Deck 7: Primary Health Care

Question 1

A nurse is working on a project aimed at addressing the effects of poverty on a community's health.Which primary health care (PHC)value is being enacted in this scenario?

A) Social justice
B) Intersectoral co-operation
C) Health promotion
D) Economics

Answer 1

Social justice

Question 2

Which approach used by community health nurses best exemplifies primary health care (PHC)values and principles in action?

A) Illness and injury prevention
B) Community development
C) Primary care
D) Biomedical model

Answer 2

Community development

Question 3

Cathy Crowe is a well-known street nurse in Toronto.Her community health nursing practice has influenced many projects,including the Toronto Disaster Relief Committee.What is the purpose of that committee?

A) Initiate rent control and affordable suburban housing
B) Build more homeless shelters
C) Increase private funding to alleviate homelessness
D) Have homelessness declared a national disaster

Answer 3

Have homelessness declared a national disaster

Question 4

What must nurses involved with community development understand?

A) They must create a climate of trust in order to direct the community about health issues.
B) They should value the experiences of professionals more than those of laypersons.
C) They need to know who the key players are and the community history.
D) Nurse practitioners need to be the gatekeepers of the health care system.

Question 5

Case 1 A nurse is working with a community coalition including health professionals,law enforcement,lawyers,and local government to tackle youth homelessness in a moderate-size city where youth addiction and mental health issues are epidemic.
(Refer to Case 1 above. )As a result of the youth homelessness task force,a safe injection site was established in the inner city.What is the purpose of this strategy?

A) To establish a location to provide primary care to the community's drug-addicted youth
B) To allow social services to assist at-risk youth to access appropriate resources
C) To provide a site that allows law enforcement to monitor drug trafficking in the city
D) To create a harm-reduction setting that allows for health promotion

Question 6

A nurse works in a large urban hospital using telehealth to provide cardiac consultations to clients in rural settings.What principle of primary health care (PHC)is evident in this scenario?

A) Accessibility
B) Equity
C) Public participation
D) Social justice

Question 7

A nurse is involved in political action to reduce homelessness by increasing availability of affordable housing.Which primary health care (PHC)principles is the nurse utilizing?

A) Social justice and equity
B) Accessibility and public participation
C) Legislative changes and social activism
D) Community organization and political action

Question 8

Case 1 A nurse is working with a community coalition including health professionals,law enforcement,lawyers,and local government to tackle youth homelessness in a moderate-size city where youth addiction and mental health issues are epidemic.
(Refer to Case 1 above. )What principle of primary health care (PHC)is evident in this scenario?

A) Public participation
B) Equity
C) Social justice
D) Intersectoral co-operation

Question 9

Which primary health care (PHC)project best addresses inequities within society?

A) An intersectoral plan that focuses on lobbying for improvements in minimum wage
B) A community venture that focuses on street safety and neighbourhood patrols
C) An interdisciplinary approach on educating the public about recreation and fitness
D) Establishment of a local primary care clinic that employs both physicians and nurse practitioners

Question 10

A mother calls the provincial nurse hotline concerned about her toddler's flu symptoms.What principle of primary health care is evident in this situation?

A) Advocacy
B) Appropriate technology
C) Public participation
D) Intersectoral collaboration

Question 11

Case 1 A nurse is working with a community coalition including health professionals,law enforcement,lawyers,and local government to tackle youth homelessness in a moderate-size city where youth addiction and mental health issues are epidemic.
(Refer to Case 1 above. )What is an example of a meso-level health promotion intervention for youth homelessness?

A) An electronic health record is established that is accessible at all health centres.
B) The municipality provides funds for a drop-in centre for at-risk teens.
C) Individual counselling on nutritional cooking on a budget is arranged.
D) Provincial/territorial policy change is made to increase accessibility to affordable housing.

Question 12

What are the steps in the process of achieving a healthy community?

A) Determinants of health,health promotion,and population health
B) Assessment,planning,implementation,and evaluation
C) Evidence,identification of tensions and conflicts,and engagement
D) Strengths and needs,engagement,action,and reflection

Question 13

What activity would a nurse who is involved in community development most likely do?

A) Act as a resource person for a community that has come together to generate solutions
B) Develop handout materials to be distributed in the community that focus on injury prevention
C) Put up displays and posters to promote health in a community on a wide scale
D) Educate the community on how to improve its health through a healthy diet and physical activity

Question 14

What process exemplifies the primary health care values and philosophy?

A) Ecological perspective
B) Community development
C) Social justice approach
D) Primary care

Question 15

What method is most likely to be used by a nurse working in population health?

A) A process to improve the health of entire populations
B) A process to increase people's control over their own health
C) A strategy within a biomedical model that aims to prevent and treat illness
D) A top-down approach to reduce inequities in health

Question 16

What are some of the elements of the empowerment holosphere?

A) Coalition building,community organization,and personal care
B) Individuals,families,and whole communities
C) Community engagement,reflection,and evaluation
D) Community control,political efficacy,and social justice

Question 17

Case 1 A nurse is working with a community coalition including health professionals,law enforcement,lawyers,and local government to tackle youth homelessness in a moderate-size city where youth addiction and mental health issues are epidemic.
(Refer to Case 1 above. )Through the community coalition and the involvement of the homeless youth,a health clinic was established on the first floor of a new housing complex specifically for at-risk youth.What program offered at the clinic is an example of one of the essential elements of primary health care,the provision of essential drugs?

A) Providing contraceptives
B) A methadone-dispensing clinic
C) Immunizing against hepatitis B
D) Lithium toxicity screening

Question 18

In reading the Alma Ata Declaration,an experienced nurse is likely to notice that some aspects in the document have not been well utilized.What message from Alma Ata has been overlooked by the developed world (e.g. ,in Canada)?

A) Maternal and child health
B) Biomedical
C) Political and social
D) Behavioural

Question 19

Case 1 A nurse is working with a community coalition including health professionals,law enforcement,lawyers,and local government to tackle youth homelessness in a moderate-size city where youth addiction and mental health issues are epidemic.
(Refer to Case 1 above. )The youth involved in the homelessness initiative identified that a health clinic was needed either in the housing complex or at the safe injection site.What principle of primary health care is evident in this situation?

A) Intersectoral co-operation
B) Social justice
C) Public participation
D) Accessibility

Question 20

Where was the Declaration of Alma Ata produced?

A) World Health Assembly in the United States
B) WHO-UNICEF in a former Soviet Union state
C) Australian government in Jakarta
D) Canadian Public Health Association in Ottawa