CPNRE Community Health and Home Care Nursing

Question 1

During a home visit, a PN notices that an elderly client's refrigerator contains expired food and the client appears confused about when they last ate.
Which of the following is the PN's priority action?

Accepted Answer

Conduct a comprehensive nutritional and cognitive assessment and discuss findings with the care team

Answer

Report the client to Adult Protective Services immediately

Answer

Provide the client with a grocery list and schedule another visit in 2 weeks

Answer

Arrange for Meals on Wheels without further assessment

Question 2

A PN working in a community health centre is conducting a community needs assessment. Which data source would be most useful for identifying the leading causes of preventable death in the catchment area?

Accepted Answer

Provincial vital statistics and epidemiological data

Answer

Individual client intake forms from the past month

Answer

A survey of PN opinions about common presenting problems

Answer

The centre's appointment scheduling records

Question 3

Which of the following is a social determinant of health that a PN should consider when planning care for a client in the community?

Accepted Answer

The client's housing stability and income level

Answer

The client's current serum albumin level

Answer

The client's most recent blood pressure reading

Answer

The client's prescribed medication list

Question 4

A PN in a home care setting observes that a client is not taking their medications as prescribed. Before concluding the client is non-compliant, which factor should the PN explore first?

Accepted Answer

Whether the client can afford the medications and read the labels

Answer

Whether the client understands the consequences of not taking their medications

Answer

Whether the client's family agrees with the medication regimen

Answer

Whether the prescribing physician is aware of the client's history

Question 5

A public health PN is planning a vaccination clinic for an underserved community. Which approach best reflects culturally safe nursing practice?

Accepted Answer

Translating pamphlets into the dominant local language and partnering with community leaders

Answer

Scheduling the clinic during standard business hours for staff convenience

Answer

Offering only English-language education materials as a standardization measure

Answer

Focusing education efforts solely on the health risks of not vaccinating

Question 6

A PN providing home care for a client with COPD notes that the client is smoking inside the home. The client states, 'I know it's bad, but I've smoked for 40 years and it's my choice.' What is the most appropriate response?

Accepted Answer

Acknowledge the client's autonomy, provide brief cessation information, and document the discussion

Answer

Refuse to continue the home visit until the client agrees to stop smoking

Answer

Document the refusal and take no further action to respect autonomy

Answer

Contact the family to intervene on the client's behalf without the client's knowledge