BSNC 4000 - PUBLIC HEALTH EXAM UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
1. health status of populations
Answer:
The social determinants of health can impact the health of individuals, families, and populations, and result
in inequity in the health status of populations
Question:
2. vulnerable populations
Answer:
Specific groups that are at higher risk for poor health because of individual or socio-environmental factors.
Question:
3. population health ethics
Answer:
Public health ethics focuses on the health of populations as opposed to individuals, and concerns itself with
the social determinants of health as opposed to individual agency and responsibility
Question:
4. cultural safety
Answer:
Involves the determinants of culturally safe care being defined by the recipient of care. Cultural safety is
recognizing, gaining knowledge of, and respecting the differences in each individual
Question:
5. Determinants of Health (DOH)
Answer:
refers to the range of personal, social, economic, and environmental factors that combine together to affect
the health status of individuals and communities. Includes: The social and economic environment The
physical environment The person's individual characteristics and behaviours Income and social status
Education and literacy Social support networks Employment/working conditions Social environments
Personal health practices and coping skills Healthy child development Biology and genetic endowment
Health services Gender Culture
Question:
6. social justice
Answer:
Social justice refers to justice in terms of the distribution of wealth, opportunities, and privileges within a
society. Specific to healthcare, social justice is defined as equality in access to health care and the right to
health for everyone
Question:
7. principles of primary health care.
,Answer:
Equitable distribution of essential health services to all populations
Increased emphasis on services that are preventive and promotive rather than curative
Maximum individual and community involvement in the planning and operation of health care services
The integration of health development with social and economic development
The use of appropriate technology
Question:
8. Identify the inter-relationships of the Population Health Promotion Model elements.
WHO
Answer:
Who Society Sector/System Community Family Individual
Question:
9. Identify the inter-relationships of the Population Health Promotion Model elements. WHAT
Answer:
Income and social status Social support networks Education Working conditions Physical environments
Biology & genetics Personal health practices and coping skills Healthy child development Health services
Question:
10. Identify the inter-relationships of the Population Health Promotion Model elements.
HOW
Answer:
Strengthen community action Build healthy public policy Create supportive environments Develop
personal skills Reorient health services
Question:
11. Based on
Answer:
Evidence based decision making Research, evaluation, experiential learning Values & assumptions
Question:
12. Apply the Population Health Promotion Model as a planning tool to specific examples.
Answer:
Question:
13. Compare and contrast approaches to population health (upstream, midstream, downstream).
UPSTREAM
Answer:
structural determinants such as social status, income, racism, and exclusion Seek to reform the
fundamental social and economic structures that distribute wealth, power, opportunities, and
decision-making Changes generally happen at the macro policy level: national and transnational Focus on
diminishing the causes of the causes
Question:
14. Compare and contrast approaches to population health (upstream, midstream, downstream).
MIDSTREAM
, Answer:
intermediary determinants, or material circumstances such as housing conditions, employment, and food
security Seek to reduce exposure to hazards by improving material working and living conditions, or to
reduce risk by promoting healthy behaviours Changes generally occur at the micro policy level: regional,
local, community, or organizational Focus on changing the causes
Question:
15. Compare and contrast approaches to population health (upstream, midstream, downstream).
DOWNSTREAM
Answer:
immediate health needs of populations that are marginalized Seek to increase equitable access, at an
individual or family level, to health and social services Changes generally occur at the service or access to
service level Focus on changing the effects of the causes
Question:
16. Describe federal and provincial regulatory legislation and policy relevant to PH nursing. MUST
KNOW THREE FOR EXAM
public health act
Answer:
Public Health Act: Enhances the ability of public officials to respond to the threat or reality of major health
hazards, including communicable diseases. Creates a system for making public health plans, identifying
urgent public health issues and assessing public health Contains mandatory reporting requirements for
health care professionals, including nurses, of prescribed infections or hazardous exposures. Sets up a
framework to prevent and control the spread of infectious diseases. Health hazardous activities are also
regulated in this act (swimming pools, tattoo parlours, body-piercing operations, and sun tanning salons)
Question:
17. Describe federal and provincial regulatory legislation and policy relevant to PH nursing. MUST
KNOW THREE FOR EXAM
infant act
Answer:
Deals with consent to health care for infants Infants are defined as individuals under 19 years of age. The
act imposes obligations on health care providers, including nurses, to obtain valid consent from an infant.
An infant's consent to health care is valid only if the health care provider has done both of the following
Explained to the infant the nature and consequences of the health care as well as the reasonably foreseeable
benefits and risks and is satisfied that the infant understands this information. Made reasonable efforts to
determine, and has concluded that the health care is in the infant's best interests.
Question:
18. Describe federal and provincial regulatory legislation and policy relevant to PH nursing. MUST
KNOW THREE FOR EXAM
Canada Health Act
Answer:
December 12th, 1983 Provided direction for the cash contributions to be made by the federal government
Purpose: "establish criteria and conditions in respect of insured health services and extended healthcare
services provided under provincial law that must be met before a full cash contribution may be made"
QUESTIONS AND CORRECT ANSWERS
Question:
1. health status of populations
Answer:
The social determinants of health can impact the health of individuals, families, and populations, and result
in inequity in the health status of populations
Question:
2. vulnerable populations
Answer:
Specific groups that are at higher risk for poor health because of individual or socio-environmental factors.
Question:
3. population health ethics
Answer:
Public health ethics focuses on the health of populations as opposed to individuals, and concerns itself with
the social determinants of health as opposed to individual agency and responsibility
Question:
4. cultural safety
Answer:
Involves the determinants of culturally safe care being defined by the recipient of care. Cultural safety is
recognizing, gaining knowledge of, and respecting the differences in each individual
Question:
5. Determinants of Health (DOH)
Answer:
refers to the range of personal, social, economic, and environmental factors that combine together to affect
the health status of individuals and communities. Includes: The social and economic environment The
physical environment The person's individual characteristics and behaviours Income and social status
Education and literacy Social support networks Employment/working conditions Social environments
Personal health practices and coping skills Healthy child development Biology and genetic endowment
Health services Gender Culture
Question:
6. social justice
Answer:
Social justice refers to justice in terms of the distribution of wealth, opportunities, and privileges within a
society. Specific to healthcare, social justice is defined as equality in access to health care and the right to
health for everyone
Question:
7. principles of primary health care.
,Answer:
Equitable distribution of essential health services to all populations
Increased emphasis on services that are preventive and promotive rather than curative
Maximum individual and community involvement in the planning and operation of health care services
The integration of health development with social and economic development
The use of appropriate technology
Question:
8. Identify the inter-relationships of the Population Health Promotion Model elements.
WHO
Answer:
Who Society Sector/System Community Family Individual
Question:
9. Identify the inter-relationships of the Population Health Promotion Model elements. WHAT
Answer:
Income and social status Social support networks Education Working conditions Physical environments
Biology & genetics Personal health practices and coping skills Healthy child development Health services
Question:
10. Identify the inter-relationships of the Population Health Promotion Model elements.
HOW
Answer:
Strengthen community action Build healthy public policy Create supportive environments Develop
personal skills Reorient health services
Question:
11. Based on
Answer:
Evidence based decision making Research, evaluation, experiential learning Values & assumptions
Question:
12. Apply the Population Health Promotion Model as a planning tool to specific examples.
Answer:
Question:
13. Compare and contrast approaches to population health (upstream, midstream, downstream).
UPSTREAM
Answer:
structural determinants such as social status, income, racism, and exclusion Seek to reform the
fundamental social and economic structures that distribute wealth, power, opportunities, and
decision-making Changes generally happen at the macro policy level: national and transnational Focus on
diminishing the causes of the causes
Question:
14. Compare and contrast approaches to population health (upstream, midstream, downstream).
MIDSTREAM
, Answer:
intermediary determinants, or material circumstances such as housing conditions, employment, and food
security Seek to reduce exposure to hazards by improving material working and living conditions, or to
reduce risk by promoting healthy behaviours Changes generally occur at the micro policy level: regional,
local, community, or organizational Focus on changing the causes
Question:
15. Compare and contrast approaches to population health (upstream, midstream, downstream).
DOWNSTREAM
Answer:
immediate health needs of populations that are marginalized Seek to increase equitable access, at an
individual or family level, to health and social services Changes generally occur at the service or access to
service level Focus on changing the effects of the causes
Question:
16. Describe federal and provincial regulatory legislation and policy relevant to PH nursing. MUST
KNOW THREE FOR EXAM
public health act
Answer:
Public Health Act: Enhances the ability of public officials to respond to the threat or reality of major health
hazards, including communicable diseases. Creates a system for making public health plans, identifying
urgent public health issues and assessing public health Contains mandatory reporting requirements for
health care professionals, including nurses, of prescribed infections or hazardous exposures. Sets up a
framework to prevent and control the spread of infectious diseases. Health hazardous activities are also
regulated in this act (swimming pools, tattoo parlours, body-piercing operations, and sun tanning salons)
Question:
17. Describe federal and provincial regulatory legislation and policy relevant to PH nursing. MUST
KNOW THREE FOR EXAM
infant act
Answer:
Deals with consent to health care for infants Infants are defined as individuals under 19 years of age. The
act imposes obligations on health care providers, including nurses, to obtain valid consent from an infant.
An infant's consent to health care is valid only if the health care provider has done both of the following
Explained to the infant the nature and consequences of the health care as well as the reasonably foreseeable
benefits and risks and is satisfied that the infant understands this information. Made reasonable efforts to
determine, and has concluded that the health care is in the infant's best interests.
Question:
18. Describe federal and provincial regulatory legislation and policy relevant to PH nursing. MUST
KNOW THREE FOR EXAM
Canada Health Act
Answer:
December 12th, 1983 Provided direction for the cash contributions to be made by the federal government
Purpose: "establish criteria and conditions in respect of insured health services and extended healthcare
services provided under provincial law that must be met before a full cash contribution may be made"
