Which of the following represents a set of strategies and ideas aimed at reducing harm to an individual or society by modifying harmful or hazardous behaviours that are difficult and, in some cases, impossible to prevent?

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Community Health Nursing 2 Exam Questions and Answers Questions

Question 1 of 5

Which of the following represents a set of strategies and ideas aimed at reducing harm to an individual or society by modifying harmful or hazardous behaviours that are difficult and, in some cases, impossible to prevent?

Correct Answer: B

Rationale: The correct answer is B: Harm reduction. Harm reduction focuses on minimizing the negative consequences of risky behaviors rather than trying to eliminate them completely. It recognizes that certain behaviors may be difficult to prevent entirely and aims to reduce harm associated with those behaviors. Health promotion (A) focuses on promoting overall health and well-being rather than specifically addressing harmful behaviors. Tertiary care (C) refers to specialized medical care for individuals with complex healthcare needs and is not directly related to modifying behaviors. Risk avoidance (D) involves completely avoiding risky behaviors rather than mitigating their potential harm.

Question 2 of 5

Evaluation is under way for a province-wide program that aims to decrease teen injury and death associated with driving while under the influence of alcohol. Which of the following questions is most effective in helping make a summative evaluation of the program?

Correct Answer: B

Rationale: The correct answer is B because it directly assesses the impact of the program on reducing teen injury and death related to drunk driving. By comparing statistics before and after the program, we can determine its effectiveness. A: This question focuses on participant satisfaction, not the program's impact on reducing teen injury and death related to drunk driving. C: This question focuses on the amount of alcohol intake by teens, not the program's impact on reducing teen injury and death related to drunk driving. D: This question focuses on program implementation issues, not the program's impact on reducing teen injury and death related to drunk driving.

Question 3 of 5

What community health nursing action can help prevent depression in older persons who are at high risk for it?

Correct Answer: B

Rationale: The correct answer is B, monitoring for signs and symptoms of depression. This is crucial in preventing depression in older persons as early detection allows for timely intervention. Choice A is incorrect as isolation in a nursing home may worsen depression. Choice C is not specific enough to target high-risk individuals. Choice D, while positive, doesn't address the need for active monitoring and intervention. Therefore, choice B is the best option for preventive action.

Question 4 of 5

The incidence of type 2 diabetes among Indigenous peoples (First Nations, Inuit, and Métis) is three to five times higher than in the general population. When teaching a nutrition class to a group of mostly Indigenous students, the community health nurse (CHN) incorporates into the presentation such foods as bannock and other healthy dishes familiar to Indigenous students. What level of prevention does this culturally sensitive action represent?

Correct Answer: A

Rationale: The correct answer is A: Primary prevention. This action falls under primary prevention because it aims to prevent the occurrence of type 2 diabetes in Indigenous peoples by promoting healthy eating habits through culturally sensitive foods. By incorporating familiar and healthy dishes into the nutrition class, the community health nurse is focusing on preventing the development of the disease before it occurs. This approach addresses the underlying risk factors for diabetes, such as poor diet, in a proactive manner. Summary of other choices: B: Secondary prevention involves early detection and treatment of a disease to prevent complications. This action does not focus on early detection but rather on prevention. C: Tertiary prevention focuses on managing complications and improving quality of life for those already diagnosed with a disease. This action is aimed at preventing diabetes rather than managing its complications. D: This action is primarily focused on preventing the occurrence of type 2 diabetes before it develops, making it more aligned with primary prevention than secondary prevention.

Question 5 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.

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