women’s diet and medications, as indicated d. Screening using a full glucose tolerance test ANS: D Secondary prevention includes screening activities. Screening for diabetes is an example of secondary prevention. Preventing long-term complications of preexisting hypertension and modification of diet and medications are actions aimed at reducing complications of a disease process (tertiary prevention). Educating women about the risks of obesity falls under primary prevention and includes interventions aimed at educating women about diabetes, nutrition, and the risks of obesity, smoking, and physical inactivity. ______________________________________________________________________________________________ 64 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ PTS: 1 DIF: Cognitive Level: Knowledge/Remember REF: Diabetes Mellitus OBJ: 11.4 TOP: Health Promotion and Maintenance 6. What is the primary determining factor of poor health outcomes in women? a. Feelings of powerlessness b. Lack of knowledge c. Poverty d. Stress ANS: C In most parts of the world, women live longer than men but are generally less healthy. This difference in health status is related to poverty. PTS: 1 DIF: Cognitive Level: Knowledge/Remember REF: Women's Health OBJ: 11.4 TOP: Health Promotion and Maintenance 7. What is the nursing specialty that focuses on holistic care of older clients? a. Elder care b. Geriatrics c. Geripsychiatric nursing d. Gerontological nursing ANS: D Gerontological nursing is the specialty of nursing concerned with assessment of the health and functional status of older persons, planning and implementing health care and services to meet the identified needs, and evaluating the effectiveness of such care. PTS: 1 DIF: Cognitive Level: Knowledge/Remember REF: Older Persons' Health OBJ: 11.5 TOP: Health Promotion and Maintenance 8. What would be the best community health nurse (CHN) referral for a physically and mentally challenged older person who wants to continue living with her family but whose family members are all working outside the home? a. Adult daycare services b. Home health care c. Long-term care d. Elder centres ANS: A Adult daycare services are intended for individuals whose mental or physical functioning requires additional health care and supervision. Long-term care would take the client outside of the home. Home health care would leave the client alone for periods of unsupervised time during which the client could encounter problems and not be able to access any services. PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: The Role of the Community Health Nurse in Caring for Older Persons OBJ: 11.5 TOP: Safe and Effective Care Environment ______________________________________________________________________________________________ 65 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ 9. According to the Comprehensive School Health Framework of health promotion, what is the correct definition of primordial prevention? a. Interventions aimed at educating children about health risks b. Preventing risk factors of health issues from ever occurring c. Screening activities aimed at improving student health d. Activities aimed at reducing the health complications associated with disease ANS: B Primordial prevention is preventing the risk factors for health issues from ever occurring. The other answer options are definitions of primary, secondary, or tertiary prevention. PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: The Comprehensive School Health Approach OBJ: 11.3 TOP: Health Promotion and Maintenance 10. Which type of prevention is exemplified by the administration of vaccines to promote child and adolescent health? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Both primary and secondary prevention ANS: A Primary prevention activities are those activities undertaken to prevent a disease or condition from occurring. PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: Immunization OBJ: 11.3 TOP: Health Promotion and Maintenance 11. What would constitute tertiary prevention by a community health nurse (CHN) who wants to promote better health in women with diabetes? a. Establishing lifestyle improvement programs for women at risk of developing diabetes b. Including presentations on lifestyle management at women’s conferences c. Monitoring blood glucose levels closely and recommending necessary diet modifications d. Screening glucose levels in women at risk for developing diabetes ANS: C Tertiary prevention includes activities that are aimed at reducing the complications of the disease process. Examples of tertiary prevention for women with diabetes include intense monitoring of blood glucose levels, modification of diet and medications as indicated, and efforts to prevent long-term complications of diabetes. PTS: 1 DIF: Cognitive Level: Knowledge/Remember REF: Diabetes Mellitus OBJ: 11.4 TOP: Health Promotion and Maintenance 12. Which preventative measure would be included as primary prevention of osteoporosis in women? a. A diet rich in calcium and vitamin D ______________________________________________________________________________________________ 66 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ b. Exposure to sunlight for 40 minutes a day, recommended as an alternative source of vitamin D c. Exercise, especially non–weight-bearing activity d. Weight control ANS: A For the primary prevention of osteoporosis in women, the following preventive measures need to be included: eating foods high in calcium, taking vitamin D, and being physically active with weight-bearing exercises such as walking and involvement in sports, plus avoidance of smoking and excessive intake of caffeine and alcohol. PTS: 1 DIF: Cognitive Level: Analysis/Analyze REF: Menopause OBJ: 11.4 TOP: Physiological Integrity 13. The second leading cause of cancer deaths in Canadian women is colorectal cancer. What is key to improving long-term survival in women with colorectal cancer? a. Screening and treatment b. Primary prevention and early detection c. Providing information and chemotherapy d. Prevention of infections and smoking cessation ANS: B Primary prevention and early detection are the keys to surviving colorectal cancer. CHNs can inform women of their risks, the signs and symptoms to be aware of, and screening opportunities in their communities. PTS: 1 DIF: Cognitive Level: Analysis/Analyze REF: Cancer OBJ: 11.4 TOP: Health Promotion and Maintenance 14. Testicular cancer is a common solid-tumour malignancy affecting men aged 15 to 35. What is the most common symptom of testicular cancer? a. Low back pain b. Fatigue c. Painless, firm scrotal mass or swelling d. Mild to moderate pressure to the scrotum ANS: C The most common presenting symptom is a painless, firm scrotal mass or swelling that is discovered by chance. Low back pain may occur with retroperitoneal lymph node involvement. PTS: 1 DIF: Cognitive Level: Knowledge/Remember REF: Men's Health OBJ: 11.5 TOP: Physiological Integrity 15. Community health nurses (CHNs) who work with older persons who have cognitive impairment and their caregivers should be aware of the difference between depression, delirium, and dementia, in order to identify the health concern accurately and intervene accordingly. What description relates specifically to dementia? a. Dementia is a mood disorder. b. Dementia is acute confusion. c. Dementia means forgetfulness. d. Dementia is progressive intellectual impairment. ______________________________________________________________________________________________ 67 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ ANS: D All of the options can indicate cognitive impairment, but dementia is progressive intellectual impairment. The term mood disorder relates to depression, and acute confusion relates more specifically to delirium. PTS: 1 DIF: Cognitive Level: Knowledge/Remember REF: The Role of the Community Health Nurse in Caring for Older Persons OBJ: 11.5 TOP: Psychosocial Integrity 16. What is the maximum recommended amount of screen time per day for 7-year-old children? a. 2 hours b. 4 hours c. 6 hours d. 8 hours ANS: A Television and screen time contribute to a sedentary lifestyle and increase the tendency for children and youth to be overweight and obese. Therefore, the Canadian Society for Exercise Physiology’s Canadian 24-Hour Movement Guidelines recommend no more than 2 hours a day as the maximum amount of screen time for 5- to 12-year-olds, combined with at least 60 minutes per day of moderate to vigorous activity, and 8 to 11 hours of sleep. PTS: 1 DIF: Cognitive Level: Knowledge/Remember REF: Physical Activity | Table 11.3: The Canadian 24-Hour Movement Guidelines OBJ: 11.1 | 11.2 TOP: Health Promotion and Maintenance ______________________________________________________________________________________________ 68 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?