Deck 1: Community Health Nursing

Question 1

Which of the following best describes community health nursing?

A)Focusing on the health care of individual clients in the community
B)Giving care with a focus on the group's needs
C)Giving care with a focus on the aggregate's needs
D)Working with an approach of unique client care

Answer 1

Focusing on the health care of individual clients in the community

Question 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

Answer 2

A comprehensive way to address issues of social justice

Question 3

Which of the following is used as a measurement of population health?

A)Health status indicators
B)Awareness of levels of prevention
C)The number of memberships at the local fitness centre
D)Reported provincial alcohol and tobacco sales in any given month

Answer 3

Health status indicators

Question 4

A CHN often has to make resource allocation decisions.In such cases, which of the following approaches will 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

Question 5

Whenever Ms.LeBlanc, BSc, RN, talks to the women at the senior citizens' centre, she 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 Ms.LeBlanc doing?

A)Ensuring that the women do not expect Ms.LeBlanc 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 6

What term is used interchangeably with the term subpopulations?

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

Question 7

Which of the following ethical principles indicates that the CHN is ethically bound to do good within the limitations of time, place, and talent?

A)Justice
B)Beneficence
C)Nonmaleficence
D)Distributive justice

Question 8

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

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

Question 9

In which of the following scenarios is the PHN most probably fulfilling required employment 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 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

Which one of the following situations represents 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

Question 12

Which one of the following 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 13

Which of the following definitions reflects "client as society"?

A)Groups within a population working together on a defined activity
B)Systems that incorporate the social, political, economic, and cultural infrastructure to address issues of concern
C)People and the relationships that emerge among them as they develop and share environments
D)A large group of people who have at least one characteristic in common and who reside in close proximity

Question 14

Which one of the following public health services 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 15

Which one of the following public health services 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

Question 16

What were the first determinants of health as identified by the Lalonde Report in 1974?

A)Biology, lifestyle, health care, environment
B)Resources, social justice, stable ecosystem, equity
C)Biology, genetics, education, social supports
D)Income, social status, education, health services

Question 17

A PHN strives to prevent disease and disability, often in partnership with other community groups.Which one of the following 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 18

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 19

Ms.LeBlanc, BSc, registered nurse (RN), has just been employed as a CHN.Which of the following questions might be very 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 20

Which of the following is the primary explanation for life expectancy increasing so notably during the twentieth century?

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 21

Which of the following is a requirement for reaching the goal "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 22

Which of the following 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.