Test Bank Community Health Nursing in Canada
3rd Edition-GradesA+-2023-2024
Chapter 01: Community Health Nursing
Stanhope: Community Health Nursing in Canada, 3rd Canadian Edition
MULTIPLE CHOICE
1. Which of the following best describes community health nursing?
a. Giving care with a focus on the aggregate’s needs
b. Giving care with a focus on the group’s needs
c. Focusing on the health care of individual clients in the community
d. Working with an approach of unique client care
ANS: C
By definition, community health nursing is the health care of individual clients in the
community.
DIF: Cognitive Level: Knowledge/Remember REF: p. 3
OBJ: 1.6
TOP: Client Need: Safe and Effective Care Environment - Management of Care
2. Which of the following best describes primary health care?
a. A comprehensive way to address issues of social justice
b. Giving care to manage acute or chronic conditions
c. Giving direct care to ill individuals within their family setting
d. Having the goal of health promotion and disease prevention
ANS: A
By definition, primary health care is comprehensive and addresses issues of social justice and
equity. Social justice in the context of health refers to ensuring fairness and equality in health
services so that vulnerable individuals in society have easy access to health care.
DIF: Cognitive Level: Knowledge/Remember REF: p. 10
OBJ: 1.4 TOP: Client Need: Health Promotion and Maintenance
3. The health of which of the following is the primary focus of public health nurses (PHNs)?
a. Families
b. Groups
c. Individuals
d. Populations
ANS: D
PHNs use knowledge of nursing, social sciences, and public health sciences for the promotion
and protection of health and for the prevention of disease among populations.
DIF: Cognitive Level: Knowledge/Remember REF: p. 13, Table 1-4 | p. 20
OBJ: 1.5 TOP: Client Need: Health Promotion and Maintenance
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4. Which change is the primary explanation for life expectancy increasing so notably since the
early 1900s?
a. An increase in findings from medical laboratory research
b. Incredible advances in surgical techniques and procedures
c. Improved sanitation and other public health activities
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d. Increased use of antibiotics to fight infections
ANS: C
Improvement in control of infectious diseases through immunizations, sanitation, and other
public health activities led to the increase in life expectancy since the early 1900s.
DIF: Cognitive Level: Knowledge/Remember REF: pp. 12-13
OBJ: 1.5 TOP: Client Need: Health Promotion and Maintenance
5. Which community health nursing practice area receives funding from the private sector?
a. Telenurses
b. Corrections nurses
c. Nurse entrepreneurs
d. Street or outreach nurses
ANS: C
The nurse entrepreneur receives private funding, whereas all of the other community health
nurse (CHN) roles are with provincially or federally funded positions.
DIF: Cognitive Level: Knowledge/Remember REF: p. 22, Table 1-4 Examples
OBJ: 1.6
TOP: Client Need: Safe and Effective Care Environment - Management of Care
6. A PHN strives to prevent disease and disability, often in partnership with other community
groups. Which statement is an appropriate summary of the PHN’s role?
a. The PHN asks the political leaders what interventions should be chosen.
b. The PHN assesses the community and decides on appropriate interventions.
c. The PHN uses data from the main health care institutions in the community to
determine needed health services.
d. The PHN works with community members to carry out public health functions.
ANS: D
It is crucial that the PHN work with members of the community to carry out core public health
functions.
DIF: Cognitive Level: Application/Apply REF: p. 13, How To box
OBJ: 1.5 TOP: Client Need: Health Promotion and Maintenance
7. Which of the following is used as a measurement of population health?
a. Health status indicators
b. The levels of prevention
c. The number of memberships at the local fitness centre
d. Reported provincial alcohol and tobacco sales in any given month
ANS: A
Population health refers to the health outcomes of a population as measured by determinants
of health and health outcomes.
DIF: Cognitive Level: Knowledge/Remember REF: p. 16
OBJ: 1.2 TOP: Client Need: Health Promotion and Maintenance
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8. Ay2registeredy2nursey2(RN),y2hasy2justy2beeny2employedy2asy2ay2CHN.y2Whichy2questiony2w
ouldy2bey2mosty2relevanty2toy2hery2practicey2asy2shey2beginsy2hery2position?
a. “Whichy2communityy2groupsy2arey2aty2greatesty2risky2fory2problems?”
b. “Whichy2patientsy2shouldy2Iy2seey2firsty2asy2Iy2beginy2myy2day?”
c. “Withy2whichy2physiciansy2willy2Iy2bey2collaboratingy2mosty2closely?”
d. “Whoy2isy2they2nursingy2assistanty2toy2whomy2Iy2cany2refery2patients?”
ANS:y 2 A
CHNsy2applyy2they2nursingy2processy2toy2they2entirey2community;y2askingy2whichy2groupsy2arey
2aty2greatesty2risky2reflectsy2ay2community-
orientedy2perspective.y2They2othery2possibley2responsesy2focusy2ony2particulary2individuals.
DIF: Cognitivey2Level:y2Application/Apply
REF:y 2 p.y215y2OBJ:y 2 1.6
TOP:y 2 Clienty2Need:y2Healthy2Promotiony2andy2Maintenance
9. They2CHNy2workingy2withy2womeny2aty2they2seniory2citizens’y2centrey2remindsy2themy2thaty2
they2onlyy2wayy2they2centrey2willy2bey2abley2toy2affordy2ay2drivery2andy2ay2vany2servicey2fory
2thosey2whoy2cannoty2drivey2themselvesy2isy2toy2continuey2toy2writey2lettersy2toy2theiry2localy2
cityy2councily2representatives,y2requestingy2fundingy2fory2suchy2ay2service.y2Whaty2isy2they2C
HNy2doing?
a. Ensuringy2thaty2they2womeny2doy2noty2expecty2they2CHNy2herselfy2toy2doy2anything
y2abouty2theiry2problem
b. Demonstratingy2thaty2shey2understandsy2they2women’sy2concernsy2andy2needs
c. Expressingy2empathy,y2support,y2andy2concern
d. Helpingy2they2womeny2engagey2iny2politicaly2actiony2locally
ANS:y 2 D
CHNsy2havey2any2imperativey2toy2worky2withy2they2membersy2ofy2they2communityy2toy2carryy2o
uty2publicy2healthy2functionsy2suchy2asy2politicaly2action.
DIF: Cognitivey2Level:y2Application/Apply
REF:y 2 p.y213,y2Howy2Toy2boxy2OBJ:y 2 1.5y2|y21.6
TOP:y 2 Clienty2Need:y2Safey2andy2Effectivey2Carey2Environmenty2-y2Managementy2ofy2Care
10. Whichy2activityy2isy2any2exampley2ofy2they2“advocate”y2roley2ofy2they2CHN?
a. Organizingy2homey2carey2supporty2fory2ay2newlyy2dischargedy2oldery2adulty2client
b. Actingy2asy2ay2membery2ofy2ay2communityy2actiony2groupy2fory2provisiony2of
y2accessibley2transity2choices
c. Doingy2prenataly2assessments
d. Facilitatingy2ay2self-helpy2groupy2fory2smokingy2cessation
ANS:y 2 B
Any2advocatey2providesy2ay2voicey2toy2clienty2concernsy2wheny2actingy2asy2ay2membery2ofy2ay2c
ommunityy2actiony2groupy2fory2provisiony2ofy2accessibley2transity2choices.
DIF: Cognitivey2Level:y2Application/Apply
REF:y 2 p.y219,y2Tabley21-3y2OBJ:y 2 1.6
TOP:y 2 Clienty2Need:y2Safey2andy2Effectivey2Carey2Environmenty2-y2Managementy2ofy2Care
11. Iny2whichy2scenarioy2isy2they2PHNy2mosty2comprehensivelyy2fulfillingy2collaborative
y2practicey2responsibilities?
a. They2PHNy2meetsy2withy2severaly2groupsy2abouty2communityy2recreationy2issues.
b. They2PHNy2spendsy2they2dayy2attendingy2meetingsy2aty2variousy2healthy2agencies.
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