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Test BankCommunity
Health
Nursing in
Canada 4 th
Edition
GradesA+
2023-2024
, Chapter 01: Community Health Nursing
Stanhope: Community Health Nursing in Canada, 4th Canadian Edition
MULTIPLE CHOICE
1. Which of the following best describes community health nursing?
a.
Giving care with a focus on the aggregate’s needs
b.
Giving care with a focus on the group’s needs
c.
Focusing on the health care of individual clients in the community
d.
Working with an approach of unique client care
ANS: C
By definition, community health nursing is the health care of individual clients in
the community.
DIF: Cognitive Level: Knowledge/Remember REF: p. 3
OBJ: 1.6
TOP: Client Need: Safe and Effective Care Environment - Management of Care
2. Which of the following best describes primary health care?
a.
A comprehensive way to address issues of social justice
b.
Giving care to manage acute or chronic conditions
c.
Giving direct care to ill individuals within their family setting
d.
Having the goal of health promotion and disease prevention
ANS: A
By definition, primary health care is comprehensive and addresses issues of social justice and
equity. Social justice in the context of health refers to ensuring fairness and equality in health
services so that vulnerable individuals in society have easy access to health care.
DIF: Cognitive Level: Knowledge/Remember REF: p. 10
OBJ: 1.4 TOP: Client Need: Health Promotion and Maintenance
3. The health of which of the following is the primary focus of public health nurses (PHNs)?
a.
Families
b.
Groups
c.
Individuals
d.
Populations
ANS: D
PHNs use knowledge of nursing, social sciences, and public health sciences for the
promotion and protection of health and for the prevention of disease among populations.
DIF: Cognitive Level: Knowledge/Remember REF: p. 13, Table 1-4 | p.
20 OBJ: 1.5 TOP: Client Need: Health Promotion and Maintenance
,4. Which change is the primary explanation for life expectancy increasing so notably since
the early 1900s?
a.
An increase in findings from medical laboratory research
b.
Incredible advances in surgical techniques and procedures
c.
Improved sanitation and other public health activities
d.
increased use of antibiotics to fight infections
ANS: C
Improvement in control of infectious diseases through immunizations, sanitation, and
other public health activities led to the increase in life expectancy since the early 1900s.
DIF: Cognitive Level: Knowledge/Remember REF: pp. 12-13
OBJ: 1.5 TOP: Client Need: Health Promotion and Maintenance
5. Which community health nursing practice area receives funding from the private sector?
a.
Telenurses
b.
Corrections nurses
c.
Nurse entrepreneurs
d.
Street or outreach nurses
ANS: C
The nurse entrepreneur receives private funding, whereas all of the other community
health nurse (CHN) roles are with provincially or federally funded positions.
DIF: Cognitive Level: Knowledge/Remember REF: p. 22, Table 1-4
Examples OBJ: 1.6
TOP: Client Need: Safe and Effective Care Environment - Management of Care
6. A PHN strives to prevent disease and disability, often in partnership with other
community groups. Which statement is an appropriate summary of the PHN’s role?
a.
The PHN asks the political leaders what interventions should be chosen.
b.
The PHN assesses the community and decides on appropriate interventions.
c.
The PHN uses data from the main health care institutions in the community
to determine needed health services.
d.
The PHN works with community members to carry out public health functions.
ANS: D
It is crucial that the PHN work with members of the community to carry out core public
health functions.
DIF: Cognitive Level: Application/Apply REF: p. 13, How To box
OBJ: 1.5 TOP: Client Need: Health Promotion and Maintenance
7. Which of the following is used as a measurement of population health?
a.
Health status indicators
b.
The levels of prevention
c.
The number of memberships at the local fitness centre
d.
Reported provincial alcohol and tobacco sales in any given month
ANS: A
Population health refers to the health outcomes of a population as measured by
determinants of health and health outcomes.
DIF: Cognitive Level: Knowledge/Remember REF: p. 16
OBJ: 1.2 TOP: Client Need: Health Promotion and Maintenance
, 8. A registered nurse (RN), has just been employed as a CHN. Which question would be
most relevant to her practice as she begins her position?
a.
“Which community groups are at greatest risk for problems?”
b.
“Which patients should I see first as I begin my day?”
c.
“With which physicians will I be collaborating most closely?”
d.
“Who is the nursing assistant to whom I can refer patients?”
ANS: A
CHNs apply the nursing process to the entire community; asking which groups are at
greatest risk reflects a community-oriented perspective. The other possible responses focus
on particular individuals.
DIF: Cognitive Level: Application/Apply REF: p. 15
OBJ: 1.6 TOP: Client Need: Health Promotion and Maintenance
9. The CHN working with women at the senior citizens’ centre reminds them that the only
way the centre will be able to afford a driver and a van service for those who cannot drive
themselves is to continue to write letters to their local city council representatives,
requesting funding for such a service. What is the CHN doing?
a.
Ensuring that the women do not expect the CHN herself to do anything about
their problem
b.
Demonstrating that she understands the women’s concerns and needs
c.
Expressing empathy, support, and concern
d.
Helping the women engage in political action locally
ANS: D
CHNs have an imperative to work with the members of the community to carry out public
health functions such as political action.
DIF: Cognitive Level: Application/Apply REF: p. 13, How To box
OBJ: 1.5 | 1.6
TOP: Client Need: Safe and Effective Care Environment - Management of Care
10. Which activity is an example of the “advocate” role of the CHN?
a.
Organizing home care support for a newly discharged older adult client
b.
Acting as a member of a community action group for provision of
accessible transit choices
c.
Doing prenatal assessments
d.
Facilitating a self-help group for smoking cessation
ANS: B
An advocate provides a voice to client concerns when acting as a member of a community
action group for provision of accessible transit choices.
DIF: Cognitive Level: Application/Apply REF: p. 19, Table 1-3
OBJ: 1.6
TOP: Client Need: Safe and Effective Care Environment - Management of Care
11. In which scenario is the PHN most comprehensively fulfilling collaborative
practice responsibilities?
a.
The PHN meets with several groups about community recreation issues.
b.
The PHN spends the day attending meetings at various health agencies.
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