Exam 7: Theoretical Foundations of Community Health Nursing

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What type of knowledge represents the most abstract level of knowledge, identifies the phenomenon of central concern to a discipline, and describes concepts and the relationships among them?

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C

Discuss the importance of the Intervention Wheel

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-It is an evidence-based and validated public health nursing conceptual model
-It demonstrates how public health nursing improves population health through interventions with individuals, families, and communities
-It identifies 17 core public health nursing interventions that are common to the work of public health nurses
-It is population based; all work is carried out in the service of improving population health
-It is transferable to other areas of community health nursing practice

Why is Orem's Self-Care Deficit Nursing Theory applicable to community health nursing practice?

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Describe the Canadian Community as Partner Model

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What term is used to describe an organized, coherent, and systematic articulation of a set of statements related to significant questions in a discipline?

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Orem's (1985) Self-Care Deficit Nursing Theory is best used in which type of community health nursing practice?

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Which of the following theories pushes community health nurses to consider the web-like influences at play in any situation and the interrelationships among multiple agents in the system?

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Emily is a community health nurse that needs to address the underlying power differentials and social inequities at a meat packing plant that hires a large portion of immigrant people. Which type of theory should Emily consider using to guide her practice?

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Susan is a public health nurse who engages in home visits with new mothers who are at risk of poor parenting practices. Susan works with her clients to build trusting relationships. To increase the effectiveness of home visiting and to establish a connected relationship, which theory guides Susan to understand mothers' perspectives as they build trust together?

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Takeshi is a community health nurse who is working with children who sustained playground injuries and their families. In order to build rapport with the families in the community, Takeshi is authentically present and works together with the families to seek creative solutions to prevent further injuries. Takeshi shows her clients respect, compassion, and dignity. What adjective best describes Takeshi's community health nursing practice?

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Jasdeep is a community health nurse working with a group of young mothers who are feeding their children a diet high in carbohydrates. Jasdeep identifies an opportunity for health promotion teaching. Which community health nursing conceptual model would help guide Jasdeep's nursing practice?

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Carper (1978) identified four fundamental patterns of knowing in nursing. Which of the following is a correct representation of Carper's patterns of knowing?

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When community health nurses work with vulnerable families living in poverty, it is especially important to develop a trusting and respectful relationship with them. It is important to understand how personal, interpersonal, and contextual elements shape people's experiences. What middle range theory listed below is best suited for such situations?

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Over the past three decades, many nurses have expressed a concern about the lack of theory development in community health nursing. Why is this such a significant concern?

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In his community health nursing practice, Jesse facilitates the establishment of a "good food box" system in an impoverished neighbourhood. In this system, families are charged a small fee and receive seasonal fruits and vegetables once a week. Families normally hear about this via work of mouth and are invited to participate. What theory does Jesse use to guide his practice?

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Scott is a community health nurse working with the homeless population. He uses a model that has two dimensions: (1) the client system and (2) the focus of care. Scott realizes that working with this population will entail health promotion, the prevention of illness, disease, and injury as well as illness care. Which model will best serve Scott in his nursing practice?

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An important philosophical value in community health nursing is to promote the common good. This means that:

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George is working with the Bearskin Lake First Nation in Northern Ontario. He considers the historical influences have shaped the present context of the health of the community. What theoretical perspective is guiding George's community health nursing practice?

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Which type of theories are the least complex, contain fewer concepts, and refer to specific, well-defined phenomena?

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Maria is a community health nurse working in a culturally diverse neighbourhood. She engages community members to learn and understand more about local belief systems. She hopes to use this new knowledge to help her community build capacity and decrease inequities in health status. Which middle range theory would best serve Maria?

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