Deck 1: Community Health Nursing

Question 1

Which situation most closely represents the focus of public health nursing?

A) Assessing the services and effectiveness of the school health clinic
B) Caring for patients after their outpatient surgeries
C) Giving care to schoolchildren at the school clinic and to the children's families
D) Treating paediatric patients at an outpatient clinic

Answer 1

Assessing the services and effectiveness of the school health clinic

Question 2

The health of which of the following is the primary focus of public health nurses (PHNs)?

A) Families
B) Groups
C) Individuals
D) Populations

Answer 2

Populations

Question 3

Which public health service best represents primary prevention?

A) Developing a health education program about the dangers of smoking
B) Providing a diabetes clinic for adults in low-income neighbourhoods
C) Providing an influenza vaccination program in a community retirement village
D) Teaching school-aged children about the positive effects of exercise

Answer 3

Providing an influenza vaccination program in a community retirement village

Question 4

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?"

Question 5

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

Question 6

Which is a requirement for reaching the goal of "health for all"?

A) Self-actualization
B) A system for health
C) Elimination of lower- and upper-class categories
D) Total compliance with immunizations and vaccines with all groups

Question 7

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

Question 8

What term is used interchangeably with the term subpopulations?

A) Groups
B) Aggregates
C) Clients
D) Communities

Question 9

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

Question 10

Which type of thinking is most reflective of looking at a macroscopic, big-picture population focus?

A) Collaborative thinking
B) Upstream thinking
C) Holistic thinking
D) Downstream thinking

Question 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.
C) The PHN talks to several people about their particular health concerns.
D) The PHN watches television, including a telecast of a city council meeting on the local cable station.

Question 12

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

Question 13

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

Question 14

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

Question 15

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.

Question 16

Which public health service best represents secondary prevention?

A) Administering the influenza vaccine to a community of seniors
B) Initiating an infant car seat safety screening program for parents in low-income housing
C) Starting a rehabilitation clinic for middle-aged adults residing in low-income housing
D) Setting up a support group for teenage mothers of infants with Down syndrome

Question 17

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

Question 18

Which is the simplest definition of primary health care?

A) It is based on a multidisciplinary group of health care providers working as a team.
B) It provides essential care that is universally accessible to persons in a community and encourages self-management, self-reliance, and competence.
C) It focuses on health promotion and disease prevention among those who can afford to engage in behaviours that facilitate them.
D) It is based on local efforts to meet the Declaration of Alma-Ata, known as Health for All.

Question 19

A CHN often has to make resource allocation decisions. In such cases, which approach will most help the CHN to arrive at the decision?

A) Choosing a moral or ethical principle
B) Choosing the cheapest, most economical approach
C) Choosing the most rational outcome
D) Choosing the needs of the aggregate, rather than the needs of a few individuals