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What type of research should community health nurses consider when assessing culturally diverse populations?
- A. Meta-analysis
- B. Grounded theory research
- C. Participatory action research
- D. Random control studies on the entire population
Correct Answer: C
Rationale: The correct answer is C: Participatory action research. Community health nurses should consider this type of research when assessing culturally diverse populations because it involves active participation from the community members themselves, ensuring their perspectives and voices are heard and integrated into the research process. This approach promotes culturally sensitive and relevant findings, leading to more effective interventions and solutions.
A: Meta-analysis is not suitable for directly engaging with culturally diverse populations.
B: Grounded theory research focuses on developing theory from data, but it may not prioritize community involvement.
D: Random control studies on the entire population may not address the specific cultural nuances and needs of diverse populations.
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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.
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.
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.
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.
A client with tuberculosis (TB) wants to know why directly observed therapy (DOT) is required as part of the treatment. What community health nurse (CHN) response would be the most appropriate one?
- A. "Clients with TB are often nonadherent to their medication regimen; DOT will ensure that you take the medications prescribed to you."
- B. "This therapy is recommended by TB experts as the best way to ensure that you receive the treatment you need and that the infection doesn't become resistant to treatment."
- C. "This ensures that you get your medication even at the late stages of TB, when your memory may be affected by inadequate oxygenation to the brain."
- D. "TB medications are very expensive, and this method ensures that government health care resources are not wasted by those who will not take the medications regularly."
Correct Answer: B
Rationale: The correct answer is B because directly observed therapy (DOT) is recommended by TB experts to ensure treatment adherence and prevent drug resistance. TB treatment requires strict adherence to a regimen to prevent the development of drug-resistant strains. DOT involves a healthcare provider directly observing the client taking their medication to ensure compliance. Choice A addresses nonadherence but does not emphasize the importance of preventing drug resistance. Choices C and D are incorrect as they do not directly relate to the main purpose of DOT in preventing drug resistance and ensuring treatment effectiveness.