Nokea
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.
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A committee of health care professionals would like to establish a district-wide program to improve access to culturally competent health care services for Vietnamese immigrants. Who would be the best person to select as a key informant about this community's needs?
- A. The hospital administrator
- B. A Vietnamese community leader
- C. A national expert on cultural competency
- D. A provincial/territorial or municipal government official
Correct Answer: B
Rationale: The correct answer is B: A Vietnamese community leader. This individual is the best choice as a key informant because they have firsthand knowledge and understanding of the needs, preferences, and challenges faced by Vietnamese immigrants in the district. They can provide valuable insights into the cultural nuances, barriers to accessing health care services, and specific needs of the community. The hospital administrator may have general knowledge but lacks specific insights into the Vietnamese immigrant community. The national expert on cultural competency may have theoretical knowledge but may not understand the local context. The government official may have a broader perspective but lacks the community-specific knowledge necessary for this program.
What outcome needs to occur in order to claim that advocacy has been truly successful or effective?
- A. Audiences agree with a CHN who is advocating a change.
- B. Legislators discuss appropriate legislation to better allocate resources.
- C. People demand that the disenfranchised be better treated.
- D. Systematic social changes are made to improve quality of life.
Correct Answer: D
Rationale: The correct answer is D because advocacy is truly successful when systematic social changes are made to improve quality of life. This is because advocacy aims to address underlying structural issues and create sustainable, long-term improvements. Choices A, B, and C focus on initial responses or actions, but they do not necessarily lead to lasting impact or systemic change. Audiences agreeing with the CHN, legislators discussing legislation, and people demanding better treatment are important steps in advocacy, but the ultimate goal should be to bring about tangible changes at the systemic level to achieve lasting improvements in quality of life for the community.
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.
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 type of risk the most important predictor of health?
- A. Biological risk
- B. Economic risk
- C. Life-event risk
- D. Health values
Correct Answer: D
Rationale: The correct answer is D: Health values. Health values are the most important predictor of health because they encompass an individual's attitudes, beliefs, and priorities related to health. Individuals who place a high value on their health are more likely to engage in behaviors that promote wellness and seek necessary healthcare. This intrinsic motivation plays a crucial role in determining health outcomes.
Biological risk (A) focuses on genetic predispositions and physical health conditions, which are important but not as predictive as health values. Economic risk (B) and life-event risk (C) can certainly impact health outcomes, but they are external factors that may not always directly correlate with an individual's health status. Ultimately, it is the personal health values and choices that have the most significant influence on one's health.