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29 Cards in this Set

  • Front
  • Back

A CHN develops a series of educational sessions on prostate cancer for the local TV channel as well as the local community newsletter.

(1) Health Promotion

A CHN works with a group of community residentsto establish a community garden to positively impact food choices forcommunity members.

(1) Health Promotion

A CHN uses change theory to plan a smokingcessation program in a local high school.

(1) Health Promotion

A CHN notices that community members onincome support have a higher incidence of respiratory illness and wants to findout why.

(1) Health Promotion

A CHN facilitates a group who is working tochange the rate of motor vehicle accidents in the area.

(1) Health Promotion

A CHN prepares a plan for her elementary schoolon how to prevent the spread of head lice in students in the school.

(2) Prevention and Health Protection

A CHN submitsweekly communicable disease events to her supervisor. She notices that therate of STIs has increased in her district, and uses this information to planstrategies to address this increase.

(2) Prevention and Health Protection

A CHN notices that the incidence of flu ishighest in November and December. He plans a flu vaccine campaign forOctober.

(2) Prevention and Health Protection

On a home visit, a parent tells a CHN that shehas ‘lost it’ with her preschooler on a number of cases and hit him in thehead. The CHN reports this to Child Protection Services.

(2) Prevention and Health Protection

A CHN is visiting a family who has a terminallyill member who has requested to die at home. The CHN collaborates with thefamily to evaluate the outcomes relative to the physical, emotional, andspiritual care of the client and the family.

(3) Health Maintenance, Restoration, and Palliation

A CHN does a physical assessment and a homeassessment with a couple, both in their 80s who still live in their home,but who have chronic health problems

(3) Health Maintenance, Restoration, and Palliation

A CHN visits a man who has just been dischargedfrom the hospital following a myocardial infarction. The CHN does somehealth teaching with the man and takes his blood pressure. He also discussesshort-term and long-term goals with respect to cardiac rehabilitation.

(3) Health Maintenance, Restoration, and Palliation

A CHN visits a number of community agencies in herdistrict related to health, recreation, employment, etc. She notices thatthere are no resources for women experiencing postpartum depression (PPD).She partners with a number of other health professionals as well as women whohave experienced PPD and have now recovered, to develop a PPD information andsupport group.

(3) Health Maintenance, Restoration, and Palliation

A CHN is an avid non-smoking advocate. Manyof the young parents in her caseload are smokers, some smoking in the presenceof their children. The CHN finds that she can be ‘curt’ with these clientsbecause of her own strong views and beliefs towards smokers; she seeks out acolleague to discuss how she can deal with this situation in an appropriatemanner.

(4) Professional Relationships

A CHN works with an aboriginal population.One of the cultural norms of this population is to largely avoid eye contactwhen communicating. The CHN is aware of this and adjusts his normalcommunication patterns accordingly.


(4) Professional Relationships

A CHN works with a number of hospital-based nurses toinstigate a program developed by the WHO for integrating hospital and communitysupport for breastfeeding mothers and infants – the Baby Friendly HospitalInitiative.

(4) Professional Relationships

A CHN is working with a number of teen mothers inthe Healthy Beginnings Program. Many of these teens are vulnerable and have hadpoor parenting models. The CHN recognizes that, because of her age and thefact that she has teenage children, boundaries might become blurred, so sheregularly consults with a colleague about her work with these mothers.

(4) Professional Relationships

A CHN works with teens, parents and teachersassociated with a local high school to develop a program that supportshealthy lifestyles choices among the teens in the school.

(5) Capacity Building

Josh, a single parent of two sons who have beendiagnosed with autism needs to advocate for school/home support for his sons. ACHN supports his plans, adding information where needed, which Josh canuse in his efforts.

(5) Capacity Building

Poor water quality has been an issue in a ruralcommunity but not much action has been taken by this community in spite ofencouragement from CHNs. After an E.Coli outbreak in the community, in whichseveral community members experienced significant health problems, thecommunity as a whole seems energized for action. CHNs seize the opportunityto develop a working group to address the issue of a safe water supply.


(5) Capacity Building

A Health issue of concern in a community is thelarge number of MVAs caused by poorly maintained roads and vehicles. CHNsassist concerned community members to gather available resources that supporttaking action to address this issue.

(5) Capacity Building

A CHN advocates for equitable access torecreation services for clients in his community who cannot afford to pay forrecreation programs, by asking recreational facilities to provide a certainnumber of passes for these clients.

(6) Access and equity

A CHN on a multidisciplinary team advocates forhealthy policies in the schools with respect to a healthy breakfast/lunchprograms for disadvantaged children.

(6) Access and equity

A CHN mobilizes resources for clients withsubstance abuse issues by facilitating the coordination of services appropriatefor them.

(6) Access and equity

A CHN identifies that pregnant teens are notaccessing prenatal education programs held at the local community center andstarts a teen pregnancy educative-supportive group in a local high school.

(6) Access and equity

ACHN regularly avails of professional development experiences to enhance herpractice.

(7) Professional Responsibility and Accountability

ACHN regularly preceptors a fourth year community health nursing student.

(7) Professional Responsibility and Accountability

ACHN is part of a group who is looking at the ethical issues concerning therights of smokers in a seniors housing development versus non-smokers, in termsof establishing smoking policies for the housing development.

(7) Professional Responsibility and Accountability

ACHN consults with a colleague to problem-solve a situation with respect to theright of parents to not immunize their children for religious reasons,considering the risks to the children in his discussion.

(7) Professional Responsibility and Accountability