On the second day after a disaster, a disaster relief worker is found to be irritable and having difficulty focusing. The worker denies having any problem other than a headache. Which is the best action?

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Community Health Nursing Practice Questions Questions

Question 1 of 5

On the second day after a disaster, a disaster relief worker is found to be irritable and having difficulty focusing. The worker denies having any problem other than a headache. Which is the best action?

Correct Answer: B

Rationale: The correct answer is B because the worker is displaying signs of psychological stress, such as irritability and difficulty focusing. Recommending time off to relax can help prevent burnout and improve mental well-being. Choice A is incorrect because dismissing the worker's symptoms may exacerbate the issue. Choice C is incorrect because the worker's symptoms are not solely due to multitasking. Choice D is incorrect because while dehydration could be a factor, addressing psychological stress is a more immediate concern in this scenario.

Question 2 of 5

What is the focus of the definition of health in the Ottawa Charter on Health Promotion?

Correct Answer: A

Rationale: The correct answer is A: Health is an outcome. In the Ottawa Charter on Health Promotion, the focus is on health as an outcome of various determinants such as social, economic, and environmental factors, not just the absence of illness. This definition emphasizes that health is a result of individual and collective efforts to promote well-being. Choice B is incorrect because the Ottawa Charter emphasizes the importance of maintaining and promoting health, not prioritizing enjoyment over health. Choice C is incorrect as it does not fully capture the complexity of health as an outcome influenced by various factors beyond daily activities. Choice D is incorrect as health is not solely about maintaining a stable environment but rather a holistic outcome of multiple determinants.

Question 3 of 5

A community health nurse (CHN) plans to use evidence-informed practice to guide the development of health education programs that are most likely to increase retention of information in elementary school children. Which of the following represents the best way to use evidence-informed practice in this situation?

Correct Answer: B

Rationale: The correct answer is B because comparing and contrasting findings from randomized clinical trials related to learning in elementary school children is the best way to use evidence-informed practice. This method ensures that the health education programs are based on scientific evidence and proven effectiveness. It allows the CHN to make informed decisions by considering the results of rigorous research studies. Choice A is incorrect because opinions from other CHNs do not necessarily reflect evidence-based practices. Choice C is incorrect as developing games may not be based on solid evidence of effectiveness in improving retention of information. Choice D is incorrect because information from the Internet may not be reliable or evidence-based. In summary, choice B is the best option as it ensures that the health education programs are grounded in scientific evidence from reputable sources, leading to increased likelihood of success in increasing retention of information in elementary school children.

Question 4 of 5

Community health nurses (CHNs) who work with older persons who have cognitive impairment and their caregivers should be aware of the difference between depression, delirium, and dementia, in order to identify the health concern accurately and intervene accordingly. What description relates specifically to dementia?

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Dementia is not a mood disorder (Choice A), as it primarily affects cognitive functions, not emotions. 2. Dementia is not acute confusion (Choice B), which is characteristic of delirium, a sudden change in mental status. 3. Dementia is more than just forgetfulness (Choice C), as it involves a decline in multiple cognitive abilities. 4. Choice D is correct as dementia is characterized by progressive intellectual impairment, affecting memory, language, problem-solving, and other cognitive functions.

Question 5 of 5

What community health nursing intervention would best serve a population that is structurally vulnerable?

Correct Answer: B

Rationale: The correct answer is B because establishing a system of networks allows for a holistic approach to addressing the various needs of a structurally vulnerable population. By referring clients to different services like preventive care, acute illness care, and chronic treatment, their overall health and well-being can be better supported. Choice A is incorrect because it focuses on addressing multiple health concerns when clients present for treatment of an illness, which may not fully address the underlying systemic issues faced by a structurally vulnerable population. Choice C is incorrect as it only provides acute care services and sets up appointments for other concerns at discharge, which may not adequately meet the ongoing needs of a structurally vulnerable population. Choice D is incorrect because referring clients to specialists for specific health concerns may not address the broader range of social determinants of health that contribute to their vulnerability.

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