Nokea
What is the best intervention a community health nurse (CHN) can initiate to increase lasting resilience among new immigrants?
- A. Directing clients to English-as-a-second-language courses
- B. Giving immigrant clients money to help them get settled
- C. Identifying areas in the city where housing is less expensive
- D. Soliciting donations for food, clothing, and other needs
Correct Answer: A
Rationale: The correct answer is A because directing clients to English-as-a-second-language courses helps immigrants improve language proficiency, which is crucial for social integration, access to resources, and employment opportunities. Learning English enhances communication skills, self-confidence, and cultural adaptation. This intervention promotes independence and empowerment, fostering lasting resilience.
Incorrect choices:
B: Giving money may provide temporary relief but doesn't address long-term resilience.
C: Identifying cheaper housing doesn't directly enhance resilience without addressing other social determinants.
D: Soliciting donations may meet immediate needs but doesn't build lasting resilience without addressing skill development.
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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.
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.
What is the best resource for the community health nurse (CHN) who wants information about the leading causes of morbidity and mortality in a local region of the country?
- A. Hospital records and statistics
- B. Online information from Statistics Canada
- C. The local chamber of commerce
- D. The obituary columns of local newspapers
Correct Answer: B
Rationale: The correct answer is B: Online information from Statistics Canada.
1. Statistics Canada provides accurate and reliable data on various health indicators.
2. This data can be broken down by region, allowing the CHN to access specific local information.
3. Hospital records may not capture all cases, while the local chamber of commerce and obituary columns are not reliable sources for health data.
In summary, Statistics Canada is the best resource due to its credibility, accessibility, and ability to provide relevant local health information.
A team of community health nurses (CHNs) disagree about the appropriate action to take in relation to a family with an ill family member who have chosen to continue working at their jobs instead of taking time off to care for the ill family member. One CHN states, "It is the wife's responsibility to care for her ill husband." What type of thinking is this CHN applying?
- A. Consequentialism
- B. Deontological ethics
- C. Principlism
- D. Utilitarianism
Correct Answer: B
Rationale: The correct answer is B: Deontological ethics. Deontological ethics focuses on the moral duty or obligation to act in a certain way, regardless of the consequences. In this scenario, the CHN is stating that it is the wife's responsibility to care for her ill husband based on a sense of duty or moral obligation, rather than considering the consequences or outcomes. This type of thinking aligns with deontological ethics as it emphasizes following moral principles or rules.
Incorrect choices:
A: Consequentialism - This ethical theory focuses on the outcomes or consequences of actions rather than the inherent rightness or wrongness of the actions themselves. The CHN's statement does not prioritize consequences.
C: Principlism - Principlism involves ethical decision-making based on a set of ethical principles such as autonomy, beneficence, nonmaleficence, and justice. The CHN's statement does not directly relate to these principles.
D: Utilitarianism - Utilitarianism is
When a concerned citizen asks the community health nurse (CHN) about environmental health, what definition of environmental health does the CHN provide?
- A. Environmental health is the causative factors invading a susceptible host through an environment favourable to producing disease, such as a biological or chemical agent.
- B. Environmental health is the systematic and ongoing observation and collection of data concerning disease occurrence to describe phenomena and detect changes in frequency or distribution.
- C. Environmental health is the study of the effect of physical, chemical, and biological factors in the external environment on human health.
- D. Environmental health is the achievement of health and wellness and the prevention of illness and injury from exposure to physical or psychosocial environmental hazards.
Correct Answer: C
Rationale: The correct answer is C because it directly defines environmental health as the study of the impact of external factors on human health. Physical, chemical, and biological elements in the environment can influence health outcomes. Choice A focuses on disease causation, not the broader scope of environmental health. Choice B discusses disease surveillance, not the study of environmental factors. Choice D emphasizes achieving health goals, not the study of environmental factors. Therefore, choice C is the most accurate definition of environmental health.