Which type of conflict may be experienced when a community health nurse (CHN) supports a palliative care client's decision to die at home but the family physician believes that the client should be in a hospital?

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NCLEX Questions and Answers in Community Health Nursing Questions

Question 1 of 5

Which type of conflict may be experienced when a community health nurse (CHN) supports a palliative care client's decision to die at home but the family physician believes that the client should be in a hospital?

Correct Answer: D

Rationale: The correct answer is D: Interdisciplinary conflict. This type of conflict arises when professionals from different disciplines have differing opinions or approaches to a situation. In this scenario, the conflict stems from the differing perspectives of the community health nurse (CHN) and the family physician regarding the best care setting for the palliative care client. The CHN prioritizes the client's preference for dying at home, while the physician may prioritize medical care in a hospital setting. This conflict highlights the clash between healthcare professionals' roles, expertise, and values, leading to potential disagreements on the best course of action. Interpersonal conflict (A) involves conflicts between individuals, whereas intrapersonal conflict (B) is an internal conflict within an individual. Intergroup conflict (C) typically involves conflicts between different groups, rather than individual professionals within a healthcare team.

Question 2 of 5

Which one of the following is a feature of community capacity building?

Correct Answer: C

Rationale: Community capacity building involves empowering communities to identify and address their own needs. Option C, obtaining sustainable financial resources, is a key feature as it enables communities to fund projects and initiatives independently. This increases their autonomy and sustainability. Asking why (Option A) is a critical thinking skill but not a specific feature of capacity building. Assessing the status quo (Option B) is important for understanding current community strengths and weaknesses but does not necessarily build capacity. Ensuring government involvement (Option D) is beneficial but not a defining feature of community capacity building, as true empowerment comes from community-led initiatives.

Question 3 of 5

What definition accurately reflects the meaning of the term health inequities?

Correct Answer: C

Rationale: The correct answer is C because health inequities refer to unjust and avoidable disparities in health outcomes that are rooted in social injustices. This definition highlights the importance of taking reasonable actions to address these disparities, such as ensuring access to healthcare and addressing social determinants of health. Choice A is incorrect as it focuses on the accumulation of factors leading to poor health, which is more aligned with the concept of health determinants. Choice B is incorrect as it suggests that individuals are solely responsible for their health outcomes, ignoring systemic factors. Choice D is incorrect as it only mentions variations in health status without emphasizing the unfairness and avoidability of these differences.

Question 4 of 5

What action should a community health nurse (CHN) take when using the case management approach with structurally vulnerable populations?

Correct Answer: A

Rationale: Step 1: Establishing trust and rapport is crucial in case management with structurally vulnerable populations. Step 2: Long-term relationships allow CHNs to understand complex needs and provide holistic care. Step 3: CHNs should support families without imposing control to empower them. Step 4: Consistency in relationships fosters stability and continuity of care. Therefore, choice A is correct as it emphasizes building long-term relationships based on trust and support. Choices B, C, and D are incorrect as they do not prioritize the establishment of trusting relationships and empowerment of families.

Question 5 of 5

What information is most important to keep in mind when caring for a pregnant adolescent?

Correct Answer: B

Rationale: The correct answer is B because limited knowledge can lead to pregnancy complications in pregnant adolescents. Having adequate knowledge about prenatal care, nutrition, and potential risks is crucial for ensuring a healthy pregnancy. Incorrect choices: A: Not all adolescent pregnancies are high risk. Risk factors vary based on individual circumstances. C: While some pregnant adolescents may struggle with proper nutrition, it is not a general rule. D: Socioeconomic status can influence health outcomes, but it is not the most important factor in caring for pregnant adolescents.

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