Exam 7: Theoretical Foundations of Community Health Nursing

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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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C

Stephanie is using the supportive care model for end of life care of a client in home care. Which Canadian Community Health Nursing Standard of Practice does this model align with?

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B

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

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A

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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Kenya is a community health nurse working with homeless teenagers in an inner-city community. As part of her nursing practice, Kenya helps her clients to identify the positive things in their lives, the things that are working well, and uses clients' strengths to help them deal with problems. Which middle range theory is Kenya using?

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Discuss the importance of the Intervention Wheel

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

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Describe the Canadian Community as Partner Model

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Community health nurses use theories to inform their practice. Which of the following statements is true about the use of theories:

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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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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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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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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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Sunil, a community health nurse, has brought a team of community stakeholders together. On a white board, Sunil identifies various issues in the community. They discuss and organize the issues according to the determinants of health. The team identifies potential community-level interventions for the issues. By engaging in this process, the team of stakeholders is developing a:

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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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Sameera, a community health nurse, is working in a low-income neighbourhood. In order to assess the health status of the neighbourhood, she gathers information about the interplay among the community and the social, institutional, and cultural context of people-environment relations. What theory is Sameera using to guide her 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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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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