Question 1

Which of the following is the best way for a home health nurse (HHN) to help a client who has right-sided paresis secondary to a stroke?

Accepted Answer

A)   Arranging for private duty nurses to assist the client with daily needs
B)   Assisting the client with activities of daily living (ADLs) 
C)   Teaching self-care to the client
D)   Teaching the family to assist the client with ADLs C

Question 2

Which one of the following is a primary prevention activity for decreasing the incidence of communicable diseases?

Accepted Answer

A)   Identifying and treating clients in a clinic for sexually transmitted infections (STIs) 
B)   Partnering with school teachers to teach handwashing to elementary school children and observe their techniques
C)   Providing case management services that link clients with communicable diseases to health care and community support services
D)   Providing directly observed therapy (DOT)  to clients with active tuberculosis (T
B)   B

Question 3

For the CHN who plans to move from an urban centre to a rural region of the country, which one of the following statements should be included in the advice on preparing for role alterations?

Accepted Answer

A)   "Community members will probably hold you in higher regard and will look up to you."
B)   "Expect to have less autonomy than you have working as a CHN in the city."
C)   "You can expect more resources and supplies because there are fewer clinics."
D)   "You will need to focus on developing specialized knowledge and skills." A

Question 4

A hospital nurse working in employee health notes that several nurses from one unit are missing from work after having contracted a communicable disease from a client. In this scenario, what is considered to be the host?

Accepted Answer

A)   Each sick nurse
B)   The communicable disease
C)   The hospital
D)   The client

Question 5

A family member asks an HHN to explain the concept of hospice care. Which action would the HHN need to include as the fundamental underlying philosophy of hospice?

Accepted Answer

A)   Making it possible for the client to die at home
B)   Ensuring that the client's living will is honoured
C)   Placing experts in the position of power of attorney
D)   Providing respite and comfort measures before death

Question 6

Which of the following represents the main difference between parish nursing and all other fields of nursing?

Accepted Answer

A)   Affiliation with a church or congregation
B)   Incorporation of spiritual aspects into nursing care
C)   Provision of holistic nursing care
D)   Residence within the community of service

Question 7

A CHN is demonstrating the use of a peak flow meter to help children with chronic asthma recognize when they need to use a rescue inhaler. What is the level of prevention represented by this activity?

Accepted Answer

A)   Primary
B)   Secondary
C)   Tertiary
D)   Both primary and secondary

Question 8

What hazard tends to particularly affect employees who work in 2-week shifts?

Accepted Answer

A)   Biological hazards
B)   Environmental hazards
C)   Physical hazards
D)   Psychosocial hazards

Question 9

In addition to the common barriers faced by most rural residents, what is an additional barrier to health care that a Mexican migrant farm worker is more likely to encounter?

Accepted Answer

A)   Absence of culturally appropriate care
B)   Availability of specialists
C)   Distance of health care facilities from the place of residence
D)   Lack of anonymity

Question 10

What practice is being implemented by the OHN who periodically conducts spirometry testing of employees working with hazardous gases?

Accepted Answer

A)   Primary prevention
B)   Secondary prevention
C)   Tertiary prevention
D)   Tertiary care

Question 11

In an effort to prevent drug abuse among junior high-school students, a PHN has enlisted the assistance of high-school role models in the areas of both sports and scholarship for an antidrug presentation. What is the level of prevention represented by this activity?

Accepted Answer

A)   Primary prevention
B)   Secondary prevention
C)   Tertiary prevention
D)   Both primary and secondary prevention

Question 12

A health centre administrator is in the process of hiring a new CHN. Which statement by a potential employee would raise the greatest concern for the employer?

Accepted Answer

A)   "I like to be the only person working on a project because individual team members have their own ideas and plans, and the resulting debate slows progress."
B)   "I prefer to work in teams because no single person has too much responsibility and the burden is shared."
C)   "Teamwork is better than work done by individuals because teamwork incorporates different perspectives."
D)   "Whether teamwork is better than work done by individuals depends on the nature of the work being performed."

Question 13

What is a core competency required of PHNs?

Accepted Answer

A)   Advanced knowledge in the use of high-technology diagnostics
B)   Familiarity with current life-support technology
C)   Highly tuned skills for assessment of critically ill clients
D)   Skill in developing policy and planning programs to improve health

Question 14

What is the central difference between home health care and other types of health care?

Accepted Answer

A)   Home health care is individualized care for the client and family.
B)   Home health care is provided in the client's environment.
C)   Reimbursement for home health care is different from that of care provided in institutions.
D)   Home health care focuses on community health.

Question 15

What practice is being implemented by the occupational health nurse (OHN) who removes a foreign body from a client's eye?

Accepted Answer

A)   Primary care
B)   Primary prevention
C)   Secondary prevention
D)   Tertiary prevention

Question 16

Research demonstrates that exercise is important for general wellness and weight control. The CHN can use this information to implement primary prevention by doing which of the following?

Accepted Answer

A)   Developing individualized exercise programs for overweight children
B)   Drafting policy for increases in noncompetitive physical activity programs
C)   Monitoring body mass index in children to identify elevations before they become difficult to manage
D)   Notifying parents or guardians of their child's height-weight scale in comparison with national norms

Question 17

An HHN in training states, "I don't understand why we have to collaborate with so many other disciplines. Doesn't this conflict with the concept of holistic nursing practice?" What would be the best response by an experienced colleague?

Accepted Answer

A)   "The nurse still functions holistically; however, interdisciplinary collaboration is necessary to prevent fragmentation of care."
B)   "Holistic nursing is a concept applied to care in tertiary facilities such as hospitals, where materials are centrally located in one facility. In home health, this is not possible."
C)   "Even though home health nursing is not as holistic as other areas of community health nursing, each discipline contributes to client needs from its special knowledge base."
D)   "Yes, it does create conflict, but we as nurses are mandated to practise interdisciplinary collaboration."

Question 18

The increasing complexity of societal needs and rapid changes in public health no longer allow for adequate time for on-the-job training and education. As a result, what is the current minimum level of educational preparation for a public health nurse?

Accepted Answer

A)   Training as a registered practical nurse
B)   Training as a registered nurse
C)   A baccalaureate degree in nursing
D)   A master of science degree in nursing

Question 19

Which statement best describes the concept of public health?

Accepted Answer

A)   A population health approach designed to prevent disease, promote health, and protect populations
B)   Health care provision offered in primary and secondary institutions or in clients' homes
C)   Provision of health care services in institutions located in the community but outside the hospital
D)   Use of the nursing process and evidence-informed practice to meet the objectives for community health improvement

Question 20

The CHN has arranged for students in all classes at the local school to receive visual acuity testing to determine if they need glasses. What is the level of prevention represented by this activity?

Accepted Answer