COMMUNITY HEALTH NURSING EXAM Q&A
STUDY GUIDE WITH VERIFIED ANSWERS
◉ What is the difference between upstream and downstream
thinking? Answer: Upstream thinking: What are the relevant factors
that influence the clients health (bigger picture)
Downstream thinking: Focused on the issue at hand
◉ What is the difference between primary health care and primary
care? Answer: Primary care: First contact between individuals and the
health care system
Primary health care: Comprehensive and includes disease prevention
◉ What are the 12 determinants of health? Answer: - Income and
social status
- Social support network
- Education and literacy
- Employment and working conditions
- Physical environment
- Biology and genetic endowment
- Personal health practices and coping skills
- Healthy child development
- Gender
- Culture
- Social environment
,- Health services
◉ What are the major differences between population-focused care
and traditional direct-care? Answer: Population - focused: Problems
are defined and solutions are implemented for or with a defined
community
Traditional Health Care: The individual is the focus
◉ What are the key features of a public health nurse? Answer: -
Population-focused
- Community as context
- Health and prevention-focused
- Interventions at the community or population level
◉ True or False:
In the community practice, the dominant needs of the population
outweigh the expressed needs of one person or a few people. Answer:
True
◉ What are two strategies used by community health nurses as they
partner with clients to build capacity? Answer: Empowerment and
advocacy
◉ Why is primary health care relevant to community health nursing?
Answer: - Provides essential health care services
- Focuses on health promotion, disease prevention, and health
protection
- Includes therapeutic, curative, and rehabilitative care
- Promotes coordination and interdisciplinary collaboration
, - Focuses on the client as an equal partner in health with health
professionals
◉ What is the relevance of the social determinants of health to
community health nursing practice? Answer: Community health
nurses must recognize that the social determinants of health can
predict the health of populations and that healthy public policy
includes consideration of the social determinants of health.
◉ True or false:
The Victorian Order of Nurses (VON) was a partner in public health
development in Canada. Answer: True
◉ What are two types of community health nursing that existed in
Canada in the early twentieth century? Answer: Visiting nursing and
outpost nursing
◉ What are factors that have contributed to a stronger focus on
community health care? Answer: Outbreaks of severe acute
respiratory syndrome (SARS), avian flu, listeriosis, and H1N1;
creation of the Public Health Agency of Canada in 2004; visibility of
the Community Health Nurses Association; increased demands for
home care for an aging population and increased chronic illness;
emphasis on population health and the social determinants of health
◉ True or false:
In Canada, the terms community health nursing and public health
nursing are interchangeable. Answer: False
◉ True or false:
STUDY GUIDE WITH VERIFIED ANSWERS
◉ What is the difference between upstream and downstream
thinking? Answer: Upstream thinking: What are the relevant factors
that influence the clients health (bigger picture)
Downstream thinking: Focused on the issue at hand
◉ What is the difference between primary health care and primary
care? Answer: Primary care: First contact between individuals and the
health care system
Primary health care: Comprehensive and includes disease prevention
◉ What are the 12 determinants of health? Answer: - Income and
social status
- Social support network
- Education and literacy
- Employment and working conditions
- Physical environment
- Biology and genetic endowment
- Personal health practices and coping skills
- Healthy child development
- Gender
- Culture
- Social environment
,- Health services
◉ What are the major differences between population-focused care
and traditional direct-care? Answer: Population - focused: Problems
are defined and solutions are implemented for or with a defined
community
Traditional Health Care: The individual is the focus
◉ What are the key features of a public health nurse? Answer: -
Population-focused
- Community as context
- Health and prevention-focused
- Interventions at the community or population level
◉ True or False:
In the community practice, the dominant needs of the population
outweigh the expressed needs of one person or a few people. Answer:
True
◉ What are two strategies used by community health nurses as they
partner with clients to build capacity? Answer: Empowerment and
advocacy
◉ Why is primary health care relevant to community health nursing?
Answer: - Provides essential health care services
- Focuses on health promotion, disease prevention, and health
protection
- Includes therapeutic, curative, and rehabilitative care
- Promotes coordination and interdisciplinary collaboration
, - Focuses on the client as an equal partner in health with health
professionals
◉ What is the relevance of the social determinants of health to
community health nursing practice? Answer: Community health
nurses must recognize that the social determinants of health can
predict the health of populations and that healthy public policy
includes consideration of the social determinants of health.
◉ True or false:
The Victorian Order of Nurses (VON) was a partner in public health
development in Canada. Answer: True
◉ What are two types of community health nursing that existed in
Canada in the early twentieth century? Answer: Visiting nursing and
outpost nursing
◉ What are factors that have contributed to a stronger focus on
community health care? Answer: Outbreaks of severe acute
respiratory syndrome (SARS), avian flu, listeriosis, and H1N1;
creation of the Public Health Agency of Canada in 2004; visibility of
the Community Health Nurses Association; increased demands for
home care for an aging population and increased chronic illness;
emphasis on population health and the social determinants of health
◉ True or false:
In Canada, the terms community health nursing and public health
nursing are interchangeable. Answer: False
◉ True or false:
