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Test Bank Community Health Nursing in Canada 3rd Edition | Complete Chapters - Graded A+, Exams of Nursing

DeVry University-Texas Nursing

Test Bank Community Health Nursing in Canada 3rd Edition | Complete Chapters - Graded A+

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Test Bank Community Health Nursing in Canada

3rd Edition | Complete Chapters - Graded A+ |

Chapter 01: Community Health Nursing

Stanhope: Community Health Nursing in Canada, 3rd Canadian Edition

MULTIPLE CHOICE

1.

Which of the following best describes community health nursing?

a.

Giving care with a focus on the aggregate’s needs

b.

Giving care with a focus on the group’s needs

c.

Focusing on the health care of individual clients in the community

d.

Working with an approach of unique client care

ANS: C

By definition, community health nursing is the health care of individual clients in the

community.

DIF: Cognitive Level: Knowledge/Remember REF: p. 3

OBJ: 1.6

TOP: Client Need: Safe and Effective Care Environment - Management of Care

2.

Which of the following best describes primary health care?

a.

A comprehensive way to address issues of social justice

b.

Giving care to manage acute or chronic conditions

c.

Giving direct care to ill individuals within their family setting

d.

Having the goal of health promotion and disease prevention

ANS: A

By definition, primary health care is comprehensive and addresses issues of social justice and

equity. Social justice in the context of health refers to ensuring fairness and equality in health

services so that vulnerable individuals in society have easy access to health care.

DIF: Cognitive Level: Knowledge/Remember REF: p. 10

OBJ: 1.4 TOP: Client Need: Health Promotion and Maintenance

3.

The health of which of the following is the primary focus of public health nurses (PHNs)?

a.

Families

b.

Groups

c.

Individuals

d.

Populations

ANS: D

PHNs use knowledge of nursing, social sciences, and public health sciences for the promotion

and protection of health and for the prevention of disease among populations.

DIF: Cognitive Level: Knowledge/Remember REF: p. 13, Table 1-4 | p. 20

OBJ: 1.5 TOP: Client Need: Health Promotion and Maintenance

Partial preview of the text

Download Test Bank Community Health Nursing in Canada 3rd Edition | Complete Chapters - Graded A+ and more Exams Nursing in PDF only on Docsity!

Test Bank Community Health Nursing in Canada

3rd Edition | Complete Chapters - Graded A+ |

Chapter 01: Community Health Nursing

Stanhope: Community Health Nursing in Canada, 3rd Canadian Edition

MULTIPLE CHOICE

Which of the following best describes community health nursing? a. (^) Giving care with a focus on the aggregate’s needs b. (^) Giving care with a focus on the group’s needs c. (^) Focusing on the health care of individual clients in the community d. (^) Working with an approach of unique client care ANS: C By definition, community health nursing is the health care of individual clients in the community. DIF: Cognitive Level: Knowledge/Remember REF: p. 3 OBJ: 1. TOP: Client Need: Safe and Effective Care Environment - Management of Care
Which of the following best describes primary health care? a. (^) A comprehensive way to address issues of social justice b. (^) Giving care to manage acute or chronic conditions c. (^) Giving direct care to ill individuals within their family setting d. (^) Having the goal of health promotion and disease prevention ANS: A By definition, primary health care is comprehensive and addresses issues of social justice and equity. Social justice in the context of health refers to ensuring fairness and equality in health services so that vulnerable individuals in society have easy access to health care. DIF: Cognitive Level: Knowledge/Remember REF: p. 10 OBJ: 1.4 TOP: Client Need: Health Promotion and Maintenance
The health of which of the following is the primary focus of public health nurses (PHNs)? a. (^) Families b. (^) Groups c. (^) Individuals d. (^) Populations ANS: D PHNs use knowledge of nursing, social sciences, and public health sciences for the promotion and protection of health and for the prevention of disease among populations. DIF: Cognitive Level: Knowledge/Remember REF: p. 13, Table 1 - 4 | p. 20 OBJ: 1.5 TOP: Client Need: Health Promotion and Maintenance

Which change is the primary explanation for life expectancy increasing so notably since the early 1900s? a. (^) An increase in findings from medical laboratory research b. (^) Incredible advances in surgical techniques and procedures c. (^) Improved sanitation and other public health activities

A registered nurse (RN), has just been employed as a CHN. Which question would be most relevant to her practice as she begins her position? a. (^) “Which community groups are at greatest risk for problems?” b. (^) “Which patients should I see first as I begin my day?” c. (^) “With which physicians will I be collaborating most closely?” d. (^) “Who is the nursing assistant to whom I can refer patients?” ANS: A CHNs apply the nursing process to the entire community; asking which groups are at greatest risk reflects a community-oriented perspective. The other possible responses focus on particular individuals. DIF: Cognitive Level: Application/Apply REF: p. 15 OBJ: 1.6 TOP: Client Need: Health Promotion and Maintenance
The CHN working with women at the senior citizens’ centre reminds them that the only way the centre will be able to afford a driver and a van service for those who cannot drive themselves is to continue to write letters to their local city council representatives, requesting funding for such a service. What is the CHN doing? a. (^) Ensuring that the women do not expect the CHN herself to do anything about their problem b. (^) Demonstrating that she understands the women’s concerns and needs c. (^) Expressing empathy, support, and concern d. (^) Helping the women engage in political action locally ANS: D CHNs have an imperative to work with the members of the community to carry out public health functions such as political action. DIF: Cognitive Level: Application/Apply REF: p. 13, How To box OBJ: 1.5 | 1. TOP: Client Need: Safe and Effective Care Environment - Management of Care
Which activity is an example of the “advocate” role of the CHN? a. (^) Organizing home care support for a newly discharged older adult client b. (^) Acting as a member of a community action group for provision of accessible transit choices c. (^) Doing prenatal assessments d. (^) Facilitating a self-help group for smoking cessation ANS: B An advocate provides a voice to client concerns when acting as a member of a community action group for provision of accessible transit choices. DIF: Cognitive Level: Application/Apply REF: p. 19, Table 1 - 3 OBJ: 1. TOP: Client Need: Safe and Effective Care Environment - Management of Care
In which scenario is the PHN most comprehensively fulfilling collaborative practice responsibilities? a. (^) The PHN meets with several groups about community recreation issues. b. (^) The PHN spends the day attending meetings at various health agencies.

c. (^) The PHN talks to several people about their particular health concerns. d. (^) The PHN watches television, including a telecast of a city council meeting on the local cable station. ANS: B Any of these might represent a PHN communicating, cooperating, or collaborating with community residents or groups about health concerns. However, the PHN who spends the day attending meetings at various health agencies is most comprehensively fulfilling requirements effectively, since health is broader than recreation, individual concerns are not as important as aggregate priorities, and watching television is only one-way communication. DIF: Cognitive Level: Synthesis/Synthesize REF: pp. 15 - 16 OBJ: 1. TOP: Client Need: Safe and Effective Care Environment - Management of Care

A CHN often has to make resource allocation decisions. In such cases, which approach will most help the CHN to arrive at the decision? a. (^) Choosing a moral or ethical principle b. (^) Choosing the cheapest, most economical approach c. Choosing the most rational outcome d. (^) Choosing the needs of the aggregate, rather than the needs of a few individuals ANS: D Although all of the answers represent components of the CHN’s decision-making process, the predominant needs of the population outweigh the expressed needs of one person or a few people. DIF: Cognitive Level: Application/Apply REF: pp. 7 - 8 OBJ: 1. TOP: Client Need: Safe and Effective Care Environment - Management of Care
Which situation most closely represents the focus of public health nursing? a. (^) Assessing the services and effectiveness of the school health clinic b. (^) Caring for patients after their outpatient surgeries c. (^) Giving care to schoolchildren at the school clinic and to the children’s families d. (^) Treating paediatric patients at an outpatient clinic ANS: A A public health or population-focused approach would consider the entire group of children receiving care, to see if services are effective in achieving the goal of improving the health of the school population. DIF: Cognitive Level: Application/Apply REF: p. 13, How To box OBJ: 1.5 TOP: Client Need: Health Promotion and Maintenance
Which public health service best represents primary prevention? a. (^) Developing a health education program about the dangers of smoking b. (^) Providing a diabetes clinic for adults in low-income neighbourhoods c. (^) Providing an influenza vaccination program in a community retirement village d. (^) Teaching school-aged children about the positive effects of exercise ANS: C

d. (^) Total compliance with immunizations and vaccines with all groups ANS: B The requirements identified to reach the “health for all” goal include (1) basic needs, (2) belonging and engagement, (3) healthy living, and (4) a system for health. DIF: Cognitive Level: Knowledge/Remember REF: p. 4 OBJ: 1. TOP: Client Need: Safe and Effective Care Environment - Management of Care

Which is the simplest definition of primary health care? a. (^) It is based on a multidisciplinary group of health care providers working as a team. b. It provides essential care that is universally accessible to persons in a community and encourages self-management, self-reliance, and competence. c. (^) It focuses on health promotion and disease prevention among those who can afford to engage in behaviours that facilitate them. d. (^) It is based on local efforts to meet the Declaration of Alma-Ata, known as Health for All. ANS: B Primary health care is generally defined as essential care made universally accessible to individuals and families in a community with their full participation and at a cost that the community can afford. DIF: Cognitive Level: Knowledge/Remember REF: p. 10 OBJ: 1. TOP: Client Need: Safe and Effective Care Environment - Management of Care

Chapter 02: The Evolution of Community Health Nursing in Canada

Stanhope: Community Health Nursing in Canada, 3rd Canadian Edition

MULTIPLE CHOICE

Which one of the following is a reason to study nursing history? a. (^) To fulfill provincial/territorial nursing requirements b. (^) To help fill up the necessary credit hours for graduation c. (^) To meet accreditation requirements d. (^) To understand the present and plan for tomorrow ANS: D One of the best ways to make plans for today and tomorrow is to look at the past to see what did or did not work. Lessons learned through history provide direction for current and future community health nursing practice. DIF: Cognitive Level: Knowledge/Remember REF: p. 35 OBJ: 2. TOP: Client Need: Safe and Effective Care Environment - Management of Care
Which group was the first to establish hospitals? a. (^) Feudal lords, to keep their peons working b. (^) Small towns, to care for their own citizens c. (^) The military, to enable soldiers to keep fighting d. (^) Religious orders, to care for the sick, poor, and neglected ANS: D Historically, most people were responsible for their own health care services. However, during the Middles Ages, religious convents and monasteries established hospitals to care for the aged, disabled, orphaned, sick, poor, and neglected. DIF: Cognitive Level: Knowledge/Remember REF: p. 36 OBJ: 2. TOP: Client Need: Safe and Effective Care Environment - Management of Care
The Industrial Revolution caused earlier caregiving approaches—where care was provided by families, friends, and neighbours—to become inadequate because of constantly increasing demand. Which situation also contributed to the inadequacy of caregiving approaches at this time? a. (^) Ongoing wars, which caused frequent deaths and injuries b. (^) Horrific plagues that swept through Europe c. (^) Migration and urbanization d. (^) The need to pay caregivers ANS: C Older forms of care became inadequate because of the social changes in Europe, with great advances in transportation, communication, and other technologies. Increased mobility led to increased demand for health care, migration, and urbanization. DIF: Cognitive Level: Knowledge/Remember REF: p. 36 OBJ: 2.

a. (^) Florence Nightingale b. (^) Kathleen Russell c. Edna Moore d. (^) Lillian Wald ANS: B In 1920, Kathleen Russell, Director of the Department of Public Health Nursing at the University of Toronto, was instrumental in establishing the first integrated basic degree nursing program, a major milestone in nursing education, including public health nursing education. DIF: Cognitive Level: Knowledge/Remember REF: p. 42 OBJ: 2. TOP: Client Need: Safe and Effective Care Environment - Management of Care

Which argument was used to convince the Metropolitan Life Insurance Company to establish the first community health nursing program for workers in 1909? a. (^) Creating such a service was the morally right thing to do. b. (^) Employing nurses directly would be less expensive than paying taxes to the city to provide nursing services. c. (^) Having the company’s nurses make home visits would increase morale among workers. d. Using PHNs would keep workers healthier, which would increase worker productivity. ANS: D Lillian Wald argued that it would be more economical to use the services of a PHN than to employ the company’s own nurses and that keeping workers healthier would increase their productivity. DIF: Cognitive Level: Knowledge/Remember REF: p. 40 OBJ: 2. TOP: Client Need: Safe and Effective Care Environment - Management of Care
What is the main achievement of the Community Health Nurses Association of Canada (CHNAC)? a. (^) Licensed practical nurses (LPNs) as well as registered nurses (RNs) were allowed to join the association. b. (^) Nurses who were not PHNs were encouraged to join. c. (^) National standards of practice were developed. d. (^) A process was developed to choose the organization’s leaders and officers. ANS: C In 1987, the CHNAC, an interest group of the Canadian Nurses Association (CNA), was formed. This association developed the national standards of practice (published in 2003) for CHNs. These standards of practice have helped establish the term community health nursing as the umbrella term for all nurses working in and with communities and defined the minimum scope of practice for CHNs. DIF: Cognitive Level: Knowledge/Remember REF: p. 45 OBJ: 2. TOP: Client Need: Safe and Effective Care Environment - Management of Care

Following the release of the Romanow Report in 2002 , which type of care was identified as the most rapidly growing area of community health care? a. (^) Home care b. (^) Community problems c. (^) Immunization d. (^) Women’s issues ANS: A The Romanow Report (2002) identified home care as the most rapidly growing area of community health care. DIF: Cognitive Level: Knowledge/Remember REF: p. 45 OBJ: 2. TOP: Client Need: Safe and Effective Care Environment - Management of Care
In which practice area were the first PHNs in Canada employed? a. (^) Healthy baby clinics b. (^) Outpost nursing c. (^) School health programs d. (^) Tuberculosis education, prevention, and treatment ANS: D From the 1920s to the 1940s, nurses specializing in TB care were replaced by PHNs, as it was believed that visiting nurses would be more effective and efficient if they moved to general nursing care. Therefore, PHNs became specialists in TB education, prevention, and treatment. DIF: Cognitive Level: Knowledge/Remember REF: p. 43 OBJ: 2. TOP: Client Need: Safe and Effective Care Environment - Management of Care
What was the main reason for the brief existence of the nurse practitioner–model educational program? a. (^) Inadequate assessment and planning in the local area b. (^) Insufficient provincial/territorial funding c. (^) The large number of primary care physicians practicing in urban areas d. (^) The need for nursing expertise and skills in other practice settings ANS: C In Ontario, the nurse practitioner model for alternative health care delivery was initiated with the educational program offered by McMaster University. However, its existence was short- lived because of a perceived duplication of services and a lack of career opportunities for nurse practitioners, partly because there were too many primary care physicians practising in urban areas. DIF: Cognitive Level: Knowledge/Remember REF: p. 45 OBJ: 2. TOP: Client Need: Safe and Effective Care Environment - Management of Care

Skill in developing policy and planning programs to improve health is part of the set of core public health competencies, which are divided into the following eight domains: (1) Public Health and Nursing Sciences; (2) Assessment and Analysis; (3) Policy and Program Planning, Implementation, and Evaluation; (4) Partnerships, Collaboration, and Advocacy; (5) Diversity and Inclusiveness; (6) Communication; (7) Leadership and Professional Responsibility; and (8) Accountability. The other competencies listed are better suited to nurses who work in tertiary facilities, such as hospitals. DIF: Cognitive Level: Comprehension/Understand REF: pp. 72 - 74 OBJ: 3. TOP: Client Need: Safe and Effective Care Environment - Management of Care

A health centre administrator is in the process of hiring a new CHN. Which statement by a potential employee would raise the greatest concern for the employer? a. (^) “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.” b. (^) “I prefer to work in teams because no single person has too much responsibility and the burden is shared.” c. (^) “Teamwork is better than work done by individuals because teamwork incorporates different perspectives.” d. (^) “Whether teamwork is better than work done by individuals depends on the nature of the work being performed.” ANS: A Working in collaborative partnerships is an essential routine function of any community health nurse. Partnerships and collaboration among groups are much more powerful in making changes than are the individual client and the CHN working separately. Part of the reason for this is that multiple perspectives are examined in the process of arriving at the best solution. DIF: Cognitive Level: Analysis/Analyze REF: p. 61 OBJ: 3. TOP: Client Need: Safe and Effective Care Environment - Management of Care
Which one of the following is a primary prevention activity for decreasing the incidence of communicable diseases? a. (^) Identifying and treating clients in a clinic for sexually transmitted infections (STIs) b. (^) Partnering with school teachers to teach handwashing to elementary school children and observe their techniques c. (^) Providing case management services that link clients with communicable diseases to health care and community support services d. (^) Providing directly observed therapy (DOT) to clients with active tuberculosis (TB) ANS: B An example of primary prevention is to educate daycare centres, schools, and the general community about the importance of hand hygiene to prevent transmission of communicable diseases. DIF: Cognitive Level: Comprehension/Understand REF: p. 60, Levels of Prevention box OBJ: 3. TOP: Client Need: Health Promotion and Maintenance

What activity is the PHN participating in when tracing the sexual contacts of clients with STIs for potential screening purposes? a. (^) Primary prevention b. (^) Secondary prevention c. (^) Tertiary prevention d. (^) Secondary and tertiary prevention ANS: B Secondary prevention activities include contacting and tracing individuals exposed to a client with an active case of TB or an STI. Once contact has been made, the actual screening is another secondary prevention activity. DIF: Cognitive Level: Comprehension/Understand REF: p. 75, Levels of Prevention box OBJ: 3. TOP: Client Need: Health Promotion and Maintenance
Which community health nurse (CHN) activity demonstrates tertiary prevention related to mental health? a. (^) Disseminating information about mental health to community organizations b. (^) Partnering with PHNs for early identification of children with mental health challenges c. (^) Providing case management services that link clients with serious mental illnesses to mental health and community support services d. (^) Screening clients at high risk for mental disorders ANS: C An example of tertiary prevention is the provision of case management services that link clients identified with serious mental illnesses to mental health and community support services. DIF: Cognitive Level: Comprehension/Understand REF: p. 75, Levels of Prevention box OBJ: 3. TOP: Client Need: Health Promotion and Maintenance
Which of the following represents the main difference between parish nursing and all other fields of nursing? a. Affiliation with a church or congregation b. (^) Incorporation of spiritual aspects into nursing care c. (^) Provision of holistic nursing care d. (^) Residence within the community of service ANS: A Parish nurses are found in faith congregations, including communities that serve diverse cultures. Parish nurses also serve faith communities in other countries. DIF: Cognitive Level: Comprehension/Understand REF: p. 88 OBJ: 3. TOP: Client Need: Safe and Effective Care Environment - Management of Care
Which statement by a parish nurse exhibits a misunderstanding of the concept of pastoral care? a. (^) “By working with my clients to help them identify their spiritual strengths, I am

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? a. (^) Arranging for private duty nurses to assist the client with daily needs b. (^) Assisting the client with activities of daily living (ADLs) c. (^) Teaching self-care to the client d. (^) Teaching the family to assist the client with ADLs ANS: C Because home health care is often intermittent, a primary objective for the HHN is to facilitate self-care. This allows clients to have some control over their lives and activities and can help prevent hopelessness and a loss of self-esteem. Although assistance may be provided occasionally, this comes after helping clients help themselves. DIF: Cognitive Level: Analysis/Analyze REF: p. 68 OBJ: 3.9 TOP: Client Need: Physiological Integrity - Basic Care and Comfort
An 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? a. (^) “The nurse still functions holistically; however, interdisciplinary collaboration is necessary to prevent fragmentation of care.” b. (^) “Holistic nursing is a concept applied to care in tertiary facilities such as hospitals, where materials are centrally located in one facility. In home health, this is not possible.” c. (^) “Even though home health nursing is not as holistic as other areas of community health nursing, each discipline contributes to client needs from its special knowledge base.” d. (^) “Yes, it does create conflict, but we as nurses are mandated to practise interdisciplinary collaboration.” ANS: A Home health nursing involves interdisciplinary care. Coordination of care provided by an interdisciplinary team is an essential indirect function of the HHN. Team conferences are an ideal time for enhancing collaboration and continuity of services for optimal client care and use of resources and services. Without effective collaboration, there would be no continuity of care and the client’s home care program would be fragmented. This does not conflict with the concept of holism, however. Holism does not require that the HHN provide all services (i.e., direct client care). Many services, such as coordination of care, provide indirect care and contribute to holistic nursing care provision. DIF: Cognitive Level: Analysis/Analyze REF: p. 69 OBJ: 3. TOP: Client Need: Safe and Effective Care Environment - Management of Care
A family member asks an HHN to explain the concept of hospice care. Which action would the HHN need to include as the fundamental underlying philosophy of hospice? a. (^) Making it possible for the client to die at home b. (^) Ensuring that the client’s living will is honoured c. (^) Placing experts in the position of power of attorney d. (^) Providing respite and comfort measures before death

ANS: D Hospice care refers to the delivery of palliative care to the very ill and dying, offering both respite and comfort. If the client and family agree, hospice care can be comfortably delivered at home with family involvement under the direction and supervision of health care providers, especially a home health nurse. DIF: Cognitive Level: Comprehension/Understand REF: pp. 70 - 71 OBJ: 3. TOP: Client Need: Safe and Effective Care Environment - Management of Care

In an effort to prevent drug abuse among junior high–school students, a 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? a. (^) Primary prevention b. (^) Secondary prevention c. (^) Tertiary prevention d. (^) Both primary and secondary prevention ANS: A PHNs partner with the community to develop programs in response to identified needs. Primary prevention interventions by the PHN include educating children and adolescents about the effects of illegal drugs (e.g., marijuana, cocaine, and heroin) and alcohol abuse. By educating students, the PHN helps them stay away from these harmful substances. It is not both primary and secondary because secondary prevention involves screening, which would not take place in this instance. DIF: Cognitive Level: Application/Apply REF: pp. 73 - 75, Levels of Prevention box (p. 75) OBJ: 3. TOP: Client Need: Health Promotion and Maintenance
The 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? a. (^) Primary b. (^) Secondary c. (^) Tertiary d. Both primary and secondary ANS: B CHNs implement screening programs for genetic disorders or metabolic deficiencies in newborns; breast, cervical, and testicular cancers; diabetes; hypertension; and sensory impairments in children. They also ensure follow-up services for clients with positive test results. Secondary prevention involves screening children for illnesses or conditions. In this instance, visual acuity testing is being used to screen for visual problems requiring corrective lenses. DIF: Cognitive Level: Application/Apply REF: p. 75, Levels of Prevention box OBJ: 3. TOP: Client Need: Health Promotion and Maintenance

An employee in a laboratory drops a flask, resulting in the chemical splashing into her eyes. What is the agent in this scenario? a. (^) Chemical b. (^) Employee c. (^) Flask d. (^) Laboratory ANS: A The agents, or factors associated with illness and injury, comprise occupational exposures that are classified as biological and infectious, chemical, ergonomic, physical, or psychosocial hazards. DIF: Cognitive Level: Application/Apply REF: p. 76, Figure 3- 3 OBJ: 3.11 TOP: Client Need: Health Promotion and Maintenance
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? a. (^) Each sick nurse b. (^) The communicable disease c. (^) The hospital d. (^) The client ANS: A The host is described as any susceptible human being; each sick nurse represents a host within the worker population group. DIF: Cognitive Level: Application/Apply REF: p. 76, Figure 3- 3 OBJ: 3.11 TOP: Client Need: Health Promotion and Maintenance
What hazard tends to particularly affect employees who work in 2 - week shifts? a. Biological hazards b. (^) Environmental hazards c. (^) Physical hazards d. (^) Psychosocial hazards ANS: D Psychosocial hazards are factors and situations encountered or associated with one’s job or work environment that create or potentiate stress, emotional strain, or interpersonal problems. DIF: Cognitive Level: Comprehension/Understand REF: p. 76, Box 3- 4 OBJ: 3.11 TOP: Client Need: Psychosocial Integrity
What is the primary role of the forensic nurse in Canada? a. Health promoter b. (^) Disaster planner c. (^) Sexual assault nurse examiner (SANE) d. (^) Outreach worker ANS: C In Canada, forensic nurses primarily work as SANEs.

DIF: Cognitive Level: Knowledge/Remember REF: p. 85 OBJ: 3. TOP: Client Need: Safe and Effective Care Environment - Management of Care

From which health care professional is a rural resident with asthma more likely to receive health care services? a. (^) Allergist b. (^) Nurse practitioner c. (^) Pediatrician d. (^) Pulmonologist ANS: B In rural communities, often a health care professional may live and practice in a community for decades, also providing care to people who live in several other communities. A limited number of CHNs, such as PHNs or nurse practitioners, may offer a full range of services for all residents in a specified area, which may span more than 150 km. Consequently, rural physicians and CHNs provide care to individuals and families with all kinds of conditions, in all stages of life, and across several generations. In urban communities, residents are more likely to seek care from a medical specialist. DIF: Cognitive Level: Comprehension/Understand REF: pp. 79 - 84 OBJ: 3.12 | 3. TOP: Client Need: Safe and Effective Care Environment - Management of Care
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? a. (^) Absence of culturally appropriate care b. (^) Availability of specialists c. (^) Distance of health care facilities from the place of residence d. (^) Lack of anonymity ANS: A Barriers to health care affecting all rural clients may be the availability, affordability, or accessibility of services and professionals. Two pertinent identified barriers to health care in rural areas are language barriers and lack of culturally appropriate care and services. DIF: Cognitive Level: Comprehension/Understand REF: p. 82, Box 3- 10 OBJ: 3.12 TOP: Client Need: Psychosocial Integrity
For the 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? a. (^) “Community members will probably hold you in higher regard and will look up to you.” b. “Expect to have less autonomy than you have working as a CHN in the city.” c. (^) “You can expect more resources and supplies because there are fewer clinics.” d. (^) “You will need to focus on developing specialized knowledge and skills.” ANS: A

Test Bank Community Health Nursing in Canada 3rd Edition | Complete Chapters - Graded A+, Exams of Nursing

Related documents

Partial preview of the text

Download Test Bank Community Health Nursing in Canada 3rd Edition | Complete Chapters - Graded A+ and more Exams Nursing in PDF only on Docsity!

Test Bank Community Health Nursing in Canada

3rd Edition | Complete Chapters - Graded A+ |

Chapter 01: Community Health Nursing

Stanhope: Community Health Nursing in Canada, 3rd Canadian Edition

Chapter 02: The Evolution of Community Health Nursing in Canada

Stanhope: Community Health Nursing in Canada, 3rd Canadian Edition