Nokea
Activities that focus on rebuilding to predisaster or near-predisaster conditions, and on community safety so that the risk of a recurrence of the disaster is reduced, occur in which part of the disaster management cycle?
- A. Disaster Vulnerability
- B. Disaster Preparedness
- C. Disaster Recovery
- D. Disaster Response
Correct Answer: C
Rationale: The correct answer is C: Disaster Recovery. During the disaster recovery phase, activities aim to rebuild to predisaster or near-predisaster conditions and focus on enhancing community safety to reduce the risk of a recurrence of the disaster. This phase involves restoring infrastructure, services, and livelihoods while implementing measures to mitigate future disasters.
Choice A (Disaster Vulnerability) is incorrect because this phase focuses on assessing the vulnerabilities of a community to potential disasters.
Choice B (Disaster Preparedness) is incorrect as it involves planning and readiness activities before a disaster occurs to minimize its impact.
Choice D (Disaster Response) is incorrect as it deals with immediate actions taken during and immediately after a disaster to save lives, protect property, and meet basic needs.
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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
Correct Answer: A
Rationale: The correct answer is A because developing a health education program about the dangers of smoking is an example of primary prevention, which aims to prevent the occurrence of a disease or injury before it occurs. This intervention targets the root cause of the health issue by educating individuals on the harmful effects of smoking and promoting healthy behaviors to reduce the risk of developing smoking-related diseases. Choices B, C, and D represent secondary or tertiary prevention strategies as they focus on providing care or interventions after the disease has already developed or to prevent complications.
After surviving a house fire, a 5-year-old begins sucking their thumb and wetting their bed. What would be the best community health nurse (CHN) intervention?
- A. Explain to the child that it is important to be strong and not act like a baby.
- B. Reassure the family that this behaviour is a normal reaction to a traumatic experience.
- C. Recommend admission into a hospital for psychological counselling.
- D. Recommend behaviour therapy to treat regression.
Correct Answer: B
Rationale: The correct answer is B because reassurance to the family that the child's behaviors are normal reactions to trauma is crucial. This approach validates the child's feelings and provides support. Choice A is incorrect as it may shame the child for their coping mechanisms. Choice C is unnecessary and may not be indicated unless the child's mental health is severely impacted. Choice D is premature as it suggests a specific treatment without first addressing the underlying emotional needs of the child.
Historically, community health nurses (CHNs) focused on the care of individuals while viewing the families of individuals as either background resources or possible stressors. Which view of the family did this traditional conceptualization take?
- A. Family as the client
- B. Family as a component of society
- C. Family as the context
- D. Family as a system
Correct Answer: A
Rationale: The correct answer is A: Family as the client. In traditional CHN practice, the focus was on individual care with little regard for the family as a unit of care. By viewing the family as the client, CHNs can address the health needs of the entire family, recognizing that the family unit itself plays a significant role in individual health outcomes. This approach allows for a more holistic and comprehensive understanding of health within the family context. Choices B, C, and D are incorrect because they do not accurately represent the traditional conceptualization of the family in CHN practice.
Which was a very important factor in the success of early visiting nurses?
- A. The care they provided that served as a model for all later hospitals
- B. The more economical care they provided to families
- C. Their role model, Edna Moore
- D. The superb publicity campaign that was created by the health departments
Correct Answer: B
Rationale: The correct answer is B because early visiting nurses were successful due to the more economical care they provided to families. Visiting nurses offered cost-effective healthcare services, making them accessible to a wider population. This affordability factor contributed to their success in providing care to those in need.
Choice A is incorrect because early visiting nurses did not necessarily serve as a model for all later hospitals. Choice C is incorrect as the success of visiting nurses was not solely dependent on a role model like Edna Moore. Choice D is incorrect because the success of visiting nurses was not primarily attributed to a publicity campaign by health departments.
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.