Chapter 11 Flashcards
Which areas should be targeted by the community health nurse (CHN) who wishes to
successfully establish a program to decrease childhood mortality rates?
a. Accidents and injuries
b. Acquired immune deficiency syndrome (AIDS)
c. Childhood obesity
d. Vaccine-preventable diseases
ANS: A
What is the most important action to be taken by the CHN who wishes to decrease childhood
obesity?
a. Lobbying legislators to enact stronger legislation regarding unhealthy lunches and
food from snack machines in schools
b. Increasing availability of nutrition programs in which schoolchildren are taught to
make healthy food choices
c. Involving the entire family in the management of obesity in a child
d. Providing after-school activities and summer camps that focus on diet and exercise
ANS: C
What constitutes tertiary prevention by a CHN who wants to promote improved health in
obese children?
a. Establishing lifestyle improvement programs through local youth organizations
b. Evaluating the food intake of a group of children for a 48-hour period
c. Providing educational programs to overweight prospective parents because they
are at greater risk of having overweight children
d. Measuring body mass index in children during regularly scheduled well-child
assessments
ANS: A
Which statement provides the best definition of women’s health?
a. Women’s health is health care taken in fostering gynecological and reproductive
wellness.
b. Women’s health is health care that assists the transition from girlhood to
womanhood and through menopause.
c. Women’s health includes health promotion, health protection, and health
maintenance across a woman’s lifespan.
d. Women’s health is the management and treatment of conditions unique to the
female sex.
ANS: C
What constitutes secondary prevention by a CHN who wants to promote improved health in
obese women?
a. Educating women about the risks of obesity
b. Preventing long-term complications of preexisting hypertension
c. Modification of women’s diet and medications, as indicated
d. Screening using a full glucose tolerance test
ANS: D
What is the primary determining factor of poor health outcomes in women?
Feelings of powerlessness
b. Lack of knowledge
c. Poverty
d. Stress
ANS: C
What is the nursing specialty that focuses on holistic care of older adult clients?
a. Older adult care
b. Geriatrics
c. Geripsychiatric nursing
d. Gerontological nursing
ANS: D
What would be the best CHN referral for a physically and mentally challenged older adult
who wants to continue living with her family but whose family members are all working
outside the home?
a. Adult daycare services
b. Home health care
c. Long-term care
d. Older adult centres
ANS: A
According to the Comprehensive School Health Framework of health promotion, what is the
correct definition of primordial prevention?
a. Interventions aimed at educating children about health risks
b. Preventing risk factors of health issues from ever occurring
c. Screening activities aimed at improving student health
d. Activities aimed at reducing the health complications associated with disease
ANS: B
Which type of prevention is exemplified by the administration of vaccines to promote child
and adolescent health?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Both primary and secondary prevention
ANS: A
What would constitute tertiary prevention by a CHN who wants to promote better health in
women with diabetes?
a. Establishing lifestyle improvement programs for women at risk of developing
diabetes
b. Including presentations on lifestyle management at women’s conferences
c. Monitoring blood glucose levels closely and recommending necessary diet
modifications
d. Screening glucose levels in women at risk for developing diabetes
ANS: C
Which preventative measure would be included as primary prevention of osteoporosis in
women?
a. A diet rich in calcium and vitamin D
b. Exposure to sunlight for 40 minutes a day, recommended as an alternative source
of vitamin D
c. Exercise, especially non–weight-bearing activity
d. Weight control
ANS: A
The second leading cause of cancer deaths in Canadian women is colorectal cancer. What is
key to improving long-term survival in women with colorectal cancer?
a. Screening and treatment
b. Primary prevention and early detection
c. Providing information and chemotherapy
d. Prevention of infections and smoking cessation
ANS: B
Testicular cancer is a common solid-tumour malignancy affecting men aged 15 to 35. What is
the most common symptom of testicular cancer?
a. Low back pain
b. Fatigue
c. Painless, firm scrotal mass or swelling
d. Mild to moderate pressure to the scrotum
ANS: C
CHNs who work with older adults 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?
a. Dementia is a mood disorder.
b. Dementia is acute confusion.
c. Dementia means forgetfulness.
d. Dementia is progressive intellectual impairment.
ANS: D
