, Stanhope: Community Health Nursing in Canada, Second Canadian
Edition
Chapter 01: COMMUNITY HEALTH NURSING
Test Bank
MULTIPLE CHOICE
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
ANS: A
By definition, community health nursing is the health care of individual clients in the
community.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1
TOP: CRNE Competency: Changes in Health
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.
DIF: Cognitive Level: Knowledge REF: p. 20 OBJ: 1
TOP: CRNE Competency: Health and Wellness
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.
DIF: Cognitive Level: Knowledge REF: p. 4, Table 1-1; p. 24
OBJ: 7 TOP: CRNE Competency: Health and Wellness
Copyright © 2012 Elsevier Canada, a division of Reed Elsevier Canada, Ltd.
, Test Bank 1-2
4. 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
ANS: C
Improvement in control of infectious diseases through immunizations, sanitation, and
other public health activities led to the increase in life expectancy from less than 50 years
in 1900 to more than 77 years in 2002.
DIF: Cognitive Level: Knowledge REF: p. 24 OBJ: 5
TOP: CRNE Competency: Health and Wellness
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.
DIF: Cognitive Level: Knowledge REF: p. 6, Table 1-1 Examples
OBJ: 7 TOP: CRNE Competency: Professional Practice
6. 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
ANS: B
Systems that incorporate the social, political, economic, and cultural infrastructure to
address issues of concern is the definition of client as society.
DIF: Cognitive Level: Knowledge REF: p. 7, Table 1-2
OBJ: 1 TOP: CRNE Competency: Nurse–Client Partnership
7. 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.
Copyright © 2012 Elsevier Canada, a division of Reed Elsevier Canada, Ltd.
, Test Bank 1-3
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.
ANS: D
It is crucial that the PHN work with members of the community to carry out core public
health functions.
DIF: Cognitive Level: Application REF: p. 25, How To box
OBJ: 7 TOP: CRNE Competency: Health and Wellness
8. 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
ANS: A
The focus of community health nursing practice is disease prevention, which is broken
down into three levels of prevention: primary, secondary, and tertiary.
DIF: Cognitive Level: Knowledge REF: p. 8 OBJ: 2
TOP: CRNE Competency: Changes in Health
9. 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?”
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.
DIF: Cognitive Level: Application REF: p. 20 OBJ: 8
TOP: CRNE Competency: Health and Wellness
10. 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
Copyright © 2012 Elsevier Canada, a division of Reed Elsevier Canada, Ltd.
Edition
Chapter 01: COMMUNITY HEALTH NURSING
Test Bank
MULTIPLE CHOICE
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
ANS: A
By definition, community health nursing is the health care of individual clients in the
community.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1
TOP: CRNE Competency: Changes in Health
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.
DIF: Cognitive Level: Knowledge REF: p. 20 OBJ: 1
TOP: CRNE Competency: Health and Wellness
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.
DIF: Cognitive Level: Knowledge REF: p. 4, Table 1-1; p. 24
OBJ: 7 TOP: CRNE Competency: Health and Wellness
Copyright © 2012 Elsevier Canada, a division of Reed Elsevier Canada, Ltd.
, Test Bank 1-2
4. 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
ANS: C
Improvement in control of infectious diseases through immunizations, sanitation, and
other public health activities led to the increase in life expectancy from less than 50 years
in 1900 to more than 77 years in 2002.
DIF: Cognitive Level: Knowledge REF: p. 24 OBJ: 5
TOP: CRNE Competency: Health and Wellness
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.
DIF: Cognitive Level: Knowledge REF: p. 6, Table 1-1 Examples
OBJ: 7 TOP: CRNE Competency: Professional Practice
6. 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
ANS: B
Systems that incorporate the social, political, economic, and cultural infrastructure to
address issues of concern is the definition of client as society.
DIF: Cognitive Level: Knowledge REF: p. 7, Table 1-2
OBJ: 1 TOP: CRNE Competency: Nurse–Client Partnership
7. 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.
Copyright © 2012 Elsevier Canada, a division of Reed Elsevier Canada, Ltd.
, Test Bank 1-3
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.
ANS: D
It is crucial that the PHN work with members of the community to carry out core public
health functions.
DIF: Cognitive Level: Application REF: p. 25, How To box
OBJ: 7 TOP: CRNE Competency: Health and Wellness
8. 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
ANS: A
The focus of community health nursing practice is disease prevention, which is broken
down into three levels of prevention: primary, secondary, and tertiary.
DIF: Cognitive Level: Knowledge REF: p. 8 OBJ: 2
TOP: CRNE Competency: Changes in Health
9. 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?”
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.
DIF: Cognitive Level: Application REF: p. 20 OBJ: 8
TOP: CRNE Competency: Health and Wellness
10. 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
Copyright © 2012 Elsevier Canada, a division of Reed Elsevier Canada, Ltd.
