Question 1

Which level of prevention is a CHN practising when she offers homeless clients yearly tuberculosis (TB) screening and free treatment for those who test positive?

Accepted Answer

A)  Primary prevention 
B)  Secondary prevention 
C)  Tertiary prevention 
D)  Secondary and tertiary prevention

Question 2

A CHN who works at a clinic for homeless persons wants to institute a more efficient treatment for chronic wounds. What CHN action offers the best way to improve outcomes for these clients?

Accepted Answer

A)  Administer antibiotics to all homeless persons with chronic, nonhealing wounds. 
B)  Facilitate daily access to a room with soap, water, and bandages. 
C)  Provide free bandaging supplies to clients at each clinic visit. 
D)  Regularly monitor the wound condition of clients.

Question 3

Which characteristics observed in a teenage boy should always alert the CHN to the possibility of suicide?

Accepted Answer

A)  Age between 15 and 19 years 
B)  Questioning sexual orientation and history of depression 
C)  Threatening to cause harm to peers 
D)  A history of torturing and abusing animals

Question 4

What is a primary cause of vulnerability?

Accepted Answer

A)  Breakdown of family structures 
B)  Poverty 
C)  Prejudice 
D)  Social isolation

Question 5

Which action by a case manager would be classified as primary prevention?

Accepted Answer

A)  Advocating for the client whose values conflict with those of the medical service provider 
B)  Collaborating between nursing and occupational health personnel 
C)  Educating a group regarding community services that are available if they are ever needed 
D)  Resolving conflict between a primary care clinic and a tertiary care facility

Question 6

What CHN action can help prevent depression in older adults who are at high risk for it?

Accepted Answer

A)  Encourage them to move to a nursing home where they will have the company of others in the same age group. 
B)  Monitor for signs and symptoms of depression. 
C)  Organize a health promotion program for older adults at the local centre. 
D)  Encourage older adult clients to focus on their strengths rather than their weaknesses.

Question 7

A mother confides to the CHN that her live-in boyfriend pushed her 2-year-old child because he was crying too much. She begs the CHN not to tell anyone because her boyfriend has agreed to take anger management classes. What should the CHN do?

Accepted Answer

A)  Abide by the mother's wishes because this information was provided in confidence. 
B)  Arrange for the earliest available counselling for the boyfriend. 
C)  Advise the mother to take the child away from the boyfriend and find alternative housing right away. 
D)  Report the incident to the child protection agency.

Question 8

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

Accepted Answer

A)  All teen pregnancies are considered high risk. 
B)  Limited knowledge can lead to pregnancy complications. 
C)  Pregnant teens are less likely to focus on proper prenatal nutrition. 
D)  Pregnant teens who are poor are more likely to have poorer health outcomes.

Question 9

What action is the best example of enabling in a family with an alcoholic father?

Accepted Answer

A)  The father asks the CHN to explain why his continued drinking is dangerous. 
B)  The son threatens to leave the home because he finds his father's behaviour embarrassing. 
C)  The teenage daughter turns to a favourite teacher for support. 
D)  The wife tells her husband's boss that her husband is sick when he is actually inebriated.

Question 10

Which one of the following is an example of tertiary prevention by a CHN?

Accepted Answer

A)  Administering the Mantoux (skin) test to identify persons with TB 
B)  Assessing for signs and symptoms of active TB 
C)  Directly observing clients with active TB as they take their antituberculosis medications 
D)  Interpreting TB skin test results

Question 11

During a group counselling session for perpetrators of intimate partner violence, which client statement indicates a lack of insight into his violent behaviour?

Accepted Answer

A)  "I have been taking out my frustrations about work on my girlfriend." 
B)  "I love my girlfriend and didn't want to hurt her; it was an accident." 
C)  "It might be a good idea for me to temporarily leave the house when I feel I am getting angry." 
D)  "When I drink alcohol, I become more abusive toward my girlfriend."

Exam 15: Working With Vulnerable Populations