Exam (elaborations)
Community Health Nursing FINAL EXAM
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Community Health Nursing FINAL EXAM
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Name: Score:129 Multiple choice questions
Term 1 of 129
Why is it important to understand family demographics?
This understanding will help the community health nurse (CHN) determine if the family is
lower or higher functioning.
This understanding will help the CHN forecast stresses and developmental changes
experienced by families.
This understanding will help the CHN consider the impact of Determinants of Health on
family function.
This understanding will help the CHN identify family as an interacting system in society.
Term 2 of 129
What is an example of a proximal determinant of health?
Intergenerational language classes
A thriving community recreation centre
Rural and remote representation on economic and resource development committees
Graduation from an Indigenous law program
Term 3 of 129
Which of the following situations is addressed by creating opportunities and removing barriers
to achieving the health potential of all people?
Health disparities
Health risks
Health inequity
Harm reduction
,Term 4 of 129
The CHN reviews the monthly and year-to-date health service use report for the local
community, to monitor trends as correlates of the community's health. The nurse is viewing
community health through which dimension?
Partnership
Process
Structure
Status
Term 5 of 129
Community health nurses (CHNs) need to be cognizant of changing patterns in the cultural
composition of the community for which of the following reasons?
To promote Western medical traditions
To develop ethnocentrism
To provide culturally congruent care
To promote equality in community care
Term 6 of 129
During the assessment of a family with a son who is living with acquired immune deficiency
syndrome (AIDS), a CHN asks questions such as "Which family member is best at getting your
son to take his medications on time?" and "Who in the family is most worried about how AIDS is
transmitted?" The nurse is using which type of circular questioning?
Triadic questioning
Hypothetical/future-oriented questioning
Behavioural effect questioning
Difference questioning
,Term 7 of 129
Collaboration is different from, but interdependent on, which approaches?
Coordination and Cooperation
Empowerment and Communication
Commitment and Power-sharing
C for Chns, it is Important in Clinical Practice to Distinguish between Caring for the
"individual as Client" with the Family as the Context for Care, and the "family as Client"
And, Therefore, the Unit of Care. in the Former Instance, the Individual Family Member is
the Unit of Care, with the Family Members in the Background in their Context as
Resource. in the Latter Instance, the Family Group is the Unit of Care and the Individual is
in the Background.
, Term 8 of 129
During the evaluation stage of applying the nursing process to environmental health, the CHN
would examine criteria that include the immediate and long-term responses of the client to the
planned interventions. What is another important factor for the nurse to consider as part of the
evaluation process?
C
Worldwide, the education of women is the single most important factor in the
improvement of the health of women and their families. As women are educated, their
socioeconomic status improves and mortality rates decline. Because women's financial
stability is closely linked to health outcomes, it is essential to promote policies that
support the advancement of women.
The recidivism of the problem for the client
If the nurse suspects that a client's health problem is being influenced by environmental
factors, the nurse should follow the nursing process and note the environmental aspects
of the problem at every step of the nursing process. During the evaluation stage, the
nurse should examine criteria that include the immediate and long-term responses of
the client, in addition to the recidivism of the problem for the client.
Professional-client partnership
Empowerment's underlying assumption is one of partnership between the professional
and the client, as opposed to one in which the professional is dominant. Families are
assumed to be either competent or capable of becoming competent.
A
Deinstitutionalization of individuals with mental health conditions has been a major part
of mental health reform. The goal was to improve the quality of life for people with
mental health disorders by providing services in communities where they live, rather
than in large institutions. Community-based services, however, are not always in place in
the community, so continuity of care has become a problem.
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