NFDN REVIEW EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
Describe at least six roles of public health nurses - Answer-1. advocate - develop most
effective plan with the client for identified health issue
2. manager - assists clients in determining the services they need most and how to
access them
3. leader - builds and maintains partnerships with community leaders and key
stakeholders to identify community needs
4. consultant - access and analyze relevant data from a variety of sources, then use
knowledge to facilitate planning health initiatives
5. referral resource - assess current information on health and social needs and
services within the community
6. educator - identifies client's learning needs
7. counsellor - encourages clients, reinforces positive behaviours
8. primary caregiver - provides health care needs of clients to fill gaps in care that
private sector is unable to respond to
Name the functions of the parish nurse - Answer-personal health counselling, health
education, liaison, facilitator, pastoral care
Describe five developments that have influenced the expansion of home healthcare -
Answer-1. increased demands for cost effectiveness
2. decreased hospital stays, consumer preferences
3. technological advances that are becoming user-friendly
4. proven quality of home health care
5. aging canadian demographics
Define care planning as it applies to home health nursing, provide an example -
Answer-care planning refers to the HHN, clients, and interprofessional team members
working together to ensure adequate health services at home (the most important part
is the clients active participation)
examples: setting up a home care support worker, special equipment to facilitate client
mobility, or the involvement of community agencies such as Meals on Wheels
True or False: injury prevention occurs at the primary, secondary, and tertiary level -
Answer-true
True or False: health maintenance is the goal of health promotion - Answer-false -
health promotion moves beyond health maintenance to incorporate improvement in
health resulting in health gains
,what is the goal of harm reduction strategies - Answer-strategies focus on the eventual
goal of abstinence as opposed to abstinence as a prerequisite for program participation
True or False: culture is visible - Answer-false
True or False: cultural competence and cultural safety are defined by the health care
provider - Answer-false
True or False: The Ottawa Charter for Health Promotion created a change in the roles
assumed by health professionals - Answer-true
which two determinants of health have the greatest influence on the health status of
Canadians - Answer-economic and social inequities
True or False: "working for" is the preferred approach used by community health nurses
for community mobilization - Answer-false
True or False: Canadians with the lowest health literacy scores are two and a half times
more likely to report their health status as "fair" to "poor" than Canadians with high
health literacy scores - Answer-true
what government body oversees the health protection of the population - Answer-Health
Canada
how does Health Canada safeguard the populations health (4) - Answer-surveillance,
prevention, legislation, and research in areas such as environmental health, disease
outbreaks, drug products, and food safety
what is essential for community development - Answer-partnerships
what are the 3 health promotion approaches and what do each focus on - Answer-1.
biomedical approach - treatment and prevention of disease
2. behavioural approach - lifestyle changes, especially behavioural risk factors, to
promote health
3. socioenvironmental approach - health as a resource and considers psychosocial and
environmental risk factors (this approach is seen in the ottawa charter)
what is involved in the process of community development - Answer-community
members identify health concerns that require the development of capacity building
skills to bring about change
the goal is a secure and healthy community with buy-in from all community members
what is cultural competence - Answer-an ongoing process, a health care professional
respects, accepts, and applies knowledge and skills appropriate to client interactions
without allowing one's personal beliefs to influence the interaction
, Understanding the effect of culture on behaviour is important to the community health
nurse, because culture fits which of the following characteristics?
a. Culture is a blueprint for the behaviour of minority groups.
b. transmitted to all individuals.
c. Culture is a learned process that is transmitted by the family, ethnic group, and
society.
d. Culture determines the client's capacity to respond to a health problem - Answer-c
How is cultural competence demonstrated by a CHN in dealing with a Chinese
population? (Select all that apply.)
a. The nurse provides educational materials in English and Chinese.
b. The nurse provides care while paying attention to individual beliefs about pain, touch,
modesty, and eye contact.
c. The nurse delivers care while verbalizing all medical and nursing procedures being
conducted.
d. The nurse provides care without regard for cost or outcomes because the public
health department requires it.
e. The nurse provides care that acknowledges the differences in ways individuals
respond to illness and treatment. - Answer-a, b, e
Cultural competence is being stressed in nursing programs for which one of the
following reasons?
a. Technological changes have made nursing more sophisticated.
b. Self-determination of clients is minimized, where cultural differences are considered.
c. Culture is a determinant of health that influences and is influenced by other
determinants.
d. Cultural care is universal care, and all people need to be treated the same - Answer-c
Nurses develop cultural competence in many ways, but mainly in which one of the
following ways?
a. By working with clients who are culturally similar to themselves
b. By being afraid to make mistakes when confronted with situations that are different
c. By refusing to acknowledge cultural differences when conducting a cultural
assessment
d. By learning from clients as they express their experiences and problem-solving
strategies - Answer-d
what is cultural blindness - Answer-the tendency to act as though all individuals are the
same
COMPLETE SOLUTIONS
Describe at least six roles of public health nurses - Answer-1. advocate - develop most
effective plan with the client for identified health issue
2. manager - assists clients in determining the services they need most and how to
access them
3. leader - builds and maintains partnerships with community leaders and key
stakeholders to identify community needs
4. consultant - access and analyze relevant data from a variety of sources, then use
knowledge to facilitate planning health initiatives
5. referral resource - assess current information on health and social needs and
services within the community
6. educator - identifies client's learning needs
7. counsellor - encourages clients, reinforces positive behaviours
8. primary caregiver - provides health care needs of clients to fill gaps in care that
private sector is unable to respond to
Name the functions of the parish nurse - Answer-personal health counselling, health
education, liaison, facilitator, pastoral care
Describe five developments that have influenced the expansion of home healthcare -
Answer-1. increased demands for cost effectiveness
2. decreased hospital stays, consumer preferences
3. technological advances that are becoming user-friendly
4. proven quality of home health care
5. aging canadian demographics
Define care planning as it applies to home health nursing, provide an example -
Answer-care planning refers to the HHN, clients, and interprofessional team members
working together to ensure adequate health services at home (the most important part
is the clients active participation)
examples: setting up a home care support worker, special equipment to facilitate client
mobility, or the involvement of community agencies such as Meals on Wheels
True or False: injury prevention occurs at the primary, secondary, and tertiary level -
Answer-true
True or False: health maintenance is the goal of health promotion - Answer-false -
health promotion moves beyond health maintenance to incorporate improvement in
health resulting in health gains
,what is the goal of harm reduction strategies - Answer-strategies focus on the eventual
goal of abstinence as opposed to abstinence as a prerequisite for program participation
True or False: culture is visible - Answer-false
True or False: cultural competence and cultural safety are defined by the health care
provider - Answer-false
True or False: The Ottawa Charter for Health Promotion created a change in the roles
assumed by health professionals - Answer-true
which two determinants of health have the greatest influence on the health status of
Canadians - Answer-economic and social inequities
True or False: "working for" is the preferred approach used by community health nurses
for community mobilization - Answer-false
True or False: Canadians with the lowest health literacy scores are two and a half times
more likely to report their health status as "fair" to "poor" than Canadians with high
health literacy scores - Answer-true
what government body oversees the health protection of the population - Answer-Health
Canada
how does Health Canada safeguard the populations health (4) - Answer-surveillance,
prevention, legislation, and research in areas such as environmental health, disease
outbreaks, drug products, and food safety
what is essential for community development - Answer-partnerships
what are the 3 health promotion approaches and what do each focus on - Answer-1.
biomedical approach - treatment and prevention of disease
2. behavioural approach - lifestyle changes, especially behavioural risk factors, to
promote health
3. socioenvironmental approach - health as a resource and considers psychosocial and
environmental risk factors (this approach is seen in the ottawa charter)
what is involved in the process of community development - Answer-community
members identify health concerns that require the development of capacity building
skills to bring about change
the goal is a secure and healthy community with buy-in from all community members
what is cultural competence - Answer-an ongoing process, a health care professional
respects, accepts, and applies knowledge and skills appropriate to client interactions
without allowing one's personal beliefs to influence the interaction
, Understanding the effect of culture on behaviour is important to the community health
nurse, because culture fits which of the following characteristics?
a. Culture is a blueprint for the behaviour of minority groups.
b. transmitted to all individuals.
c. Culture is a learned process that is transmitted by the family, ethnic group, and
society.
d. Culture determines the client's capacity to respond to a health problem - Answer-c
How is cultural competence demonstrated by a CHN in dealing with a Chinese
population? (Select all that apply.)
a. The nurse provides educational materials in English and Chinese.
b. The nurse provides care while paying attention to individual beliefs about pain, touch,
modesty, and eye contact.
c. The nurse delivers care while verbalizing all medical and nursing procedures being
conducted.
d. The nurse provides care without regard for cost or outcomes because the public
health department requires it.
e. The nurse provides care that acknowledges the differences in ways individuals
respond to illness and treatment. - Answer-a, b, e
Cultural competence is being stressed in nursing programs for which one of the
following reasons?
a. Technological changes have made nursing more sophisticated.
b. Self-determination of clients is minimized, where cultural differences are considered.
c. Culture is a determinant of health that influences and is influenced by other
determinants.
d. Cultural care is universal care, and all people need to be treated the same - Answer-c
Nurses develop cultural competence in many ways, but mainly in which one of the
following ways?
a. By working with clients who are culturally similar to themselves
b. By being afraid to make mistakes when confronted with situations that are different
c. By refusing to acknowledge cultural differences when conducting a cultural
assessment
d. By learning from clients as they express their experiences and problem-solving
strategies - Answer-d
what is cultural blindness - Answer-the tendency to act as though all individuals are the
same
