Test Bank - Community Health Nursing, A
Canadian Perspective, 5th Edition
, Chapter 1-33 | All Chapters
Multiple Choice Questions
1. of the following organizations is viewed as Canada’s oldest and most experienced visiting
nursing organization?
a. The Red Cross
b. The Victorian Order of Nurses
c. The Grey Nuns
d. Provincial health departments
Correct Answer: b (page 9)
2. Early school-based initiatives involved which of the following activities?
a. Immunizations at various ages
b. Medical inspections of children followed by home visits
c. Breakfast and lunch programs
d. Sanitation and access to potable water
Correct Answer: b (page 5)
3. How did the reduction in government spending in the 1980s and 1990s affect community health
nurses?
a. Increased funding for physical infrastructure
b. Re-institutionalization of mental health patients
, Which
c. Improved capacity to follow-up with patients with communicable diseases
d. Reduced nursing positions
Correct Answer: d (page 10)
4. In which year was the Community Health Nurses Association of Canada established?
a. 1995
b. 2000
c. 1987
d. 1976
Correct Answer: c (page 11)
5. document continues to be recognized as a visionary document with recommendations for
shifting resources and policy in the direction of primary health care, home healthcare, and health
promotion, which nurses as key players in the system?
a. The Alma-Ata Declaration
b. The Ottawa Charter for Health Promotion
c. The Medical Care Act
d. The Romanow Commission’s report
Correct Answer: d (page 11)
6. General public health nursing practice emerged from which type of nursing a. School nursing
b. Visiting nursing
c. Outpost nursing
d. Home-visiting nursing
Correct Answer: a (page 12)
Short Answer Questions
7. Contrast the three sectors of nursing that existed in Canada in the 20th century.
, Which
Correct Answer: Hospital nurses, private-duty nurses, and public health nurses (including visiting
nurses). Differences in practice settings/locations, pay/funding, educational preparation, focus of
care, types of clientele (page 4).
8. Discuss the role that women’s volunteerism and leadership in communities played in the
development of community health nursing.
Correct Answer: They worked on community development, the made the development of
healthcare services a priority; they lobbied local officials, served tea at child welfare clinics, sewed
layettes for destitute families, provided transportation, made referrals, raised funds, and enabled
CHNs to fulfill their professional obligations to the fullest extent possible (page 4).
9. Discuss why local physicians sometimes did not support local public health programs
, Correct Answer: Because they feared that the PHNs would provide primary care and thus compete
with them for both patients and income (page 5).
10. Discuss how increased government responsibility for the healthcare of Canadians had an impact
on public health nursing.
Correct Answer: Programs were expanded between 1940 and 1970; shift in focus from child health,
immunization, and communicable disease control to a focus on decreasing morbidity and mortality
from chronic diseases and injuries; increased demands on time for the early postpartum discharge
home visiting program (page 9).
11. The early practice of community health nursing was generalist in nature, consisting of a
comprehensive range of services, including home healthcare and health promotion. Why did
community health nursing become specialized over time?
Correct Answer: specialization occurred as a response to social, economic, and political forces,
including the expanding knowledge of society (page 12).
Chapter2:Financing,Policy,andPoliticsofHealthcareDelivery
Multiple Choice Questions
1. Where was Canada’s first universal health insurance program implemented? a. Manitoba in
1957
b. Canada in 1967
c. Prince Edward Island in 1867
d. Saskatchewan in 1947
Correct Answer: d (page 18)
2. What was the purpose of the Canada Health Act (1984)?
a. Provide the provinces with more legal authority