Health Nursing in Canada, 4th Edition (MacDonald,
2022), Chapter 1-18 | All Chapters
1. The primary goal of community health nursing is:
a. Treating illness in individuals
b. Promoting and preserving the health of populations
c. Performing clinical procedures
d. Rehabilitating individual clients
Community health nursing emphasizes population-level health
promotion and disease prevention rather than individual
treatment.
2. Which principle best guides community health nursing practice?
a. Hospital-based care is most efficient
b. Disease-specific care is more effective
c. Health is a resource for everyday living
d. Individuals must be treated in isolation
Health is seen as a dynamic resource that enables individuals to
function in society, central to community health nursing.
3. What is the best example of upstream thinking in community health
nursing?
, a. Advocating for improved housing policies
b. Providing wound care for the homeless
c. Administering flu vaccines in a clinic
d. Teaching a diabetic client how to inject insulin
Upstream thinking addresses root causes of poor health such as
social determinants like housing.
4. The term “population health” refers to:
a. Hospital-based metrics
b. The health outcomes of a group and the distribution of those outcomes
c. Individual treatment outcomes
d. Acute care protocols
Population health considers health outcomes within a group and
the equity of distribution across that group.
5. What concept is central to the Ottawa Charter for Health Promotion?
a. Tertiary care
b. Empowering people to take control over their health
c. Funding of acute care facilities
d. Standardizing treatment protocols
The Ottawa Charter focuses on enabling, mediating, and
advocating for health promotion.
6. Which determinant of health is considered most influential in Canada?
a. Genetics
b. Gender
c. Income and social status
, d. Health services
Income influences access to other determinants, such as
education, housing, and nutrition.
7. Which ethical principle involves doing good for others?
a. Beneficence
b. Justice
c. Fidelity
d. Non-maleficence
Beneficence is the duty to promote good and prevent harm.
8. Which is an example of community-level intervention?
a. Teaching a client how to use an inhaler
b. Implementing a city-wide smoking ban
c. Performing a dressing change
d. Monitoring a diabetic’s glucose
Community-level interventions aim to change policies or
environments affecting the whole population.
9. A community health nurse advocating for universal childcare is
demonstrating:
a. Direct care
b. Assessment skills
c. Policy development
d. Disease surveillance
, Policy development involves influencing decisions that affect
population health.
10.What is a key role of a community health nurse?
a. Providing surgery
b. Diagnosing diseases
c. Engaging in community assessment
d. Prescribing medication
Community assessment allows nurses to identify strengths, needs,
and resources.
11.Which concept best reflects primary prevention?
a. Screening for cancer
b. Immunizing school-age children
c. Providing palliative care
d. Rehabilitation after stroke
Primary prevention prevents disease before it occurs, such as
through immunization.
12.What is secondary prevention?
a. Promoting breastfeeding
b. Palliative chemotherapy
c. Mammography screening
d. Leg amputation in diabetes