Nokea
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.
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A 40-year-old Bosnian Muslim woman who does not speak English presents to a community health centre in obvious pain and requests a female health care provider. She indicates through gestures that the pain originates in either the pelvic or the genital region. Assuming several people are available to interpret, who would be the most appropriate choice of interpreter?
- A. A female who does not know the client
- B. A female from the client's community
- C. A male who is certified as a medical interpreter
- D. The client's 20-year-old daughter
Correct Answer: B
Rationale: The correct answer is B: A female from the client's community. This choice is the most appropriate because it ensures cultural and linguistic sensitivity. Here's the rationale:
1. Cultural Sensitivity: A female from the client's community would likely understand the client's cultural nuances and beliefs, which can enhance effective communication.
2. Linguistic Competency: Being from the same community, the interpreter is more likely to speak the client's language fluently and accurately convey the client's messages.
3. Comfort and Trust: The client may feel more comfortable and trusting when communicating with someone from her own community, especially in sensitive matters like health.
4. Privacy and Dignity: Having a familiar female interpreter can help maintain the client's privacy and dignity during discussions about sensitive health issues.
Summary:
- Choice A: A female who does not know the client may lack cultural understanding and linguistic competency.
- Choice C: A male certified as a medical interpreter may not be as culturally sensitive and might not be preferred
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.
A client with tuberculosis (TB) wants to know why directly observed therapy (DOT) is required as part of the treatment. What community health nurse (CHN) response would be the most appropriate one?
- A. "Clients with TB are often nonadherent to their medication regimen; DOT will ensure that you take the medications prescribed to you."
- B. "This therapy is recommended by TB experts as the best way to ensure that you receive the treatment you need and that the infection doesn't become resistant to treatment."
- C. "This ensures that you get your medication even at the late stages of TB, when your memory may be affected by inadequate oxygenation to the brain."
- D. "TB medications are very expensive, and this method ensures that government health care resources are not wasted by those who will not take the medications regularly."
Correct Answer: B
Rationale: The correct answer is B because directly observed therapy (DOT) is recommended by TB experts to ensure treatment adherence and prevent drug resistance. TB treatment requires strict adherence to a regimen to prevent the development of drug-resistant strains. DOT involves a healthcare provider directly observing the client taking their medication to ensure compliance. Choice A addresses nonadherence but does not emphasize the importance of preventing drug resistance. Choices C and D are incorrect as they do not directly relate to the main purpose of DOT in preventing drug resistance and ensuring treatment effectiveness.
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
Correct Answer: C
Rationale: The correct answer is C: Sexual assault nurse examiner (SANE). In Canada, forensic nurses specialize in providing care to victims of sexual assault and collecting evidence for legal proceedings. They play a crucial role in ensuring proper documentation and preservation of evidence, providing support to victims, and collaborating with law enforcement. Choice A is incorrect as the primary role of a forensic nurse is not solely focused on health promotion. Choice B is incorrect as disaster planning is not the primary function of a forensic nurse. Choice D is incorrect as outreach work is not the main responsibility of a forensic nurse in Canada.
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.