What is the main achievement of the Community Health Nurses Association of Canada (CHNAC)?

Correct Answer: C

Rationale: The correct answer is C because the main achievement of the Community Health Nurses Association of Canada (CHNAC) was the development of national standards of practice. This achievement is significant as it ensures consistency and quality in the practice of community health nursing across Canada. Choice A is incorrect because the inclusion of LPNs alongside RNs is not the main achievement of CHNAC. Choice B is also incorrect as it simply encourages nurses who are not PHNs to join, which is not the primary accomplishment of the association. Choice D is incorrect as the development of a process to choose leaders and officers is not the main focus or achievement of CHNAC.

Correct Answer: A

Rationale: The correct answer is A: Affiliation with a church or congregation. Parish nursing specifically involves nurses who work within a religious community, providing health services and support to members of that congregation. This affiliation with a church or congregation is the main distinguishing factor between parish nursing and other fields of nursing. B, C, and D may also be aspects of parish nursing, but they are not the main difference that sets it apart from other fields of nursing. B focuses on incorporating spiritual aspects into care, which can be present in various nursing specialties. C, holistic care, is a common approach in nursing that aims to address the physical, emotional, social, and spiritual needs of patients. D, residence within the community, is important for community-based nursing but is not unique to parish nursing.

Correct Answer: D

Rationale: The correct answer is D: Providing respite and comfort measures before death. Hospice care focuses on providing comfort and support to terminally ill patients, emphasizing symptom management, pain relief, and emotional support. Respite care allows family caregivers a temporary break from their responsibilities. Choices A and B focus on specific aspects of care delivery and legal matters, not the fundamental philosophy of hospice. Choice C is incorrect as hospice care does not involve placing experts in the position of power of attorney; rather, it emphasizes patient-centered care and autonomy.

Correct Answer: A

Rationale: The correct answer is A: Chemical. In this scenario, the agent causing harm to the employee's eyes is the chemical that splashed into them. The chemical is directly responsible for the adverse effects, making it the primary agent in this incident. The other choices (B: Employee, C: Flask, D: Laboratory) are not the direct cause of harm in this situation. The employee is the victim, the flask is the object that contained the chemical, and the laboratory is the location where the incident occurred. Only the chemical itself is the active agent that caused the harm, making it the correct choice.

Correct Answer: B

Rationale: The correct answer is B: "Expect to have less autonomy than you have working as a CHN in the city." Rationale: 1. Rural settings often have limited healthcare resources and personnel, leading to CHNs having to work with fewer colleagues and support staff. 2. CHNs in rural areas may need to collaborate more closely with other healthcare providers due to limited resources, reducing their autonomy. 3. In rural areas, CHNs may encounter unique challenges such as lack of specialized services, requiring them to consult and collaborate more with external resources. Summary of other choices: A: Incorrect. Assuming community members will hold the CHN in higher regard is not a universal truth and may lead to unrealistic expectations. C: Incorrect. Rural areas often have limited resources, including supplies and clinics, making this statement inaccurate. D: Incorrect. While developing specialized knowledge is important, rural CHNs may need to be versatile and adaptable due to limited resources.