Nokea
A chemical company executive asks a new public health department employee about obtaining a permit to build a new factory. Which employee statement would be the biggest cause for concern?
- A. "If your operation employs fewer than 20 employees, you will be exempt from the requirement to obtain a permit."
- B. "Granting permits is a mechanism for controlling pollution by regulating the operations and procedures of a facility."
- C. "This process may take a long time because your plans will need to be studied by engineers and other specialists."
- D. "You will need to submit an application detailing how your factory will operate."
Correct Answer: A
Rationale: The correct answer is A because it provides inaccurate information regarding the permit requirement based on the number of employees. This statement shows a lack of understanding of environmental regulations. Employing fewer than 20 employees does not automatically exempt a facility from obtaining a permit for environmental compliance.
Choice B is incorrect because it accurately describes the purpose of permitting in pollution control. Choice C is incorrect as it simply explains the standard process for obtaining a permit, which is not a cause for concern. Choice D is also incorrect as it outlines a standard requirement for submitting an application, which is necessary for obtaining a permit.
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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 practising in urban areas
- D. The need for nursing expertise and skills in other practice settings
Correct Answer: D
Rationale: The correct answer is D because the main reason for the brief existence of the nurse practitioner–model educational program was the need for nursing expertise and skills in other practice settings. This is supported by the fact that nurse practitioners were developed to address the gap in healthcare services by providing advanced nursing care in various settings. They were trained to deliver high-quality care, fill the need for primary care providers, and improve access to healthcare services.
A: Inadequate assessment and planning in the local area is not the main reason for the brief existence of the program.
B: Insufficient provincial/territorial funding may have been a contributing factor, but it was not the main reason.
C: The large number of primary care physicians practising in urban areas is not directly related to the existence of the nurse practitioner-model educational program.
Which public health service best represents primary prevention?
- A. Administering the influenza vaccine to a group of seniors
- B. Initiating an infant car seat safety screening program for parents in low-income housing
- C. Starting a rehabilitation clinic for middle-aged adults who reside in low-income housing
- D. Setting up a blood pressure screening clinic at the local mall
Correct Answer: B
Rationale: The correct answer is B because initiating an infant car seat safety screening program for parents in low-income housing best represents primary prevention. Primary prevention aims to prevent the occurrence of a disease or injury before it occurs. In this case, educating parents on proper car seat safety practices helps prevent injuries to infants in the first place. Administering the influenza vaccine (A) is an example of secondary prevention as it aims to detect and treat existing conditions. Starting a rehabilitation clinic (C) and setting up a blood pressure screening clinic (D) are also examples of secondary prevention as they focus on managing existing health conditions rather than preventing them.
Which type of conflict may be experienced when a community health nurse (CHN) who does not personally support abortion is working with a group of teenagers to teach them about sexual health and pregnancy?
- A. Interpersonal conflict
- B. Intrapersonal conflict
- C. Intergroup conflict
- D. Interdisciplinary conflict
Correct Answer: C
Rationale: The correct answer is C: Intergroup conflict. This is because the conflict arises between the CHN who does not support abortion (one group) and the teenagers who may have different views on the topic (another group). The conflict is between two distinct groups with differing beliefs and values.
A: Interpersonal conflict involves conflict between individuals, not groups.
B: Intrapersonal conflict is internal conflict within an individual, not between groups.
D: Interdisciplinary conflict refers to conflict between different disciplines or professions, which is not the case in this scenario.
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?
- A. Community-oriented nursing
- B. Home health nursing
- C. Outpost nursing
- D. Private duty nursing
Correct Answer: C
Rationale: Step 1: Outpost nursing involves providing care to underserved populations in remote or hard-to-reach areas, like people living on the streets or in shelters.
Step 2: This type of nursing focuses on meeting the healthcare needs of individuals where they are, rather than in traditional healthcare settings.
Step 3: Outpost nursing aligns with the scenario of providing end-of-life care to those unable to access traditional healthcare facilities.
Step 4: Community-oriented nursing focuses on improving overall health of a community, not specific end-of-life care.
Step 5: Home health nursing involves providing care in a patient's home, not necessarily for individuals living on the streets or in shelters.
Step 6: Private duty nursing involves providing one-on-one care to an individual in a private setting, which does not apply to the scenario provided.
Summary: Outpost nursing is the best classification as it aligns with providing care to underserved populations in non-traditional settings, while the other choices
A community health nurse (CHN) states, "The best way to treat clients from other countries is to care for them the same way we would want to be cared for ourselves. After all, we are all human beings with the same expectations and needs." What response does this statement exemplify?
- A. Cultural awareness
- B. Cultural blindness
- C. Cultural knowledge
- D. Cultural preservation
Correct Answer: B
Rationale: The correct answer is B: Cultural blindness. This statement exemplifies cultural blindness because it ignores the importance of cultural differences and assumes that everyone has the same expectations and needs. Cultural awareness (A) involves recognizing and respecting cultural differences. Cultural knowledge (C) involves understanding different cultures. Cultural preservation (D) involves protecting and maintaining cultural traditions. In this case, the statement demonstrates a lack of awareness and sensitivity to cultural diversity, making it an example of cultural blindness.