Which model best explains the reasons why homeless individuals are at increased risk of disease as a result of multiple agent, host, and environmental factors?

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Community Health Nursing 2 Exam Questions and Answers Questions

Question 1 of 5

Which model best explains the reasons why homeless individuals are at increased risk of disease as a result of multiple agent, host, and environmental factors?

Correct Answer: A

Rationale: The correct answer is A: The web of causality. This model best explains the complex interactions among agent, host, and environmental factors contributing to the increased disease risk in homeless individuals. It emphasizes the interconnectedness and multifactorial nature of health outcomes. Rationale: 1. The web of causality considers the interplay of various factors, such as social determinants of health, living conditions, access to healthcare, and individual behaviors, which collectively influence health outcomes in homeless populations. 2. This model recognizes the dynamic and non-linear relationships between different factors, illustrating how a combination of biological, social, and environmental elements can contribute to disease vulnerability. 3. In contrast, the epidemiological triangle primarily focuses on the relationship between the agent, host, and environment in causing specific diseases, overlooking the broader systemic factors affecting homeless individuals' health. 4. The levels of prevention framework and the Health Promotion Model are more focused on intervention strategies and individual behavior change, rather than capturing the complexity and interconnected

Question 2 of 5

What would constitute tertiary prevention by a community health nurse (CHN) who wants to promote better health in women with diabetes?

Correct Answer: C

Rationale: The correct answer is C because tertiary prevention involves managing and treating existing conditions to prevent further complications. In the case of women with diabetes, monitoring blood glucose levels and recommending necessary diet modifications are crucial in preventing complications such as diabetic neuropathy or retinopathy. Choices A and B are related to primary prevention, focusing on preventing the onset of diabetes. Choice D is related to secondary prevention, screening for early detection. Tertiary prevention focuses on managing the condition to prevent further deterioration, making choice C the most appropriate in this context.

Question 3 of 5

A community health nurse (CHN) is checking the records of a health unit to compare the number of new teen clients who have sought contraceptive counselling and management in the 2 months before and after an education intervention program to decrease teen pregnancy. What step of the evaluation process does the CHN's action represent?

Correct Answer: C

Rationale: The correct answer is C: Measuring the goal effect. In this scenario, the CHN is comparing the number of new teen clients seeking contraceptive counseling before and after the education intervention program. This step involves evaluating the impact or effect of the program on the intended goal, which is to decrease teen pregnancy rates. By comparing the data before and after the intervention, the CHN can assess whether the program has been effective in achieving its goal. Incorrect choices: A: Determining outcome goal measurement - This step involves establishing specific, measurable outcomes before implementing the program. It is done prior to the intervention. B: Goal setting - This step involves setting specific, achievable goals at the beginning of the program. It is not the same as measuring the impact of the program. D: Evaluating the program - While evaluating the program is part of the overall evaluation process, in this scenario, the focus is specifically on measuring the effect of the program on the goal of decreasing teen pregnancy rates.

Question 4 of 5

What is an example of an intraprofessional team?

Correct Answer: D

Rationale: The correct answer is D because an intraprofessional team consists of members from the same profession but with different levels of expertise. In this case, a registered nurse and a licensed/registered practical nurse are both nursing professionals with varying skill sets, making them an intraprofessional team. A is incorrect because it consists of only nursing professionals but at the same level of expertise. B is incorrect because it includes a social worker, who is not part of the same profession as the nurses. C is incorrect because it includes a physician, who is not part of the same profession as the nurses.

Question 5 of 5

Which group-building and maintenance role describes the person who monitors group process to ensure that the group stays focused and identifies departures from the group's stated goals or procedures?

Correct Answer: A

Rationale: The correct answer is A: Coordinator. A coordinator ensures the group stays focused on goals and procedures by monitoring the group process. They help prevent distractions and deviations. Encourager (B) focuses on motivating and supporting group members. Orienter (C) helps new members understand the group's goals and procedures. Commentator (D) provides feedback and observations but does not necessarily ensure the group stays focused.

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