Question 1

What term describes the way that nurses approach their practice and reflect on their ethical commitment to their clients and colleagues?

Accepted Answer

A)   Committed ethics
B)   Situation autonomy
C)   Empowering a community
D)   Everyday ethics D

Question 2

Jenny,24 years old,stays at home to look after her children.She has limited job skills and financial resources.Her male partner,Randy,smokes around her children.He is also verbally abusive to Jenny.Jenny knows that second-hand smoke is dangerous to the health of her family and she has encouraged Randy to quit or smoke outside.She is thinking about contacting a women's resource centre.What would assist the nurse in working with Jenny's family?

Accepted Answer

A)   Implementing a health protection order
B)   Providing Jenny with more written handouts on second-hand smoke
C)   Having another nurse tell Jenny to leave her partner
D)   Utilizing a framework that situates choice as relational autonomy D

Question 3

Jack,14 years old,presents in the community health nurse's office requesting an initial immunization series.His parents have never immunized him because they do not believe in immunization.The parents did not sign his immunization consent form sent home through school.What does this situation present for the nurse?

Accepted Answer

A)   Something that never happens in Canada
B)   An issue for feminist decision-making
C)   An ethical dilemma
D)   A course of action that is easily decided and recognized C

Question 4

What must be considered when nurses assist clients to make informed choices?

Accepted Answer

A)   The benefits of the intervention but not the risks
B)   Legally binding paper work
C)   The exchange of information and respect for the individual's autonomy
D)   Individualism,but not collectivism

Question 5

Anne-Marie,a recent nursing graduate,is really enjoying developing relationships with her clients.Anne-Marie tells her mentor that she works hard to meet the needs of her clients and has been using the strategy of meeting one client for coffee in the afternoons.How should the mentor respond to Anne-Marie?

Accepted Answer

A)   "Tell me more about how this strategy is assisting you to meet your needs."
B)   "It sounds like the nurse-client relationship has moved into a personal relationship."
C)   "I use a more distant and clinical approach with my client relationships."
D)   "This is a great nursing strategy that you should share with the rest of the nurses."

Question 6

Which Canadian Community Health Nursing Standard of Practice is being used when advocating for appropriate resource allocation?

Accepted Answer

A)   Facilitating access and equity
B)   Practice setting safety
C)   Empowering communities
D)   Maintaining professional boundaries

Question 7

What does the concept of social justice assume?

Accepted Answer

A)   There is a limit to collective action.
B)   All societies experience broad,systematic oppression and inequities.
C)   The individual is valued over the collective.
D)   It is better to benefit the few than disadvantage the many.

Question 8

Which statement by the nurse is from the perspective of the social production of disease framework?

Accepted Answer

A)   "The client is in prostitution to financially provide for her children and now she has genital herpes."
B)   "Getting a sexually transmitted infection is a consequence of the client's promiscuous lifestyle."
C)   "The human immunodeficiency virus (HIV) is responsible for the client's HIV infection."
D)   "The sex trade worker chose to have unprotected sex because the client would pay her more."

Question 9

Discuss the potential moral harm that community health nurses need to be aware of when planning activities as part of a health promotion program.

Accepted Answer

The answer of Discuss the potential moral harm that community...

Question 10

Who should develop an advanced directive?

Accepted Answer

A)   A physician working in the palliative care setting
B)   A person who is terminally ill and needs one to clearly spell out how his or her estate will be divided
C)   An individual who wants to stipulate what medical treatments he or she will accept or reject
D)   A nurse working with a client who is incapable of making choices

Question 11

Compare and contrast health promotion with prevention and health protection.Provide an example for each from community health nursing practice.

Accepted Answer

The answer of Compare and contrast health promotion with prevention...

Question 12

Melanie is a nurse doing home visits.What must she recognize as she builds relationships with her clients?

Accepted Answer

A)   Sharing her attitudes,beliefs,and values regarding health
B)   The client's attitudes,beliefs,and values regarding health
C)   Fairness and reciprocity
D)   Maintaining a distant and clinical boundary

Question 13

Case 1 Kennedy,a community health nurse (CHN),has been working with a lesbian,gay,transexual,and bisexual (LGTB)youth group in a large urban centre.
(Refer to Case 1 above. )What activity would help Kennedy to increase his competence in providing care to individuals from the LGTB population?

Accepted Answer

A)   Ask a lesbian how to better provide care to this population
B)   Ask colleagues to share strategies for working with this group
C)   Read targeted health research
D)   Look on the Internet for information

Question 14

What are some of the challenges that Canadian nursing programs face in trying to foster the development of competencies related to social justice/equity and the social determinants of health in their community courses?

Accepted Answer

The answer of What are some of the challenges that...

Question 15

What nursing action best demonstrates professional responsibility and accountability?

Accepted Answer

A)   Respecting a client's wishes to not inform her boyfriend that she has gonorrhea
B)   Keeping confidential a client's repeated statements that she wants to kill her husband
C)   Documenting home visit notes in a timely and thorough manner
D)   Protecting the identity of a child who reveals that she has been abused

Question 16

Which community health practice setting involves personal identity,security,and privacy?

Accepted Answer

A)   The mobile health van
B)   A health centre
C)   A drop-in clinic
D)   The home

Question 17

Case 1 Kennedy,a community health nurse (CHN),has been working with a lesbian,gay,transexual,and bisexual (LGTB)youth group in a large urban centre.
(Refer to Case 1 above. )What health issues have been linked to the oppression of LGTB persons?

Accepted Answer

A)   Schizophrenia and suicide
B)   Homelessness and influenza
C)   Depression and substance abuse
D)   Sexually transmitted infections and pregnancy

Question 18

Which scenario illustrates the principle of reciprocity for ethical decision-making about public health interventions?

Accepted Answer

A)   All stakeholders are involved in developing policy on how to manage a particular infectious disease.
B)   An individual is committed under the Mental Health Act to protect and prevent harm to others.
C)   A person exposed to a communicable disease is provided instructions on how to quarantine at home.
D)   The public health department is providing financial compensation to a person who is quarantined.

Question 19

What is an example of social control?

Accepted Answer

A)   Smoking cessation program
B)   Influenza immunization clinics
C)   Request to stay at home when ill with the flu
D)   Seatbelt law

Question 20

Case 1 Kennedy,a community health nurse (CHN),has been working with a lesbian,gay,transexual,and bisexual (LGTB)youth group in a large urban centre.
(Refer to Case 1 above. )Kennedy is lobbying his co-workers to change the nursing intake form to have more gender-neutral language,such as "Do you live with a partner?" instead of "Are you married,divorced,or single?" What standard of practice is the nurse trying to uphold?

Accepted Answer

A)   Professional responsibility and accountability
B)   Facilitating access and equity
C)   Building individual/community capacity
D)   Promoting health

Exam 4: Advocacy, Ethical, and Legal Considerations