COMMUNITY HEALTH NURSING IN
CANADA 3RD EDITION STANHOPE
ACTUAL PAPER SOLVED QUESTIONS
◉ 2. A registered nurse is seeking a position as a public health
nurse. In reviewing the job description, the nurse would expect to
find a description of a position that focused on functions such as:
a. monitoring pregnant teenagers for symptoms of complications
of pregnancy.
b. offering free hypertension screening and treatment referral at
local health fairs to low-income, uninsured, community members.
c. partnering with local seasonal farmworkers to design a
program aimed at preventing illness and injury, and advocating
for this population with local political and community leaders.
d. preventing injury among a population of elderly residents in an
assisted living facility and treating residents' chronic illnesses.
Answer: ANS: C
The scope of practice of public health nurses is population
focused and community oriented, with a primary emphasis on
population-level interventions that target strategies for health
,promotion and disease prevention. In addition, public health
nursing is concerned with the health of all members of a
population or community, particularly vulnerable populations,
and uses political processes as a major intervention strategy.
Cognitive Level: Synthesis
Associated Chapter Objective: 2
REF: p. 10
◉ 3. A public health nurse leader is encountering barriers when
trying to shift the public health agency's efforts to a population-
focused practice. The reasons peers are not supportive of the
proposed shift to a population focus are most likely related to:
a. agency colleagues' push for nurses to focus on population
initiatives.
b. costs associated with staff training and revision of documents.
c. lack of support from the agency's funding sources.
d. opinions that nursing should focus on the provision of direct
client care and services.
Answer: ANS: D
Barriers to implementing population-focused care include lack of
understanding of the public health nurse role and its relationship
,to other roles in nursing, such as direct care and services;
workplace role socialization that determines what roles are
appropriate and inappropriate or accessible and inaccessible for
nurses; and lack of comprehensive training at the graduate level
in the disciplines basic to public health such as epidemiology,
biostatistics, community development, service administration,
and policy formation.
Cognitive Level: Synthesis
Associated Chapter Objective: 5
REF: pp. 17-18
◉ 4. The role and goals of the community health nursing practice
can best be described as:
a. community-based interventions aimed at promoting,
preserving, and maintaining the health of populations residing in
institutional facilities such as nursing homes.
b. education of nurses and other staff working in community-
based and community-oriented settings to improve the overall
effectiveness of their programs to meet client needs.
c. population-level strategies aimed at promoting, preserving, and
maintaining the health of populations through the delivery of
personal health care services to individuals, families, and groups
in an effort to improve the health of the community as a whole.
d. activities targeted at improving the health status of clients
served by community-based health service agencies such as
hospice and home health agencies.
, Answer: ANS: C
Community health nursing practice is the synthesis of nursing
theory and public health theory applied to promoting, preserving,
and maintaining the health of populations through the delivery of
personal health care services to individuals, families, and groups.
The focus of community health nursing practice is the health of
individuals, families, and groups and the effect of their health
status on the health of the community as a whole (individual to
families to groups to community flow). This is different from
public health nursing, which is the synthesis of nursing theory
and public health theory applied to promoting and preserving the
health of populations. The focus of public health nursing practice
is the community as a whole and the effect that the community's
health status, including health care resources, has on the health of
individuals, families, and groups (community to groups to families
to individual flow). Both community health and public health
nursing are considered to be community-oriented practices
involving free-living (noninstitutionalized) clients. Community-
based nursing practice is setting specific, and care is provided to
clients where they live (home health or hospice nursing,
community-based clinic), work (occupational health nursing),
and/or attend school (school nursing). The emphasis of
community-based nursing practice is acute and chronic care
(illness care) and the provision of comprehensive, coordinated,
and continuous services, usually within a specialty area.
Cognitive Level: Analysis
CANADA 3RD EDITION STANHOPE
ACTUAL PAPER SOLVED QUESTIONS
◉ 2. A registered nurse is seeking a position as a public health
nurse. In reviewing the job description, the nurse would expect to
find a description of a position that focused on functions such as:
a. monitoring pregnant teenagers for symptoms of complications
of pregnancy.
b. offering free hypertension screening and treatment referral at
local health fairs to low-income, uninsured, community members.
c. partnering with local seasonal farmworkers to design a
program aimed at preventing illness and injury, and advocating
for this population with local political and community leaders.
d. preventing injury among a population of elderly residents in an
assisted living facility and treating residents' chronic illnesses.
Answer: ANS: C
The scope of practice of public health nurses is population
focused and community oriented, with a primary emphasis on
population-level interventions that target strategies for health
,promotion and disease prevention. In addition, public health
nursing is concerned with the health of all members of a
population or community, particularly vulnerable populations,
and uses political processes as a major intervention strategy.
Cognitive Level: Synthesis
Associated Chapter Objective: 2
REF: p. 10
◉ 3. A public health nurse leader is encountering barriers when
trying to shift the public health agency's efforts to a population-
focused practice. The reasons peers are not supportive of the
proposed shift to a population focus are most likely related to:
a. agency colleagues' push for nurses to focus on population
initiatives.
b. costs associated with staff training and revision of documents.
c. lack of support from the agency's funding sources.
d. opinions that nursing should focus on the provision of direct
client care and services.
Answer: ANS: D
Barriers to implementing population-focused care include lack of
understanding of the public health nurse role and its relationship
,to other roles in nursing, such as direct care and services;
workplace role socialization that determines what roles are
appropriate and inappropriate or accessible and inaccessible for
nurses; and lack of comprehensive training at the graduate level
in the disciplines basic to public health such as epidemiology,
biostatistics, community development, service administration,
and policy formation.
Cognitive Level: Synthesis
Associated Chapter Objective: 5
REF: pp. 17-18
◉ 4. The role and goals of the community health nursing practice
can best be described as:
a. community-based interventions aimed at promoting,
preserving, and maintaining the health of populations residing in
institutional facilities such as nursing homes.
b. education of nurses and other staff working in community-
based and community-oriented settings to improve the overall
effectiveness of their programs to meet client needs.
c. population-level strategies aimed at promoting, preserving, and
maintaining the health of populations through the delivery of
personal health care services to individuals, families, and groups
in an effort to improve the health of the community as a whole.
d. activities targeted at improving the health status of clients
served by community-based health service agencies such as
hospice and home health agencies.
, Answer: ANS: C
Community health nursing practice is the synthesis of nursing
theory and public health theory applied to promoting, preserving,
and maintaining the health of populations through the delivery of
personal health care services to individuals, families, and groups.
The focus of community health nursing practice is the health of
individuals, families, and groups and the effect of their health
status on the health of the community as a whole (individual to
families to groups to community flow). This is different from
public health nursing, which is the synthesis of nursing theory
and public health theory applied to promoting and preserving the
health of populations. The focus of public health nursing practice
is the community as a whole and the effect that the community's
health status, including health care resources, has on the health of
individuals, families, and groups (community to groups to families
to individual flow). Both community health and public health
nursing are considered to be community-oriented practices
involving free-living (noninstitutionalized) clients. Community-
based nursing practice is setting specific, and care is provided to
clients where they live (home health or hospice nursing,
community-based clinic), work (occupational health nursing),
and/or attend school (school nursing). The emphasis of
community-based nursing practice is acute and chronic care
(illness care) and the provision of comprehensive, coordinated,
and continuous services, usually within a specialty area.
Cognitive Level: Analysis
