Which of the following is considered a challenge when implementing primary health care (PHC)?
- A. Lack of funding for research
- B. Community participation
- C. Rigid staffing models
- D. Effective interprofessional collaboration
- E. Lack of nurse practitioners
- F. Lack of family physicians
- G. Appropriate models of care
Correct Answer: A,B,D,G
Rationale: Challenges when implementing PHC include lack of funding for research, community participation, effective interprofessional collaboration, and appropriate models of care.
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From the time of its introduction, primary health care (PHC) was conceptualized as which type of model?
- A. Theoretical model
- B. Social justice model
- C. Resource allocation model
- D. Needs-based assessment model
Correct Answer: B
Rationale: From the beginning, primary health care was conceptualized as a social justice model.
Which of the following reasons has been cited as reasons nurses are in a key position to advocate for policies that influence health?
- A. Nurses have a labour of organizations to negotiate with
- B. Nurses represent the largest group of health care providers.
- C. Nurses are far removed from observing how policies influence health.
- D. Nurses need to acquire new roles as the traditional ones are depleted.
Correct Answer: B
Rationale: Nurses are in a key position to advocate for policies that influence health because they observe firsthand how policies influence health, they are the largest group of health care providers, and they are organized into professional and labour organizations.
The following are examples of suggestions for innovation in health care as identified by Indigenous leaders, health leaders, and primary health care (PHC) physicians and nurses in Alberta.
- A. Involve Indigenous elders in the reduction of violence
- B. Monitor disease outbreaks in Indigenous communities
- C. Create Indigenous electronic health records
- D. Provide education on chronic disease
- E. Use telehealth to link Indigenous patients to elders
- F. Create a coherent model for engagement and outreach
- G. Increase funding for travel to health services
Correct Answer: A,E,F
Rationale: Suggestions for innovation identified by Indigenous leaders, provincial health system leaders, and PHC physicians and nurses in Alberta include having a coherent model for community engagement and outreach; learning from the success of others, such as the reduction in violence through the involvement of elders; and using technology, such as telehealth, to link Indigenous patients to elders for support on their healing journey.
Which following action is an example of a primary health care strategy in Canada?
- A. Providing unit space for computers
- B. Increasing the number of acute care beds in hospitals
- C. Developing nurse practitioner legislation
- D. Lobbying for open visiting hours for all inpatients
Correct Answer: C
Rationale: Developing nurse practitioner legislation and funding and implementing nurse practitioner initiatives is an example of a primary health care strategy in Canada.
A notable ongoing effect of the colonization of the Indigenous Peoples of Canada includes which of the following?
- A. Documentation of traditional ways of knowing
- B. Unacceptable quality of drinking water
- C. Increased land rights
- D. Enhanced health status
Correct Answer: B
Rationale: One significant effect of colonization of Indigenous Peoples of Canada is the unacceptable quality of drinking water in many Indigenous communities.
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