Question 1

In what year did the first training school for nurses open in Canada?&#10;A)1874&#10;B)1894&#10;C)1904&#10;D)1914

Accepted Answer

The first training school for nurses in Canada opened in 1874, in Ontario.

Question 2

What has been the main achievement of the Community Health Nurses Association of Canada ( CHNAC )?&#10;A)Licensed practical nurses ( LPNs ) as well as registered nurses ( RNs ) were allowed to join the association.&#10;B)Nurses who were not PHNs were encouraged to join.&#10;C)National standards of practice were developed.&#10;D)A process was developed to choose the organization's leaders and officers.

Accepted Answer

In 1987, the CHNAC, an interest group of the Canadian Nurses Association (CNA), was formed.This association developed the national standards of practice (published in 2003) for CHNs.These standards of practice have helped establish the term community health nursing as the umbrella term for all nurses working in and with communities and defined the minimum scope of practice for CHNs.

Question 3

Following the release of the Romanow Report in 2002, which type of care was identified as the most rapidly growing area of community health care?&#10;A)Home care&#10;B)Community problems&#10;C)Immunization&#10;D)Women's issues

Accepted Answer

The Romanow Report (2002) identified home care as the most rapidly growing area of community health care.

Question 4

Which of the following makes public health nursing appealing to many nurses?&#10;A)The autonomy of practice and independence in decision making it affords&#10;B)Its focus on acute care and immediately visible outcomes&#10;C)The backup support of other health care professionals&#10;D)The rapport among the nursing staff

Accepted Answer

Inpatient acute care nurses focus on acute care where outcomes are known fairly quickly.Part of the appeal of community health nursing is the autonomy of practice and independence in problem solving and decision making it affords, as well as its interdisciplinary nature.

Question 5

Which of the following nurses was instrumental in establishing the first integrated basic nursing degree program in Canada?&#10;A)Florence Nightingale&#10;B)Kathleen Russell&#10;C)Edna Moore&#10;D)Lillian Wald

Accepted Answer

In 1920, Kathleen Russell, Director of the Department of Public Health Nursing at the University of Toronto, was instrumental in establishing the first integrated basic degree nursing program, a major milestone in nursing education, including public health nursing education.

Question 6

Which one of the following is a reason to study nursing history?&#10;A)To fulfill provincial/territorial nursing requirements&#10;B)To help fill up the necessary credit hours for graduation&#10;C)To meet accreditation requirements&#10;D)To understand the present and plan for tomorrow

Accepted Answer

One of the best ways to make plans for today and tomorrow is to look at the past to see what did or did not work.Lessons learned through history provide direction for current and future community health nursing practice.

Question 7

What was the main reason for the brief existence of the nurse practitioner-model educational program?&#10;A)Inadequate assessment and planning in the local area&#10;B)Insufficient provincial/territorial funding&#10;C)The large number of primary care physicians practicing in urban areas&#10;D)The need for nursing expertise and skills

Accepted Answer

In Ontario, the nurse practitioner model for alternative health care delivery was initiated with the educational program offered by McMaster University.However, its existence was short-lived because of a perceived duplication of services and a lack of career opportunities for nurse practitioners, partly because there were too many primary care physicians practising in urban areas.

Question 8

Which one of the following events notably changed health care?&#10;A)The creation of the discipline of nursing by Florence Nightingale&#10;B)The formation of sisterhoods by nuns who gave care&#10;C)The establishment of the Sisters of Mercy in Dublin&#10;D)The formation of the Dames de la Charit&#233; by Saint Vincent de Paul

Accepted Answer

Many innovations in health care led to improvements in care, but Florence Nightingale revolutionized health care by establishing the discipline of nursing.

Question 9

Which one of the following is the main area of concern for the occupational health nurse (OHN)?&#10;A)Increasing benefits upon renewal of employment contracts&#10;B)Ensuring higher salaries and bonuses upon acceptance of employment&#10;C)Returning most nursing care to the home, where family members give all needed care&#10;D)Focusing on disease prevention activities in the workplace

Accepted Answer

Occupational health nursing is a specialty area within community health nursing, with a focus on disease prevention, rehabilitation, and health promotion activities in the workplace.

Question 10

Eunice Dyke was a public health nursing pioneer in Canada.In which of the following areas did she play a key role at the beginning of the twentieth century?&#10;A)Decentralization of public health nursing&#10;B)Specialization of public health nursing&#10;C)Inclusion of powerful citizens on health department boards to ensure adequate funds to pay for care&#10;D)Development of a system for accurate records of births and deaths

Accepted Answer

Eunice Dyke played a key role in the decentralization of public health nursing in 1914.Before this time, public health nurses (PHNs) had been working in specialized areas of nursing, such as tuberculosis (TB) care, but now they became generalists (though they did not provide bedside nursing care in the home as community health nurses [CHNs] or visiting nurses would).

Question 11

Which of the following arguments was used to convince the Metropolitan Life Insurance Company to establish the first community health nursing program for workers in 1909?&#10;A)Creating such a service was the morally right thing to do.&#10;B)Employing nurses directly would be less expensive than paying taxes to the city to provide nursing services.&#10;C)Having the company's nurses make home visits would increase morale among workers.&#10;D)Using PHNs would keep workers healthier, which would increase worker productivity.

Accepted Answer

The answer of Which of the following arguments was used...

Question 12

In which area was the first PHNs in Canada employed?&#10;A)Healthy baby clinics&#10;B)Outpost nursing&#10;C)School health programs&#10;D)Tuberculosis education, prevention, and treatment

Accepted Answer

The answer of In which area was the first PHNs...

Question 13

The Industrial Revolution caused earlier caregiving approaches-where care was provided by families, friends, and neighbours-to become inadequate because of constantly increasing demand.Which one of the following situations also contributed to the inadequacy of caregiving approaches at this time?

A)Ongoing wars, which caused frequent deaths and injuries
B)Horrific plagues that swept through Europe
C)Migration and urbanization
D)The need to pay caregivers

Accepted Answer

The answer of The Industrial Revolution caused earlier caregiving approaches-where...

Question 14

Which group was the first to establish hospitals?&#10;A)Feudal lords, to keep their peons working&#10;B)Small towns, to care for their own citizens&#10;C)The military, to enable soldiers to keep fighting&#10;D)Religious orders, to care for the sick, poor, and neglected

Accepted Answer

The answer of Which group was the first to establish...

Question 15

Which one of the following was a very important factor in the success of early visiting nurses?&#10;A)The care they provided that served as a model for all later hospitals&#10;B)The more economical care they provided to families&#10;C)Their role model, Edna Moore&#10;D)The superb publicity campaign that was created by the health departments

Accepted Answer

The answer of Which one of the following was a...

Deck 2: The Evolution of Community Health Nursing in Canada