Health Promtion
In order to prevent accidental poisoning of a child, where should medications be placed in the home?
In a dresser drawer
In the medicine cabinet
In a locked cupboard
On a high shelf
3. In a locked cupboard
What is the most influential SDOH?
Income
Education
Gender
Ethnicity/Race
1. Income
What is critical thinking?
It requires reasoning and creative analysis.
It is a simple approach to decision making.
It is narrower in scope than decision making.
It is a synonym for the problem-solving process.
1. It requires reasoning and creative analysis.
Which action by the CHN is NOT conducive to effective interprofessional teamwork ?
Connecting a client who uses substances with a community addictions specialist
Clarifying the client’s goal for their health with their entire care team
Facilitating a meeting with an adult psychiatrist for a client aging out of youth services
Excluding a client’s social worker from a meeting as they are not a medical professional
4. Excluding a client’s social worker from a meeting as they are not a medical professional
Which of the following allow the community health nurse to identify the community priorities?
1. Assessment.
2. Diagnosis.
3. Interventions.
4. Planning.
1. Assessment
Which of the following materials would the graduate nurse require to test the function of a patient’s glossopharyngeal nerve?
A handheld mirror.
A stethoscope.
Tongue depressor.
Soft cotton swab and a toothpick.
3. Tongue depressor.
An high-risk Indigenous pregnant patient, who has GDM and pre-eclampsia is hesitant of having a hospital delivery because she fears she may lose custody of her child. What social determinant of health is relevant in this scenario?
Housing
Employment and working conditions
Aboriginal Status
Disability
3. Aboriginal Status
The nurse wants to become more involved in healthcare decision making. Which is the nurse's best strategy for achieving this goal?
1. By active participation in nursing organizations
2. By keeping up with new healthcare developments
3. By electing officials with minimal interest in healthcare
4. By charging for nursing care services
1. By active participation in nursing organizations
Who is considered the most important member of the interdisciplinary community health team?
The Community Health Nurse
The physician
The client
The social worker
3. The client
Which of the following is a vital step for the community health nurse prior to conducting a community assessment?
Engaging in Self reflection
Determining what assessment tool to use
Defining the purpose of the assessment
Determining who the stakeholders and gatekeepers of the community
1. Engaging in Self reflection
A five-month-old boy is brought to the doctor’s office by his mother for a well-child visit. Which of the following, if observed by the nurse, would reflect a developmental delay?
The child babbles, but cannot speak any real words yet.
The child, when lifted by the arms, displays head lag.
The child is able to sit with support on the examination table.
The child’s weight has increased, from birth, by about seven pounds.
2. The child, when lifted by the arms, displays head lag.
Which of the following is an example of how employment can negatively impact a patient’s access to healthcare services?
The patient’s workplace insurance includes benefits such as physiotherapy and dental coverage
The patient’s 9-5 job offers no paid sick leave or personal days.
The patient’s workplace only offers pizza, fries, burgers and pop for lunch in their cafeteria
The patient works in a hazardous working environment, in fumes and other dangerous toxins.
2. The patient’s 9-5 job offers no paid sick leave or personal days.
Which concept related to transformational leadership allows the nurse manager to change staff attitudes and behaviors towards meeting an expected outcome?
1. Vision
2. Influence
3. Values
4. Power
4. Power
The community health nurse is putting together a case consult meeting for a complex client who is experiencing homelessness. Which members of the Interdisciplinary team are appropriate to invite to the meeting?
The client’s social worker
The client’s psychiatrist
The client’s boss
A representative from a supportive housing organization
1. The client’s social worker
2. The client’s psychiatrist
4. A representative from a supportive housing organization
Which of the following are forms of assessment the CHN can use to define the purpose of the assessment? SATA
Environmental scan
Problem Investigation
Self reflection
Obtaining primary data
Needs Assessment
Resource Evaluation
1. Environmental scan
2. Problem Investigation
5. Needs Assessment
6. Resource Evaluation
A nurse works with four patients at an outpatient health center. Which of the patients most concerns the nurse?
A 36 y/o African American male who has been trying to eat a healthier diet.
A 50 y/o Caucasian male who has been weight-lifting at the gym two times per week.
A 24 y/o Caucasian woman who enjoys swimming on a daily basis.
A 50 y/o Asian female who weighs 100 lbs and is 5 feet in height.
4. A 50 y/o Asian female who weighs 100 lbs and is 5 feet in height.
You are a family practice nurse and would like to assess a family’s access to support after their child is born. What is the most appropriate nursing action?
Call the family and inquire about their annual family income.
Refer the family to a postpartum social support program.
Arrange a donation initiative to support the family with their postpartum needs
Use guides such as the Rouke Baby Record to assess social support and income during the family’s postpartum follow-up appointments.
4. Use guides such as the Rouke Baby Record to assess social support and income during the family’s postpartum follow-up appointments.
Which are examples of modern leadership theories and/or styles? Select all that apply.
1. Personal quality leadership
2. Knowledge management theory
3. Contingency theory
4. Transformational leadership
5. Emotional intelligence leadership
2. Knowledge management theory
4. Transformational leadership
5. Emotional intelligence leadership
A client confides in the CHN that they were sexually assaulted in the community. What is the best response from the CHN from an interprofessional lens?
Offer to accompany the client to a visit with a SANE (sexual assault nurse examiner)
Send the client to a walk in clinic
Call the police
Thank the client for confiding their trauma
1. Offer to accompany the client to a visit with a SANE (sexual assault nurse examiner)
Which of the following best illustrates that a CHN is using a capacity lens for community assessment?
The CHN works primarily with community leaders to investigate community concerns
The CHN focuses assessment on historical gaps in service
The CHN consults with community leaders to identify at-risk youth who would like to develop leadership skills
The CHN uses existing literature to understand the problems within the community
3. The CHN consults with community leaders to identify at-risk youth who would like to develop leadership skills
What are reasons that a pediatric nurse should stress that health promotion activities must be ongoing? (Select all that apply.)
To identify health risks
To encourage healthy behavior
To strengthen family bonds
To improve nutrition
To prevent accidents
1. To identify health risks
2. To encourage healthy behaviour
4. To improve nutrition
5. To prevent accidents
Julie, a 19 year old female is the primary caregiver of her 2 year old Henry and 8 month-old, Justin. She works two fast-food jobs alongside her husband, John to make ends meet. She has a BMI of 32 and has recently been diagnosed with hypertension and Type 2 diabetes mellitus. What SDOH contributes to Julie’s health status? SATA
Gender
Education
Employment/Income
Disability
1. Gender
2. Education
3. Employment/Income
A staff nurse makes negative comments about a unit manager's leadership style, and the unit manager overhears the staff nurse. Which action by the unit manager would be appropriate?
1. tell the staff nurse to stop making the comments
2. propose a tentative solution regarding the comments, and discuss it with the staff nurse
3. encourage the staff nurse to discuss the comments
4. persuade the staff nurse to stop being so critical
3. encourage the staff nurse to discuss the comments
What are some strategies the CHN can implement to maximize interprofessional team efficiency? SATA
Creating a collaborative team charter so that all members are on the same page
Asking all team members for the available meeting time that works best for them
Consulting with other professionals outside of the client’s agreed upon health care team
Taking meeting minutes and sending them to all team members after meetings have concluded.
1. Creating a collaborative team charter so that all members are on the same page
2. Asking all team members for the available meeting time that works best for them
4. Taking meeting minutes and sending them to all team members after meetings have concluded.
Rita is a community health nurse that is conducting a community assessment of a rural population. Which of the following must she consider before starting the assessment? SATA
Social, political, historical context of the community
Addressing health promotion challenges
Formal and informal powers
Time available
Gatekeepers & Stakeholders
Conducting a needs assessment
1. Social, political, historical context of the community
3. Formal and informal powers
4. Time available
5. Gatekeepers & Stakeholders