Table of Contents
Chapter 01 Community Health Nursing 1
Chapter 02 The Evolution of Community Health Nursing in Canada 8
Chapter 03 Community Health Nursing in Canada-Settings, Functions, and Roles 13
Chapter 04 Health Promotion 24
Chapter 05 Evidence-Informed Practice in Community Health Nursing 30
Chapter 06 Ethics in Community Health Nursing Practice 35
Chapter 07 Diversity and Relational Practice in Community Health Nursing 43
Chapter 08 Epidemiological Applications 49
Chapter 09 Working With the Community 54
Chapter 10 Health Program Planning and Evaluation 58
Chapter 11 Working with the Individual as Client-Health and Wellness Across the Lifespan 63
Chapter 12 Working with Families 69
Chapter 13 Working with Groups, Teams, and Partners 74
Chapter 14 Indigenous Health-Working with First Nations People, Inuit, and Métis 82
Chapter 15 Working With People Who Experience Structural Vulnerabilities 86
Chapter 16 Communicable and Infectious Disease Prevention and Control 98
Chapter 17 Environmental Health 104
Chapter 18 Emergency Management and Disaster Preparedness 109
, Chapter 01: Community Health Nursing
MacDonald/Jakubec: Stanhope and Lancaster's Community Health Nursing in Canada,
4th Edition
MULTIPLE CHOICE
1. 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
ANS: C
By definition, community health nursing is the health care of individual clients in the
community.
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Introduction OBJ: 1.6 TOP: Safe and Effective Care Environment
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
ANS: A
By definition, primary health care is comprehensive and addresses issues of social justice
and equity. Social justice in the context of health refers to ensuring fairness and equality
in health services so that vulnerable individuals in society have easy access to health care.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remember REF: Primary Health Care OBJ:
1.4
TOP: Health Promotion and Maintenance
3. The health of which of the following is the primary focus of public health nurses (PHNs)?
a. Families
b. Groups
c. Individuals
d. Populations
ANS: D
PHNs use knowledge of nursing, social sciences, and public health sciences for the
promotion and protection of health and for the prevention of disease among populations.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remember REF: Public Health Practice OBJ:
1.5 TOP: Health Promotion and Maintenance
4. 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
1|Page
, b. Incredible advances in surgical techniques and procedures
c. Improved sanitation and other public health activities
d. Increased use of antibiotics to fight infections
ANS: C
Improvement in control of infectious diseases through immunizations, sanitation, and
other public health activities led to the increase in life expectancy since the early 1900s.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remember REF: Public Health Practice OBJ:
1.5 TOP: Health Promotion and Maintenance
5. 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
ANS: C
The nurse entrepreneur receives private funding, whereas all of the other community
health nurse (CHN) roles are with provincially or federally funded positions.
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Community Health Nursing Roles and Functions OBJ: 1.1 |
1.6 TOP: Safe and Effective Care Environment
6. A public health nurse (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 stefandavis
2 0 2 4 - 0 6- 1 6
services.
d. The PHN works with community members to carry out public h e a l t h f u
14 : 1 8 :3 0
n c t i o n s.
f
ANS: D
It is crucial that the PHN work with members of the community to carry out core public
health functions.
PTS: 1 DIF: Cognitive Level:
Application/Apply REF: Public Health Practice OBJ: 1.5
TOP: Health Promotion and Maintenance
7. 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
ANS: A
Population health refers to the health outcomes of a population as measured by
determinants of health and health outcomes.
2|Page
, PTS: 1 DIF: Cognitive Level:
Knowledge/Remember REF: Populations and Aggregates
OBJ: 1.2
TOP: Health Promotion and Maintenance
8. A registered nurse (RN), has just been employed as a community health nurse
(CHN). Which question would be most relevant to practice as the nurse 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?”
ANS: A
CHNs apply the nursing process to the entire community; asking which groups are at
greatest risk reflects a community-oriented perspective. The other possible responses
focus on particular individuals.
PTS: 1 DIF: Cognitive Level:
Application/Apply REF: Populations and Aggregates OBJ:
1.6 TOP: Health Promotion and Maintenance
9. The community health nurse (CHN) who is 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
ANS: D
CHNs have an imperative to work with the members of the community to carry out
public health functions such as political action.
PTS: 1 DIF: Cognitive Level:
Application/Apply REF: Public Health Practice OBJ: 1.5 |
1.6 TOP: Safe and Effective Care Environment
10. Which activity is an example of the “advocate” role of the community health nurse?
a. Organizing home care support for a newly discharged older 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
ANS: B
An advocate provides a voice to client concerns when acting as a member of a
community action group for provision of accessible transit choices.
PTS: 1 DIF: Cognitive Level: Application/Apply
3|Page
Chapter 01 Community Health Nursing 1
Chapter 02 The Evolution of Community Health Nursing in Canada 8
Chapter 03 Community Health Nursing in Canada-Settings, Functions, and Roles 13
Chapter 04 Health Promotion 24
Chapter 05 Evidence-Informed Practice in Community Health Nursing 30
Chapter 06 Ethics in Community Health Nursing Practice 35
Chapter 07 Diversity and Relational Practice in Community Health Nursing 43
Chapter 08 Epidemiological Applications 49
Chapter 09 Working With the Community 54
Chapter 10 Health Program Planning and Evaluation 58
Chapter 11 Working with the Individual as Client-Health and Wellness Across the Lifespan 63
Chapter 12 Working with Families 69
Chapter 13 Working with Groups, Teams, and Partners 74
Chapter 14 Indigenous Health-Working with First Nations People, Inuit, and Métis 82
Chapter 15 Working With People Who Experience Structural Vulnerabilities 86
Chapter 16 Communicable and Infectious Disease Prevention and Control 98
Chapter 17 Environmental Health 104
Chapter 18 Emergency Management and Disaster Preparedness 109
, Chapter 01: Community Health Nursing
MacDonald/Jakubec: Stanhope and Lancaster's Community Health Nursing in Canada,
4th Edition
MULTIPLE CHOICE
1. 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
ANS: C
By definition, community health nursing is the health care of individual clients in the
community.
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Introduction OBJ: 1.6 TOP: Safe and Effective Care Environment
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
ANS: A
By definition, primary health care is comprehensive and addresses issues of social justice
and equity. Social justice in the context of health refers to ensuring fairness and equality
in health services so that vulnerable individuals in society have easy access to health care.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remember REF: Primary Health Care OBJ:
1.4
TOP: Health Promotion and Maintenance
3. The health of which of the following is the primary focus of public health nurses (PHNs)?
a. Families
b. Groups
c. Individuals
d. Populations
ANS: D
PHNs use knowledge of nursing, social sciences, and public health sciences for the
promotion and protection of health and for the prevention of disease among populations.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remember REF: Public Health Practice OBJ:
1.5 TOP: Health Promotion and Maintenance
4. 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
1|Page
, b. Incredible advances in surgical techniques and procedures
c. Improved sanitation and other public health activities
d. Increased use of antibiotics to fight infections
ANS: C
Improvement in control of infectious diseases through immunizations, sanitation, and
other public health activities led to the increase in life expectancy since the early 1900s.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remember REF: Public Health Practice OBJ:
1.5 TOP: Health Promotion and Maintenance
5. 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
ANS: C
The nurse entrepreneur receives private funding, whereas all of the other community
health nurse (CHN) roles are with provincially or federally funded positions.
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Community Health Nursing Roles and Functions OBJ: 1.1 |
1.6 TOP: Safe and Effective Care Environment
6. A public health nurse (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 stefandavis
2 0 2 4 - 0 6- 1 6
services.
d. The PHN works with community members to carry out public h e a l t h f u
14 : 1 8 :3 0
n c t i o n s.
f
ANS: D
It is crucial that the PHN work with members of the community to carry out core public
health functions.
PTS: 1 DIF: Cognitive Level:
Application/Apply REF: Public Health Practice OBJ: 1.5
TOP: Health Promotion and Maintenance
7. 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
ANS: A
Population health refers to the health outcomes of a population as measured by
determinants of health and health outcomes.
2|Page
, PTS: 1 DIF: Cognitive Level:
Knowledge/Remember REF: Populations and Aggregates
OBJ: 1.2
TOP: Health Promotion and Maintenance
8. A registered nurse (RN), has just been employed as a community health nurse
(CHN). Which question would be most relevant to practice as the nurse 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?”
ANS: A
CHNs apply the nursing process to the entire community; asking which groups are at
greatest risk reflects a community-oriented perspective. The other possible responses
focus on particular individuals.
PTS: 1 DIF: Cognitive Level:
Application/Apply REF: Populations and Aggregates OBJ:
1.6 TOP: Health Promotion and Maintenance
9. The community health nurse (CHN) who is 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
ANS: D
CHNs have an imperative to work with the members of the community to carry out
public health functions such as political action.
PTS: 1 DIF: Cognitive Level:
Application/Apply REF: Public Health Practice OBJ: 1.5 |
1.6 TOP: Safe and Effective Care Environment
10. Which activity is an example of the “advocate” role of the community health nurse?
a. Organizing home care support for a newly discharged older 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
ANS: B
An advocate provides a voice to client concerns when acting as a member of a
community action group for provision of accessible transit choices.
PTS: 1 DIF: Cognitive Level: Application/Apply
3|Page
