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Community Health Nursing, A Canadian Perspective, 5th Edition (Stamler, 2020), Chapter 1-33
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Test Bank For Community Health Nursing, A CanadianPerspective, 5th Edition (Stamler, 2020), Chapter 1-33 |
9780135309193 | All Chapters with Answers and Rationals
The public health nurse (PHN) knows that he must approach a public health problem with an
understanding of the related underlying risk factors in order to develop effective nursing
interventions. He must also consider that these risk factors can be either ______ based or ______
based.
a) Epidemic; population
b) Disease; individual
c) Individual; population
d) Intervention; government - ANSWER: a) Individual; population
If the international medical community was working to contain several worldwide pandemics, they
would look to the World Health Organization (WHO), which is:
a) Working to improve health and well being for the global population
b) The public health arm of the united nations
c) Working with nurses to promote public health interventions
d) All of the above - ANSWER: d) All of the above
The Institute of Medicine (IOM) stated in their report, The Future of the Public's Health, that there are
three core functions that society carries out to collectively support the optimum conditions for public
health. Which one of the following is not one of these functions?
a) Assessment
b) Assurance
c) Prevention
d) Policy development - ANSWER: c) Prevention
With aging, there is an increase in noncommunicable (chronic) illness. The PHN recognizes that an
example of a noncommunicable illness is:
a) Heart disease
b) Severe acute respiratory syndrome (SARS)
c) HIV
d) Hepatitis - ANSWER: a) Heart disease
The obesity rate in a local neighborhood is partially the product of a limited access to full service
grocery stores and a lack of dedicated safe venues for exercise. This is an example of issues related to
the "upstream" determinants of public health that contribute to the ecology of a community's health
"downstream." The PHN understands that upstream determinants include social relations,
neighborhoods and communities, institutions, and ____.
a) Tertiary nursing interventions
b) Availability of medicine to treat disease
c) Increasing the number of primary care provider
d) Social and economic policies - ANSWER: d) Social and economic policies
A nursing instructor is giving a lecture on community participation in an ecological public health
system. She teaches that the benefits of this collaboration for participants in the community's public
health are that their efforts increase effectiveness and productivity, empower the participants,
strengthen social engagement, and ____.
,a) Increase the number of medical facilities
b) Decrease disease rates
c) Monitor childhood illnesses
d) Ensure accountability - ANSWER: d) Ensure accountability
Which layer of government is responsible for issuing quarantines during a communicable disease
outbreak?
a)State
b) Local
c) Federal
d) All of the above - ANSWER: b) Local
The nursing student is taught correctly that local health departments do not oversee which of the
following?
a) The surveillance of disease
b) Public sanitation and water supply
c) Licensing of local hospitals
d) Investigation of disease outbreaks - ANSWER: c) Licensing of local hospitals
The PHN recognizes that environmental science, epidemiology, biostatistics, biomedical sciences, and
______ form the foundational subjects of public health.
a) Social and behavioral sciences
b) The humanities
c) Anthropology
d) economics - ANSWER: a) Social and behavioral sciences
If a PHN meets the PHN Core Competencies, he or she should be able to do which of the following?
Select all that apply
a) Work with corporations to create an emergency response program to bioterrorism
b) Create a financial plan for a clinic and manage the budget
c) Function as a medical doctor at a clinic if there is none
d) Understand the dietary restrictions of new immigrants
e) Develop policy for handling a local quarantine - ANSWER: a) Work with corporations to create an
emergency response program to bioterrorism
d) Understand the dietary restrictions of new immigrants
e) Develop policy for handling a local quarantine
In 2011, the National Prevention Strategy released a plan to increase the number of Americans who
are healthy at every stage of life. Which of the following is not one of the strategic directions included
in the strategy?
a) Eliminating health disparities
b) Building healthy and safe community efforts
c) Increasing access to care
d) Empowering people to make healthy choices - ANSWER: c) Increasing access to care
A nursing student is studying the seven priorities of the National Prevention Strategy. The student
correctly identifies which one of the following interventions as not reflecting any of the seven
priorities in this plan?
a) Conducting a smoking cessation clinic
b) Assisting low-income families to sign up for health-care insurance
c) Providing nutrition classes which offer weekly fill-in guides for grocery shopping
, d) Building a health and exercise center in a hospital near the physical and occupational therapy areas
- ANSWER: b) Assisting low-income families to sign up for health-care insurance
If a nurse is using the natural history of a disease to help develop a primary prevention program for a
specific disease, he or she would begin with:
a) Making sure that everyone in a certain area receives treatment.
b) Studying the continuum of the disease with a focus on the disease free state.
c) Looking at screening tools for identifying person who may have the disease.
d) Going to the autopsies of the patients who have died. - ANSWER: b) Studying the continuum of the
disease with a focus on the disease free state.
When a health-care provider offers nutritional health teaching on portions, patterns, and choices, he
or she is using which type of approach?
a) Ecological
b) Downstream
c) Upstream
d) Health promotion - ANSWER: b) Downstream
A school cafeteria is planning menus for the school year. They used the 2012 national law that calls
for school lunch programs to have larger portions of fruits and vegetables, less sodium, and no trans
fats as their guide. This is an example of:
a) An upstream approach
b) An examination of the social aspects of obesity
c) A downstream approach
d) A and C - ANSWER: a) An upstream approach
A public health nurse (PHN) notices the rising incidence of H1N1 (swine flu) in a geographic area. The
nurse considers possible interventions, knowing that the preclinical phase of H1N1 lasts:
a) One to two days
b) Two to four days
c) Three to four days
d) Five to seven days - ANSWER: a) One to two days
In the traditional public health prevention framework, the level of prevention that includes early
detection and initiation of treatment for disease, or screening, is referred to as the:
a) Clinical level
b) Primary level
c) Tertiary level
d) Secondary level - ANSWER: d) Secondary level
Attributable risk is the proportion of cases or injuries that would be eliminated if a risk factor did not
occur, but preventable fraction is:
a) The number of cases that actually occur in a given population at a specific point in time.
b) What could be achieved with a program implemented in a community setting within the at-risk
population when community members actually participate in the program.
c) The number of cases that require intervention.
d) An estimation of the number of cases with the high-risk factor(s). - ANSWER: b) What could be
achieved with a program implemented in a community setting within the at-risk population when
community members actually participate in the program.
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