Test Item File for Community Health Nursing: A Canadian Perspective, Sixth Edition 1-1
Chapter 1: The History of Community Health Nursing in Canada
Multiple Choice Questions
1. Who would a district or visiting nurse most likely work with in the early 1900s in
Canada?
a. Families who could afford to pay
b. Families who had limited finances
c. The entire community in rural areas
d. Children who did well in school
Correct Answer: b; Learning Outcome 1
2. Which community health nursing specialty emerged in early 20th-century Canada
to combat communicable disease, infant mortality, and childhood morbidity?
a. Visiting nursing
b. District nursing
c. Private duty nursing
d. Public health nursing
Correct Answer: d; Learning Outcome 2
3. In the early 20th century, most nurses were self-employed as private-duty
nurses. Which statement below characterizes the social attitude of the era?
a. Public health was the responsibility of doctors
b. Visiting nurses were responsible for community health
c. Private duty nurses were considered among the elite
d. Women should not be working outside of the family
Correct Answer: c; Learning Outcomes 1 & 2
,Test Item File for Community Health Nursing: A Canadian Perspective, Sixth Edition 1-2
4. What was the primary reason for the establishment of school health programs?
a. Prevent ill children from becoming dependent citizens
b. Promote the health of all children
c. Provide food for children who lived in poverty
d. Treat sick children so they could work and contribute to the family income
Correct Answer: b; Learning Outcomes 3 & 4
5. The earliest forms for healthcare in Canada were:
a. The practices of Indigenous people
b. European settlers who were physicians
c. The wives of surgeons
d. The Grey Nuns
Correct Answer: a; Learning Outcomes 1, 2, 4, & 5
6. ___________________ were Canada’s first community nursing order who made
significant contributions to promote health equity by providing access to health
services, food, shelter, and education for people rendered vulnerable:
a. The Victorian Order of Nurses
b. The Grey Nuns
c. Public Health Nurses
d. School Nurses
Correct Answer: b; Learning Outcomes 1, 2, 3, & 4
7. The dual mandate of doing charitable work and providing affordable nursing care
to the working and middle class was held by which agency?
a. The Margaret Scott Nursing Mission
b. The Victorian Order of Nurses
c. Indian Health Services
d. Public Health Services
Correct Answer: b; Learning Outcomes 1, 2, & 3
,Test Item File for Community Health Nursing: A Canadian Perspective, Sixth Edition 1-3
8. How were public health nurses and home visiting nurses different from nurses
employed in other sectors of the healthcare system?
a. They received less compensation for their services
b. They were dependent on other health care professionals
c. They required post-diploma training at a university
d. They offered services to the elite living in urban districts
Correct Answer: c; Learning Outcomes 1 & 2
9. Which of the following were the first two public health nursing specialties?
a. TB nursing and school nursing
b. Private duty nursing and TB nursing
c. Home-visiting nursing and school nursing
d. Outpost nursing and school nursing
Correct Answer: a; Learning Outcomes 1 & 3
10. What was the role of the first public health nurses in Canada? Select all that
apply.
a. To combat communicable diseases
b. To decrease infant mortality
c. To secure housing for everyone
d. To promote health of school children
Correct Answer: a, b, d; Learning Outcomes 3 & 4
11. Which organization is credited for establishing well-baby clinics?
a. The Grey Nuns
b. The Victorian Order of Nurses
c. The Red Cross
d. Provincial Health Departments
Correct Answer: c; Learning Outcome 1
, Test Item File for Community Health Nursing: A Canadian Perspective, Sixth Edition 1-4
12. Why did local physicians sometimes not support public health programs? Select
all that apply.
a. There would be competition between nurses and physicians for income
b. There were many physicians in the rural areas and few in urban areas
c. They feared public health nurses would provide majority of primary care
d. Local health departments catered to the majority with significant concerns
Correct Answer: a, c; Learning Outcomes 2 & 3
13. Which of the following roles best describes the work of the district and visiting
nurse? Select all that apply.
a. They provided essential emergency care
b. They provided bed-side nursing and health education
c. They provided obstetrical care in the home
d. They provided preventative health teaching
Correct Answer: a, b, c, d; Learning Outcomes 1 & 2
14. How did publicly funded healthcare programs change the work of visiting nursing
associations?
a. The Victorian Order of Nurses took over public health programs
b. Visiting nurses provided care to those who could not afford it
c. Hospital admission became the norm for those requiring obstetrical care
d. Chronically ill individuals no longer remained in community settings
Correct Answer: c; Learning Outcome 1
15. Military nursing requires the nurse to demonstrate which of the following
competencies of community health nursing? Select all that apply.
a. A narrow vision that does not involve primary or secondary care
b. The ability to provide population health approaches
c. The ability to adapt practice in diverse settings
d. The ethical comportment to address conflicts that involve violence
Correct Answer: b, c, d; Learning Outcomes 2, 3, & 4
Chapter 1: The History of Community Health Nursing in Canada
Multiple Choice Questions
1. Who would a district or visiting nurse most likely work with in the early 1900s in
Canada?
a. Families who could afford to pay
b. Families who had limited finances
c. The entire community in rural areas
d. Children who did well in school
Correct Answer: b; Learning Outcome 1
2. Which community health nursing specialty emerged in early 20th-century Canada
to combat communicable disease, infant mortality, and childhood morbidity?
a. Visiting nursing
b. District nursing
c. Private duty nursing
d. Public health nursing
Correct Answer: d; Learning Outcome 2
3. In the early 20th century, most nurses were self-employed as private-duty
nurses. Which statement below characterizes the social attitude of the era?
a. Public health was the responsibility of doctors
b. Visiting nurses were responsible for community health
c. Private duty nurses were considered among the elite
d. Women should not be working outside of the family
Correct Answer: c; Learning Outcomes 1 & 2
,Test Item File for Community Health Nursing: A Canadian Perspective, Sixth Edition 1-2
4. What was the primary reason for the establishment of school health programs?
a. Prevent ill children from becoming dependent citizens
b. Promote the health of all children
c. Provide food for children who lived in poverty
d. Treat sick children so they could work and contribute to the family income
Correct Answer: b; Learning Outcomes 3 & 4
5. The earliest forms for healthcare in Canada were:
a. The practices of Indigenous people
b. European settlers who were physicians
c. The wives of surgeons
d. The Grey Nuns
Correct Answer: a; Learning Outcomes 1, 2, 4, & 5
6. ___________________ were Canada’s first community nursing order who made
significant contributions to promote health equity by providing access to health
services, food, shelter, and education for people rendered vulnerable:
a. The Victorian Order of Nurses
b. The Grey Nuns
c. Public Health Nurses
d. School Nurses
Correct Answer: b; Learning Outcomes 1, 2, 3, & 4
7. The dual mandate of doing charitable work and providing affordable nursing care
to the working and middle class was held by which agency?
a. The Margaret Scott Nursing Mission
b. The Victorian Order of Nurses
c. Indian Health Services
d. Public Health Services
Correct Answer: b; Learning Outcomes 1, 2, & 3
,Test Item File for Community Health Nursing: A Canadian Perspective, Sixth Edition 1-3
8. How were public health nurses and home visiting nurses different from nurses
employed in other sectors of the healthcare system?
a. They received less compensation for their services
b. They were dependent on other health care professionals
c. They required post-diploma training at a university
d. They offered services to the elite living in urban districts
Correct Answer: c; Learning Outcomes 1 & 2
9. Which of the following were the first two public health nursing specialties?
a. TB nursing and school nursing
b. Private duty nursing and TB nursing
c. Home-visiting nursing and school nursing
d. Outpost nursing and school nursing
Correct Answer: a; Learning Outcomes 1 & 3
10. What was the role of the first public health nurses in Canada? Select all that
apply.
a. To combat communicable diseases
b. To decrease infant mortality
c. To secure housing for everyone
d. To promote health of school children
Correct Answer: a, b, d; Learning Outcomes 3 & 4
11. Which organization is credited for establishing well-baby clinics?
a. The Grey Nuns
b. The Victorian Order of Nurses
c. The Red Cross
d. Provincial Health Departments
Correct Answer: c; Learning Outcome 1
, Test Item File for Community Health Nursing: A Canadian Perspective, Sixth Edition 1-4
12. Why did local physicians sometimes not support public health programs? Select
all that apply.
a. There would be competition between nurses and physicians for income
b. There were many physicians in the rural areas and few in urban areas
c. They feared public health nurses would provide majority of primary care
d. Local health departments catered to the majority with significant concerns
Correct Answer: a, c; Learning Outcomes 2 & 3
13. Which of the following roles best describes the work of the district and visiting
nurse? Select all that apply.
a. They provided essential emergency care
b. They provided bed-side nursing and health education
c. They provided obstetrical care in the home
d. They provided preventative health teaching
Correct Answer: a, b, c, d; Learning Outcomes 1 & 2
14. How did publicly funded healthcare programs change the work of visiting nursing
associations?
a. The Victorian Order of Nurses took over public health programs
b. Visiting nurses provided care to those who could not afford it
c. Hospital admission became the norm for those requiring obstetrical care
d. Chronically ill individuals no longer remained in community settings
Correct Answer: c; Learning Outcome 1
15. Military nursing requires the nurse to demonstrate which of the following
competencies of community health nursing? Select all that apply.
a. A narrow vision that does not involve primary or secondary care
b. The ability to provide population health approaches
c. The ability to adapt practice in diverse settings
d. The ethical comportment to address conflicts that involve violence
Correct Answer: b, c, d; Learning Outcomes 2, 3, & 4
