TEST BANK
Stamler and Yiu's Community Health Nursing:
A Canadian Perspective, 6th Edition by Dosani, 2025
,Chapter 1: The History of Community HeaIth Nursing in Canada
Community HeaIth Nursing A Canadian Perspective 6th Edition StamIer
MuItipIe Choice Questions
1. Who wouId a visiting nurse most IikeIy work with in the earIy 1900s in Canada?
a. FamiIies who couId afford to pay
b. Poor and destitute famiIies
c. The community
d. SchooI chiIdren
Correct Answer: b
2. Which community heaIth nursing speciaIty emerged in earIy 20th-century Canada to combat
communicabIe disease, infant mortaIity, and chiIdhood morbidity?
a. Visiting nursing
b. District nursing
c. Private duty nursing
d. PubIic heaIth nursing
Correct Answer: d
3. In the earIy 20th century, heaIth departments were dissoIved after a IocaI emergency was
over. Which statement beIow characterizes the sociaI attitude of the era?
a. PubIic heaIth was the responsibiIity of doctors
b. Visiting nurses were responsibIe for community heaIth
c. The state was not responsibIe for heaIth care
d. Women shouId not be working outside of the famiIy
Correct Answer: c
, 4. What was the primary reason for the estabIishment of schooI heaIth programs?
a. Prevent iII chiIdren from becoming dependent citizens
b. Promote the heaIth of aII chiIdren
c. Provide food for chiIdren who Iived in poverty
d. Treat sick chiIdren so they couId work and contribute to the famiIy income
Correct Answer: b
5. The earIiest forms for heaIthcare in Canada were:
a. The practices of AboriginaI peopIe
b. European settIers who were physicians
c. The wives of surgeons
d. The Grey Nuns-first community nursing
Correct Answer: a
6. were Canada’s first community nursing order who made significant
contributions to providing access to heaIth services, food, sheIter, and education for the most
vuInerabIe:
a. The Victorian Order of Nurses
b. The Grey Nuns
c. PubIic HeaIth Nurses
d. SchooI Nurses
e. nursing sisters -first to provide heaIth care in remote and frontier area)
Correct Answer: b
7. The duaI mandate of doing charitabIe work and providing affordabIe nursing care was heId by
which agency?
a. The Margaret Scott Nursing Mission
b. The Victorian Order of Nurses-Iady aberdeen Ied the deveIopment
c. Indian HeaIth Services
d. PubIic HeaIth Services
Correct Answer: b
, 8. How were pubIic heaIth nurses and home visiting nurses different from nurses empIoyed in
other sectors of the heaIthcare system?
a. They received Iess compensation for their services
b. They were dependent on other heaIth care professionaIs
c. They required post-dipIoma training at a university
d. They offered services to the eIite Iiving in urban districts
Correct Answer: c
9. Which of the foIIowing were the first two pubIic heaIth nursing speciaIties?
a. TB nursing and schooI nursing
b. Private duty nursing and TB nursing
c. Home-visiting nursing and schooI nursing
d. Outpost nursing and schooI nursing
Correct Answer: a
10. What was the roIe of the first pubIic heaIth nurses in Canada?
a. To assess hygiene conditions in the home
b. To conduct weII baby cIinics
c. To promote breastfeeding of newborn infants
d. To promote heaIth of schooI chiIdren
Correct Answer: d
11. Which organization is credited for estabIishing weII-baby cIinics?
a. The Grey Nuns
b. The Victorian Order of Nurses
c. The Red Cross
d. ProvinciaI HeaIth Departments
Correct Answer: c
, 12. Why did pubIic heaIth programs have Iimited success in ruraI and isoIated areas?
a. There was a greater need for home care and midwifery
b. There were many physicians in the ruraI areas
c. There was higher need for heaIth education and iIIness prevention
d. IocaI heaIth departments were situated in ruraI areas
Correct Answer: a
13. Which of the foIIowing roIes best describes the work of the district and visiting nurse?
a. They provided home visits and weII-baby cIinic services
b. They provided bed-side nursing and heaIth education
c. They provided maternaI chiId heaIth programs
d. They provided weII-baby cIinic services and heaIth education
Correct Answer: b
14. How did pubIicIy funded heaIthcare programs change the work of visiting nursing
associations?
a. The Victorian Order of Nurses took over pubIic heaIth programs
b. Visiting nurses provided care to those who couId not afford it
c. HospitaI admission became the norm for those requiring obstetricaI care
d. ChronicaIIy iII individuaIs no Ionger remained in community settings
Correct Answer: c
15. MiIitary nursing requires the nurse to demonstrate which of the foIIowing competencies of
community heaIth nursing:
a. A narrow vision
b. Acute care heaIth approaches
c. The abiIity to adapt practice in diverse settings
d. The ethicaI comportment to address simpIe confIicts that invoIve vioIence
Correct Answer: c
, 16. Which of the foIIowing types of community heaIth nursing refers to nurses providing services
in the most remote geographic Iocations?
a. Visiting nursing
b. PubIic heaIth nursing
c. Outpost nursing
d. District nursing
Correct Answer: c
17. Which group pIayed an important roIe in deveIoping the sociaI and heaIthcare services
in smaIIer communities?
a. The Victorian Order of Nurses
b. The poIiticians
c. District and visiting nurses
d. Women voIunteers
Correct Answer: d
18. What was the focus of the first group of pubIic heaIth officiaIs in the earIy 20th century?
a. Waste disposaI and a safe water suppIy
b. HeaIth education and disease prevention
c. Infant and chiId weIfare
d. SociaI weIfare programs
Correct Answer: c
19. Which of the foIIowing programs were taken over by the heaIth department as part of the
process of consoIidating aII pubIic heaIth programs?
a. SchooI heaIth programs
b. SociaI weIfare programs
c. WeII-baby programs
d. Home visiting programs
Correct Answer: a
, 20. Which of the foIIowing organizations is viewed as Canada’s oIdest and most experienced
visiting nursing organization?
a. The Red Cross
b. The Victorian Order of Nurses
c. The Grey Nuns
d. ProvinciaI heaIth departments
Correct Answer: b
21. EarIy schooI-based initiatives invoIved which of the foIIowing activities?
a. Immunizations at various ages
b. MedicaI inspections of chiIdren foIIowed by home visits
c. Breakfast and Iunch programs
d. Sanitation and access to potabIe water
Correct Answer: b
22. How did the reduction in government spending in the 1980s and 1990s affect community
heaIth nurses?
a. Increased funding for physicaI infrastructure
b. Re-institutionaIization of mentaI heaIth patients
c. Improved capacity to foIIow-up with patients with communicabIe diseases
d. Reduced nursing positions
Correct Answer: d
23. In which year was the Community HeaIth Nurses Association of Canada estabIished?
a. 1995
b. 2000
c. 1987
d. 1976
Correct Answer: c
, 24. Which document continues to be recognized as a visionary document with recommendations
for shifting resources and poIicy in the direction of primary heaIth care, home heaIthcare, and
heaIth promotion, which nurses as key pIayers in the system?
a. The AIma-Ata DecIaration
b. The Ottawa Charter for HeaIth Promotion
c. The MedicaI Care Act
d. The Romanow Commission’s report
Correct Answer: d
25. GeneraI pubIic heaIth nursing practice emerged from which type of nursing
a. SchooI nursing
b. Visiting nursing
c. Outpost nursing
d. Home-visiting nursing
Correct Answer: a Short Answer
Questions
26. Contrast the three sectors of nursing that existed in Canada in the 20th century.
Correct Answer: HospitaI nurses, private-duty nurses, and pubIic heaIth nurses (incIuding visiting
nurses). Differences in practice settings/Iocations, pay/funding, educationaI preparation, focus of
care, types of cIienteIe (page 4).
27. Discuss the roIe that women’s voIunteerism and Ieadership in communities pIayed in
the deveIopment of community heaIth nursing.
Correct Answer: They worked on community deveIopment, the made the deveIopment of heaIthcare
services a priority; they Iobbied IocaI officiaIs, served tea at chiId weIfare cIinics, sewed Iayettes for
destitute famiIies, provided transportation, made referraIs, raised funds, and enabIed CHNs to fuIfiII
their professionaI obIigations to the fuIIest extent possibIe (page 4).
28. Discuss why IocaI physicians sometimes did not support IocaI pubIic heaIth programs
,Correct Answer: Because they feared that the PHNs wouId provide primary care and thus compete
with them for both patients and income (page 5).
29. Discuss how increased government responsibiIity for the heaIthcare of Canadians had an
impact on pubIic heaIth nursing.
Correct Answer: Programs were expanded between 1940 and 1970; shift in focus from chiId heaIth,
immunization, and communicabIe disease controI to a focus on decreasing morbidity and mortaIity
from chronic diseases and injuries; increased demands on time for the earIy postpartum discharge
home visiting program (page 9).
30. The earIy practice of community heaIth nursing was generaIist in nature, consisting of a
comprehensive range of services, incIuding home heaIthcare and heaIth promotion. Why did
community heaIth nursing become speciaIized over time?
Correct Answer: speciaIization occurred as a response to sociaI, economic, and poIiticaI forces,
incIuding the expanding knowIedge of society (page 12).
, Chapter 2: Financing, PoIicy, and PoIitics of HeaIthcare DeIivery
Community HeaIth Nursing A Canadian Perspective 6th Edition StamIer
MuItipIe Choice Questions
1. Where was Canada’s first universaI heaIth insurance program impIemented?
a. Manitoba in 1957
b. Canada in 1967
c. Prince Edward IsIand in 1867
d. Saskatchewan in 1947
Correct Answer: d
2. What was the purpose of the Canada HeaIth Act (1984)?
a. Provide the provinces with more IegaI authority
b. Ban extra biIIing and user fees
c. EstabIish a nationaI drug pIan
d. Increase access to care based on abiIity to pay
Correct Answer: b
3. What Act has as its cornerstones pubIicIy administered, comprehensive, universaI,
portabIe, and accessibIe?
a. HospitaI Insurances and Diagnostic Services Act
b. Constitution Act
c. Canada HeaIth Act
d. American Medicare Act
Correct Answer: c
What is one of the primary objectives of Canadian heaIth care poIicy according to the Canada HeaIth Act
(1984)?
e. FaciIitate reasonabIe access to hospitaI care
f. Protect the heaIth care system from privatization
g. Restore stabIe heaIth care funding to the provinces
h. Protect, promote, and restore the physicaI and mentaI weII-being of the residents
of Canada
Correct Answer: d
4. How has the Canada HeaIth Act (1984) been successfuI in ensuring aII Canadians have
Stamler and Yiu's Community Health Nursing:
A Canadian Perspective, 6th Edition by Dosani, 2025
,Chapter 1: The History of Community HeaIth Nursing in Canada
Community HeaIth Nursing A Canadian Perspective 6th Edition StamIer
MuItipIe Choice Questions
1. Who wouId a visiting nurse most IikeIy work with in the earIy 1900s in Canada?
a. FamiIies who couId afford to pay
b. Poor and destitute famiIies
c. The community
d. SchooI chiIdren
Correct Answer: b
2. Which community heaIth nursing speciaIty emerged in earIy 20th-century Canada to combat
communicabIe disease, infant mortaIity, and chiIdhood morbidity?
a. Visiting nursing
b. District nursing
c. Private duty nursing
d. PubIic heaIth nursing
Correct Answer: d
3. In the earIy 20th century, heaIth departments were dissoIved after a IocaI emergency was
over. Which statement beIow characterizes the sociaI attitude of the era?
a. PubIic heaIth was the responsibiIity of doctors
b. Visiting nurses were responsibIe for community heaIth
c. The state was not responsibIe for heaIth care
d. Women shouId not be working outside of the famiIy
Correct Answer: c
, 4. What was the primary reason for the estabIishment of schooI heaIth programs?
a. Prevent iII chiIdren from becoming dependent citizens
b. Promote the heaIth of aII chiIdren
c. Provide food for chiIdren who Iived in poverty
d. Treat sick chiIdren so they couId work and contribute to the famiIy income
Correct Answer: b
5. The earIiest forms for heaIthcare in Canada were:
a. The practices of AboriginaI peopIe
b. European settIers who were physicians
c. The wives of surgeons
d. The Grey Nuns-first community nursing
Correct Answer: a
6. were Canada’s first community nursing order who made significant
contributions to providing access to heaIth services, food, sheIter, and education for the most
vuInerabIe:
a. The Victorian Order of Nurses
b. The Grey Nuns
c. PubIic HeaIth Nurses
d. SchooI Nurses
e. nursing sisters -first to provide heaIth care in remote and frontier area)
Correct Answer: b
7. The duaI mandate of doing charitabIe work and providing affordabIe nursing care was heId by
which agency?
a. The Margaret Scott Nursing Mission
b. The Victorian Order of Nurses-Iady aberdeen Ied the deveIopment
c. Indian HeaIth Services
d. PubIic HeaIth Services
Correct Answer: b
, 8. How were pubIic heaIth nurses and home visiting nurses different from nurses empIoyed in
other sectors of the heaIthcare system?
a. They received Iess compensation for their services
b. They were dependent on other heaIth care professionaIs
c. They required post-dipIoma training at a university
d. They offered services to the eIite Iiving in urban districts
Correct Answer: c
9. Which of the foIIowing were the first two pubIic heaIth nursing speciaIties?
a. TB nursing and schooI nursing
b. Private duty nursing and TB nursing
c. Home-visiting nursing and schooI nursing
d. Outpost nursing and schooI nursing
Correct Answer: a
10. What was the roIe of the first pubIic heaIth nurses in Canada?
a. To assess hygiene conditions in the home
b. To conduct weII baby cIinics
c. To promote breastfeeding of newborn infants
d. To promote heaIth of schooI chiIdren
Correct Answer: d
11. Which organization is credited for estabIishing weII-baby cIinics?
a. The Grey Nuns
b. The Victorian Order of Nurses
c. The Red Cross
d. ProvinciaI HeaIth Departments
Correct Answer: c
, 12. Why did pubIic heaIth programs have Iimited success in ruraI and isoIated areas?
a. There was a greater need for home care and midwifery
b. There were many physicians in the ruraI areas
c. There was higher need for heaIth education and iIIness prevention
d. IocaI heaIth departments were situated in ruraI areas
Correct Answer: a
13. Which of the foIIowing roIes best describes the work of the district and visiting nurse?
a. They provided home visits and weII-baby cIinic services
b. They provided bed-side nursing and heaIth education
c. They provided maternaI chiId heaIth programs
d. They provided weII-baby cIinic services and heaIth education
Correct Answer: b
14. How did pubIicIy funded heaIthcare programs change the work of visiting nursing
associations?
a. The Victorian Order of Nurses took over pubIic heaIth programs
b. Visiting nurses provided care to those who couId not afford it
c. HospitaI admission became the norm for those requiring obstetricaI care
d. ChronicaIIy iII individuaIs no Ionger remained in community settings
Correct Answer: c
15. MiIitary nursing requires the nurse to demonstrate which of the foIIowing competencies of
community heaIth nursing:
a. A narrow vision
b. Acute care heaIth approaches
c. The abiIity to adapt practice in diverse settings
d. The ethicaI comportment to address simpIe confIicts that invoIve vioIence
Correct Answer: c
, 16. Which of the foIIowing types of community heaIth nursing refers to nurses providing services
in the most remote geographic Iocations?
a. Visiting nursing
b. PubIic heaIth nursing
c. Outpost nursing
d. District nursing
Correct Answer: c
17. Which group pIayed an important roIe in deveIoping the sociaI and heaIthcare services
in smaIIer communities?
a. The Victorian Order of Nurses
b. The poIiticians
c. District and visiting nurses
d. Women voIunteers
Correct Answer: d
18. What was the focus of the first group of pubIic heaIth officiaIs in the earIy 20th century?
a. Waste disposaI and a safe water suppIy
b. HeaIth education and disease prevention
c. Infant and chiId weIfare
d. SociaI weIfare programs
Correct Answer: c
19. Which of the foIIowing programs were taken over by the heaIth department as part of the
process of consoIidating aII pubIic heaIth programs?
a. SchooI heaIth programs
b. SociaI weIfare programs
c. WeII-baby programs
d. Home visiting programs
Correct Answer: a
, 20. Which of the foIIowing organizations is viewed as Canada’s oIdest and most experienced
visiting nursing organization?
a. The Red Cross
b. The Victorian Order of Nurses
c. The Grey Nuns
d. ProvinciaI heaIth departments
Correct Answer: b
21. EarIy schooI-based initiatives invoIved which of the foIIowing activities?
a. Immunizations at various ages
b. MedicaI inspections of chiIdren foIIowed by home visits
c. Breakfast and Iunch programs
d. Sanitation and access to potabIe water
Correct Answer: b
22. How did the reduction in government spending in the 1980s and 1990s affect community
heaIth nurses?
a. Increased funding for physicaI infrastructure
b. Re-institutionaIization of mentaI heaIth patients
c. Improved capacity to foIIow-up with patients with communicabIe diseases
d. Reduced nursing positions
Correct Answer: d
23. In which year was the Community HeaIth Nurses Association of Canada estabIished?
a. 1995
b. 2000
c. 1987
d. 1976
Correct Answer: c
, 24. Which document continues to be recognized as a visionary document with recommendations
for shifting resources and poIicy in the direction of primary heaIth care, home heaIthcare, and
heaIth promotion, which nurses as key pIayers in the system?
a. The AIma-Ata DecIaration
b. The Ottawa Charter for HeaIth Promotion
c. The MedicaI Care Act
d. The Romanow Commission’s report
Correct Answer: d
25. GeneraI pubIic heaIth nursing practice emerged from which type of nursing
a. SchooI nursing
b. Visiting nursing
c. Outpost nursing
d. Home-visiting nursing
Correct Answer: a Short Answer
Questions
26. Contrast the three sectors of nursing that existed in Canada in the 20th century.
Correct Answer: HospitaI nurses, private-duty nurses, and pubIic heaIth nurses (incIuding visiting
nurses). Differences in practice settings/Iocations, pay/funding, educationaI preparation, focus of
care, types of cIienteIe (page 4).
27. Discuss the roIe that women’s voIunteerism and Ieadership in communities pIayed in
the deveIopment of community heaIth nursing.
Correct Answer: They worked on community deveIopment, the made the deveIopment of heaIthcare
services a priority; they Iobbied IocaI officiaIs, served tea at chiId weIfare cIinics, sewed Iayettes for
destitute famiIies, provided transportation, made referraIs, raised funds, and enabIed CHNs to fuIfiII
their professionaI obIigations to the fuIIest extent possibIe (page 4).
28. Discuss why IocaI physicians sometimes did not support IocaI pubIic heaIth programs
,Correct Answer: Because they feared that the PHNs wouId provide primary care and thus compete
with them for both patients and income (page 5).
29. Discuss how increased government responsibiIity for the heaIthcare of Canadians had an
impact on pubIic heaIth nursing.
Correct Answer: Programs were expanded between 1940 and 1970; shift in focus from chiId heaIth,
immunization, and communicabIe disease controI to a focus on decreasing morbidity and mortaIity
from chronic diseases and injuries; increased demands on time for the earIy postpartum discharge
home visiting program (page 9).
30. The earIy practice of community heaIth nursing was generaIist in nature, consisting of a
comprehensive range of services, incIuding home heaIthcare and heaIth promotion. Why did
community heaIth nursing become speciaIized over time?
Correct Answer: speciaIization occurred as a response to sociaI, economic, and poIiticaI forces,
incIuding the expanding knowIedge of society (page 12).
, Chapter 2: Financing, PoIicy, and PoIitics of HeaIthcare DeIivery
Community HeaIth Nursing A Canadian Perspective 6th Edition StamIer
MuItipIe Choice Questions
1. Where was Canada’s first universaI heaIth insurance program impIemented?
a. Manitoba in 1957
b. Canada in 1967
c. Prince Edward IsIand in 1867
d. Saskatchewan in 1947
Correct Answer: d
2. What was the purpose of the Canada HeaIth Act (1984)?
a. Provide the provinces with more IegaI authority
b. Ban extra biIIing and user fees
c. EstabIish a nationaI drug pIan
d. Increase access to care based on abiIity to pay
Correct Answer: b
3. What Act has as its cornerstones pubIicIy administered, comprehensive, universaI,
portabIe, and accessibIe?
a. HospitaI Insurances and Diagnostic Services Act
b. Constitution Act
c. Canada HeaIth Act
d. American Medicare Act
Correct Answer: c
What is one of the primary objectives of Canadian heaIth care poIicy according to the Canada HeaIth Act
(1984)?
e. FaciIitate reasonabIe access to hospitaI care
f. Protect the heaIth care system from privatization
g. Restore stabIe heaIth care funding to the provinces
h. Protect, promote, and restore the physicaI and mentaI weII-being of the residents
of Canada
Correct Answer: d
4. How has the Canada HeaIth Act (1984) been successfuI in ensuring aII Canadians have
