N120 Lecture Questions Weeks 3-5

Week 3 Questions: What has the greatest influence on the subjective information the client provides during an assessment interview? A) The trust the client has in the nurse B) The client’s life experiences C) The assessment question being asked D) How the nurse presents the question to the client A student nurse is attempting to determine the level of wellness for a client with a chronic disease. The student should primarily address which of the following variables? A) The relationship between the client's self-assessment and the nurse's assessment B) The relationship between the client's mood and her physical status C) The client's health status in comparison with other adults of a similar age D) The client's individual experience of what it means to be healthy A student nurse is performing an assessment of a hospitalized client. What component of the assessment will allow the student to document data related to a subjective way of knowing? A) Auscultating the client's abdomen using his stethoscope B) Asking the client to describe the character of her abdominal pain C) Comparing the client's blood pressure in her left arm with that in her right arm D) Palpating the client's abdomen to determine whether it is firm A nursing student is attempting to assess a new client's level of spiritual wellness. What principle should guide this component of the student's assessment? A) It is beyond the scope of a nursing student or a recent nursing graduate. B) Spiritual assessment is important for clients who adhere to a religion. C) Each person understands and experiences spirituality in a unique way. D) Spiritual wellness is often indistinguishable from emotional wellness. What is true of the clients with disabilities? A) An appropriate wellness model maintains the individuality of the client. B) Most clients will benefit from similar environmental modifications. C) Impairments are both the cause of the disability itself and the cause of restrictions. D) In a health context, disability is viewed from a medical standpoint alone. Week 4 Questions: The use of food banks in Canada is primarily associated with A) Low socioeconomic status B) Homelessness C) Female-headed households D) Urban settings E) Indigenous peoples The social determinants of health are: A) The same as the determinants of health inequities B) Living conditions that shape the health of the population C) More likely to impact very low–income earners D) Part of access to health care services E) Less likely to impact the health of vulnerable populations than the rest of the population Health inequities are: A) Differences in health status both positive and negative B) Amenable to change C) The same as health inequalities D) Associated primarily with vulnerable populations E) Not a concern in wealthy countries such as Canada Actions to reduce health inequities include: A) Increasing privatization of health care. B) Establishment of welfare limits and stricter eligibility criteria. C) Guaranteed annual incomes. D) Continued gentrification and for-profit ownership in the housing market. E) Increasing the establishment of food banks. The nursing role to reduce vulnerability to the conditions that contribute to poor health through action on health equity and social justice is A) Part of every nursing role regardless of setting. B) Not related to professional nursing responsibilities in acute care settings. C) Assumed as a practice standard in all provinces. D) Is an added responsibility beyond professional and ethical responsibilities. E) Takes priority over clinical care. Week 5 Questions: A nurse is planning a client's care and is aware that the client's current health status is a result of the determinants of health. What assessment should the nurse conduct? A) Assessing the client's political preferences B) Assessing the client's preferred recreational activities C) Assessing the client's income level D) Assessing the client's level of responsibility in the community What was Canada’s predominant approach to health care prior to the 1970s? A. Behavioural B. Medical C. Cultural D. Socioenvironmental A nurse is planning the care of a client who has been diagnosed with a heart valve infection that has been attributed to intravenous heroin use. When applying a socioenvironmental approach to this client's care, what question should guide the nurse's assessment? A) “What are the characteristics of this client's health status that made him vulnerable to illness?” B) “What could this client have done differently in order to protect his health?” C) “Is this client's illness the result of society, or is he personally responsible for it?” D) “How did this client's behaviours intersect with external factors and influence his health?” A nurse who provides care at a long-term care facility is assessing a resident's risk for falls by measuring her blood pressure while lying, sitting, and standing. In addition, the nurse assesses the client's level of consciousness by asking her to state her name, the location of the facility, and today's date. This nurse is assessing the resident's health according to what approach? A) Medical approach B) Behavioural approach C) Socioenvironmental approach D) Holistic approach A nurse's colleague has suggested having clients who use the emergency department pay a nominal fee in order to reduce health care costs in the province where they reside. How would the terms of the Canada Health Act (CHA) affect such a program? A) The practice would be a violation of the CHA unless it were applied to all care settings equally. B) The practice would be disallowed because it would be considered a form of taxation. C) The practice would be considered extra billing and would contravene the CHA. D) The practice would be allowed, provided the fee was set at a rate specified by the CHA. Which Pillar of the Canadian Health Care System addresses the need for uninterrupted health care coverage? A. Comprehensiveness B. Universality C. Accessibility D. Portability At what point of care is primary health care provided? Select all that apply. A. Public Health clinic B. Community hospital C. Cardiac specialist office D. Telehealth service E. In-home hospice care Answers to Multiple-Choice Questions in the Book, Chapter 2, Health Care in Canada and Issues of Health-Care Reform 1. d. Rationale: Public administration, comprehensiveness, universality, and accessibility all pertain to the grandmother’s status and eligibility for health care. Portability is not applicable because the grandmother has come from another country, not another province. 2. a. Rationale: Regulating of hospitals is not stated as a role of Health Canada. The other choices are stated roles of Health Canada. 3. a. Rationale: Administration of publicly funded system is the responsibility as outlined in the Canada Health Act legislation. The regional health authorities have no jurisdiction, and the system is not privately funded. 4. a. Rationale: Louis’s accompanying his grandmother represents the primary level of care because it was the first point of contact/entry into the health-care system accordingly. Secondary, tertiary, and quaternary levels of care are not the first point of entry to the healthcare system but may require referral from the primary care provider or admission through an emergency department. 5. c. Rationale: Referral to a specialist implies a secondary, tertiary, or quaternary level of care because these levels all require referral from primary care. Primary is incorrect because it is the first point of contact and does not need a referral. 6. d. Rationale: Professional competencies provide benchmarks for safe and competent professional practice. Professional guidelines require application of judgment according to professional competencies and standards; provincial and territorial guidelines are not benchmarks for nursing regulation; hospital standards are not benchmarks for nursing regulation. 7. b. Rationale: Gender, sex, and stress are considered standard determinants of health (SDoH) according to the definition of SDoH. Siblings, family size, family composition, social life, and amount of paid vacation are by definition not considered SDoH. Although culture may be considered an SDoH, hobbies and political opinion are not.