Return to course: OIIAQ Question Bank
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Health Education and Resource Navigation
1. Mr. Leclerc, 78, is being discharged following treatment for pneumonia. He lives alone and walks with a cane due to osteoarthritis. While reviewing discharge teaching, the LPN notices he becomes confused when discussing medication schedules and follow-up appointments. He says, “My daughter visits once a week, but I can’t depend on her. I get tired easily, and I don’t know how I’ll manage at home.” The RN is preparing the discharge summary and asks the LPN whether any community resources should be suggested. Which resource should the LPN recommend to promote safe home recovery?
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Meals on Wheels
A home support service (SAPA/CLSC home care)
A private caregiver hired by the family
A physiotherapy gym in the community
2. A young adult patient, Ms. Roy, is discharged after an appendectomy. During teaching, she listens quietly but gives minimal responses. When asked where she will go for suture removal, she shrugs and says, “I’ll figure it out later.” The LPN notices she avoids asking questions and appears overwhelmed. Her partner is present but looking at his phone, not engaged. The RN asks the LPN to confirm that the patient understands the follow-up process. What should the LPN do to ensure comprehension?
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Ask, “Do you have any questions?” and proceed if she says no
Provide written instructions and assume she will read them
Use teach-back and ask her to explain when and where her follow-up will occur
Ask her partner to explain the instructions instead
3. Mrs. Kim, 62, is recovering from a UTI. At discharge, she quietly tells the LPN, “I don’t think I can afford all these medications… I don’t have private insurance. Maybe I’ll just take half the dose.” The LPN knows the prescribed antibiotics must be taken correctly to avoid complications. Her adult son, who usually helps financially, recently lost his job. The pharmacist is on-site and available. What is the most appropriate LPN action?
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Refer her to a social worker or pharmacist to explore coverage or lower-cost options
Tell her to take only the most important medications
Advise her to borrow money from family
Tell the physician to change the prescription to something cheaper
4. Mr. and Mrs. Drummond bring their 10-year-old daughter to the clinic after she is diagnosed with Type 1 diabetes. The parents appear overwhelmed and repeatedly ask, “How are we going to manage this at home?” They want guidance about nutrition, blood glucose monitoring, and emergency plans. The LPN has provided initial teaching, but the family still appears unsure and asks about long-term support. Which resource would best support this family after discharge?
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A local gym to encourage physical activity
Online videos about diabetes
A home renovation program for accessibility
A diabetes education center or nurse educator program
5. Mr. Alvarez, recently immigrated, comes to the outpatient clinic after abdominal surgery. He speaks limited French and limited English. His daughter helps interpret but is unable to attend all appointments due to work. The LPN completes wound care and reviews follow-up instructions, but Mr. Alvarez repeatedly looks confused. He finally says, “I don’t understand where to go next or how to get help if something happens.” What should the LPN do to support his navigation of care?
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Give written instructions in French and assume he will translate later
Ask his daughter to explain everything again by phone
Tell him to return to the clinic only if the wound looks infected
Request a professional interpreter and connect him with newcomer navigation services
6. Mrs. Pelletier, 83, was recently discharged after treatment for heart failure. Today, she returns to the clinic confused and unsure of why she has an appointment. She tells the LPN, “I didn’t know who to call, so I just came.” She lives alone and relies on neighbors for transportation. When the LPN reviews her discharge papers, it is clear that Mrs. Pelletier misunderstood the instructions regarding home nursing visits and follow-up with her cardiologist. She appears embarrassed and says softly, “Everything they told me went too fast.” What should the LPN do to help Mrs. Pelletier navigate her follow-up care?
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Tell her to call the cardiology clinic herself to clarify her appointments
Connect her with CLSC home care to coordinate follow-up and support
Mark the appointment dates in her calendar and send her home
Encourage her to rely more on her neighbors for information
7. Mr. Denis, 34, was evaluated in the emergency department after a panic attack. Before discharge, the LPN provides education about anxiety management. Mr. Denis looks worried and says quietly, “I know I need help, but I don’t even know where to start… I can’t wait months to see someone.” He explains that he does not have a family doctor and has never used community services. He asks the LPN what resources are available for mental health support while he waits for specialized care. Which resource should the LPN recommend?
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A private psychologist, since it is the fastest option
Online articles about anxiety management
A local crisis centre or community mental health support line
Emergency services for every panic symptom
8. A mother brings her 5-year-old son, recently immigrated, to the community clinic for recurrent asthma symptoms. She explains that she does not have a family doctor and does not know how to register for provincial healthcare services. She is worried because the pharmacy told her that her child’s inhaler refill may not be covered. She says anxiously, “I don’t understand how all this works here… I just want to take care of my son.” The LPN recognizes that the mother has language barriers and limited knowledge of available resources. What is the most appropriate resource to recommend?
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A walk-in clinic for all future healthcare needs
The provincial health registration service and newcomer community support
A private pediatrician
Emergency services for all asthma symptoms
9. Mr. Charron, 70, takes multiple medications for diabetes, hypertension, and COPD. During his clinic visit, the LPN observes that he brought all his medications mixed together in a plastic grocery bag. Several pill bottles are empty, dates are mismatched, and he admits, “I just take them when I remember.” His A1C is elevated, and he has missed two specialist appointments. He lives with his wife, who also struggles with memory issues. The LPN must help him access support to ensure safety. Which resource would be most beneficial for Mr. Charron?
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A physiotherapy program to improve endurance
Printed pamphlets about chronic disease
Asking his wife to help organize the medications
A pharmacy blister pack or medication management program
10. A 7-year-old boy fractured his femur and will require home care support after discharge, including assistance with bathing and mobility. His mother appears overwhelmed and says, “I don’t know how I’m going to manage work, the house, and his care. I’ve never had to deal with this.” The LPN realizes that although the mother understands medical instructions, she is unaware of community programs that can help with daily support. Which resource should the LPN recommend?
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A school tutoring program
A private daycare
Asking neighbors to help when available
A CLSC home care service for temporary assistance