Nokea
What is the biggest challenge for community health nurses (CHNs) who are familiar with evidence-informed practice and want to implement it in their care of clients?
- A. Interpreting vast amounts of evidence and integrating it into practice
- B. Advocating for change and convincing others that it is beneficial
- C. Distinguishing evidence-informed practice from practice based on old standards
- D. Showing clients that evidence-informed practice will improve their health outcomes
Correct Answer: A
Rationale: The correct answer is A because interpreting vast amounts of evidence and integrating it into practice is a significant challenge for community health nurses (CHNs) familiar with evidence-informed practice. CHNs need to sift through numerous research studies, guidelines, and data to make informed decisions about client care. By effectively integrating evidence into practice, CHNs can ensure that their interventions are based on the best available evidence, leading to improved client outcomes.
Choice B is incorrect because advocating for change is not the primary challenge related to implementing evidence-informed practice. Choice C is incorrect because distinguishing evidence-informed practice from outdated standards is important but not the biggest challenge. Choice D is incorrect because showing clients the benefits of evidence-informed practice is essential but not the main challenge faced by CHNs in implementing it.
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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.
The ability to access, comprehend, evaluate, and communicate information as a way to promote, maintain and improve health in a variety of settings across the life-course is defined as:
- A. Health promotion
- B. Health literacy
- C. Health advocacy
- D. Health maintenance
Correct Answer: B
Rationale: The correct answer is B: Health literacy. Health literacy involves the skills needed to access, understand, evaluate, and communicate health information to make informed decisions and promote health. This definition aligns with the ability to comprehend and utilize health information effectively. Health promotion (A) focuses on strategies to improve health outcomes, health advocacy (C) involves promoting health policies and practices, and health maintenance (D) refers to activities that sustain health, but these choices do not encompass the comprehensive definition provided in the question.
Which statement made by a parent indicates a need for more education about child abuse?
- A. "I have stopped slapping my child, and I am learning to count to 10 before reacting."
- B. "I never spank or hit my children; I yell at them to stop being stupid, and if they don't, I tell them that the boogeyman will steal them away at night if they don't obey."
- C. "I use 'time out' when my child acts out or is naughty. Sometimes, my child doesn't cope well with this, but I am persistent."
- D. "When my child misbehaves, I distract him and try to focus his attention on other things. If he throws a tantrum, I just pick him up and leave the store or show or wherever we may be."
Correct Answer: B
Rationale: The correct answer is B because the parent's statement indicates emotional abuse through threats of harm and fear tactics. Yelling and using scare tactics like the boogeyman can have long-lasting negative effects on a child's emotional well-being, leading to anxiety and insecurity.
Choice A shows progress in managing anger and using positive discipline techniques. Choice C demonstrates a parent trying to use a common discipline method, although the child's coping difficulties may need further support. Choice D shows a parent using distraction and removal techniques, which are generally considered appropriate strategies for managing tantrums.
Activities that focus on rebuilding to predisaster or near-predisaster conditions, and on community safety so that the risk of a recurrence of the disaster is reduced, occur in which part of the disaster management cycle?
- A. Disaster Vulnerability
- B. Disaster Preparedness
- C. Disaster Recovery
- D. Disaster Response
Correct Answer: C
Rationale: The correct answer is C: Disaster Recovery. During the disaster recovery phase, activities aim to rebuild to predisaster or near-predisaster conditions and focus on enhancing community safety to reduce the risk of a recurrence of the disaster. This phase involves restoring infrastructure, services, and livelihoods while implementing measures to mitigate future disasters.
Choice A (Disaster Vulnerability) is incorrect because this phase focuses on assessing the vulnerabilities of a community to potential disasters.
Choice B (Disaster Preparedness) is incorrect as it involves planning and readiness activities before a disaster occurs to minimize its impact.
Choice D (Disaster Response) is incorrect as it deals with immediate actions taken during and immediately after a disaster to save lives, protect property, and meet basic needs.
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.