Return to course: OIIAQ Question Bank
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Community and Health System Navigation
1. Sophie, 23, delivered her first baby 5 days ago. She is tearful, overwhelmed, and reports difficulty breastfeeding. She has no family in Canada and her partner works long hours. During the home visit, the LPN notices the baby has poor latch and Sophie shows early signs of postpartum blues. Which referral best addresses her immediate needs?
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Parenting hotline
Public health nurse
Nutritionist
Postpartum exercise group
2. Mr. Therrien, 81, lives alone on a farm 45 minutes from the nearest hospital. After hip surgery, he struggles with mobility and cannot drive. He needs wound checks, physiotherapy, and medication supervision. Which community service ensures safe home recovery?
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Volunteers for companionship
Daily visits from physiotherapy only
Request transportation vouchers
Home care nursing services
3. A Syrian mother brings her child for immunization but does not understand the schedule or follow-up visits. She repeatedly asks questions in Arabic and appears anxious. What is the most appropriate referral to support navigation of the system?
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Informal interpreter from the waiting room
Community cultural liaison or settlement services
Online vaccination schedule
Ask her spouse to translate
4. A 35-year-old expresses hopelessness and vague suicidal thoughts but refuses to go to the ER. He agrees to talk but says he “can’t face the hospital.” Which referral best fits the patient's condition while respecting autonomy?
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Outpatient psychiatry team
His family doctor
A meditation workshop
Crisis line or mobile crisis team
5. A 19-year-old has been stabilized after a first psychotic episode. His mother struggles to understand the system and asks for long-term help. Which service is most appropriate for ongoing community support?
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Addiction rehabilitation
Early psychosis intervention program
Walk-in counseling
Group home placement
6. A 6-year-old with cerebral palsy requires physiotherapy, occupational therapy, speech therapy, and specialized equipment. The parents report confusion about coordinating appointments. Which referral optimizes navigation?
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Social worker for school support
Family doctor only
Community pediatric rehabilitation center
Daycare educator
7. Mrs. Laramée shows mild confusion and difficulty managing medications after a stroke. Her husband says, “I can’t keep track of everything she’s supposed to take.” Which referral will best ensure safe medication management at home?
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Private caregiver
Adult day center
Peer stroke support group
Community pharmacist medication review
8. A 40-year-old patient recovering from a serious infection discloses that he is homeless and cannot maintain wound care supplies. Which referral is most urgent?
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CLSC nursing visit
Transitional shelter with medical support services
Employment center
Volunteer support organizations
9. A 78-year-old woman has frequent falls, trouble preparing meals, and worsening confusion. Her daughter worries that she is unsafe alone. Which referral most directly addresses functional and safety needs?
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Occupational therapy home safety assessment
Meal delivery service
Volunteer calling program
Library senior group
10. A man caring for his wife with moderate dementia reports exhaustion, insomnia, and emotional distress. He refuses long-term placement but needs relief. Which referral best supports his situation?
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Spousal counseling
Respite care services
Alzheimer’s information pamphlet
Emergency department evaluation