What defines group process?
- A. Group process is the degree of attraction and commitment of group members.
- B. Group process is how the group works as a unit and how members interact.
- C. Group process is how the group members connect and relate to each other.
- D. Group process is the attraction between individual members and the group.
Correct Answer: B
Rationale: The correct answer is B because group process refers to how the group operates as a whole and how individual members interact within the group. This includes communication, decision-making, conflict resolution, and overall functioning. Choice A focuses solely on the emotional aspects of group dynamics, while Choice C emphasizes interpersonal relationships. Choice D specifically mentions individual attraction, which is not the same as group process. Therefore, B is the most comprehensive and accurate description of what defines group process.
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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.
What would be the best community health nurse (CHN) referral for a physically and mentally challenged older person who wants to continue living with her family but whose family members are all working outside the home?
- A. Adult daycare services
- B. Home health care
- C. Long-term care
- D. Elder centres
Correct Answer: A
Rationale: The correct answer is A: Adult daycare services. This option allows the older person to receive care and supervision during the day while her family members are at work, ensuring her safety and well-being. It also allows her to continue living with her family, promoting social interaction and community involvement.
Summary of other choices:
B: Home health care may not be suitable as it may not provide adequate supervision and social interaction during the day.
C: Long-term care is not necessary if the older person can continue living with her family.
D: Elder centres may not provide the necessary supervision and care during the day when the family members are at work.
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.
After hearing the debates about an appropriate course of action for a specific client, a community health nurse (CHN) expresses a desire for a rule that would help with decision making. What criteria could the CHN apply to this rule for his or her decision making?
- A. The rule absolutely will not get the CHN in trouble with the employer.
- B. The rule will gain the support of an expert, such as a spiritual leader.
- C. The CHN would recommend the rule to anyone in a similar situation.
- D. The supervisor would feel comfortable reporting the rule to the administration.
Correct Answer: C
Rationale: The correct answer is C. The rationale is that the CHN should apply a rule that they would recommend to anyone in a similar situation. This criteria ensures that the decision-making process is fair, ethical, and beneficial for the client. Choice A is incorrect as it focuses on avoiding trouble with the employer rather than client well-being. Choice B is incorrect as relying solely on the support of an expert may not always align with the best interests of the client. Choice D is incorrect as the supervisor's comfort level does not guarantee the rule is appropriate for the client. Ultimately, choice C prioritizes client-centered care and ethical decision-making.
A registered nurse (RN), has just been employed as a community health nurse (CHN). Which question would be most relevant to practice as the nurse begins her position?
- A. "Which community groups are at greatest risk for problems?"
- B. "Which patients should I see first as I begin my day?"
- C. "With which physicians will I be collaborating most closely?"
- D. "Who is the nursing assistant to whom I can refer patients?"
Correct Answer: A
Rationale: The correct answer is A: "Which community groups are at greatest risk for problems?" This question is most relevant for a community health nurse (CHN) as it aligns with the primary focus of community health nursing, which is to identify and address health needs within the community. By understanding which community groups are at greatest risk, the nurse can prioritize interventions and allocate resources effectively.
Rationale:
1. A focuses on population health, which is a core component of community health nursing.
2. Identifying high-risk groups allows for targeted interventions and preventive measures.
3. Understanding community needs is essential for developing culturally appropriate and effective health programs.
Summary:
B, C, and D are incorrect because they focus on individual patients, specific collaborations, and referral processes rather than the broader community health perspective that is crucial for a community health nurse.