Nokea
Timothy is a senior community health nurse working in a rural health clinic. Which statement by Timothy indicates he understands the position of the Canadian Nurses Association (CNA) on the role of the nurse practitioner (NP)?
- A. An NP cannot replace a family physician.
- B. An NP can replace a family physician.
- C. An NP works alone.
- D. An NP self-regulates.
Correct Answer: A
Rationale: The CNA's position on the role of the NPs is that they do not replace doctors but rather work collaboratively with all health care providers.
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Which of the following is considered a challenge when implementing primary health care (PHC)?
- A. Lack of funding for research
- B. Community participation
- C. Rigid staffing models
- D. Effective interprofessional collaboration
- E. Lack of nurse practitioners
- F. Lack of family physicians
- G. Appropriate models of care
Correct Answer: A,B,D,G
Rationale: Challenges when implementing PHC include lack of funding for research, community participation, effective interprofessional collaboration, and appropriate models of care.
A notable ongoing effect of the colonization of the Indigenous Peoples of Canada includes which of the following?
- A. Documentation of traditional ways of knowing
- B. Unacceptable quality of drinking water
- C. Increased land rights
- D. Enhanced health status
Correct Answer: B
Rationale: One significant effect of colonization of Indigenous Peoples of Canada is the unacceptable quality of drinking water in many Indigenous communities.
Which province opened the first nurse practitioner-led clinic in Canada?
- A. Alberta
- B. Quebec
- C. Ontario
- D. British Columbia
Correct Answer: C
Rationale: The first nurse practitioner-led clinic opened in Sudbury, Ontario, in August 2007.
The following are examples of suggestions for innovation in health care as identified by Indigenous leaders, health leaders, and primary health care (PHC) physicians and nurses in Alberta.
- A. Involve Indigenous elders in the reduction of violence
- B. Monitor disease outbreaks in Indigenous communities
- C. Create Indigenous electronic health records
- D. Provide education on chronic disease
- E. Use telehealth to link Indigenous patients to elders
- F. Create a coherent model for engagement and outreach
- G. Increase funding for travel to health services
Correct Answer: A,E,F
Rationale: Suggestions for innovation identified by Indigenous leaders, provincial health system leaders, and PHC physicians and nurses in Alberta include having a coherent model for community engagement and outreach; learning from the success of others, such as the reduction in violence through the involvement of elders; and using technology, such as telehealth, to link Indigenous patients to elders for support on their healing journey.
The Canadian Nurses Association (CNA) (2018) position paper advocates a 'health in all policies' orientation. What does this mean?
- A. All nurses should include the social determinants of health in assessments and interventions.
- B. Everyone is entitled to the same health care policies
- C. All nurses should be involved in the development of health policies.
- D. All policies should relate to health.
Correct Answer: A
Rationale: The CNA (2018) position paper advocates the 'health in all policies' orientation and encourages all nurses to include social determinants of health in their assessments and interventions.