NFDN REVIEW EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
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
what is cultural conflict - Answer-perceived threat arising from misunderstanding of
expectations
what is cultural shock - Answer-negative responses of clients unable to adapt to cultural
expectations of another group
what is cultural impositon - Answer-ignoring alternative healing therapies while
promoting western medical traditions
what is ethnocentrism - Answer-judging behaviour from one's own standards for
behaviour
what special health care considerations do community health nurses need to be aware
of with regard to migrant workers - Answer-they often have high occupational mobility
and may seek health care only when they are too ill to work
its important to teach these clients about disease prevention, health maintenance, etc
before the client moves on
A nurse is teaching the importance of childhood immunizations to a group of postpartum
mothers. This is considered which level of preventive care
a) Tertiary prevention .
b) Secondary prevention .
c) Health screening .
d) Primary prevention - Answer-d
When assessing an unemployed, 18 year old mother of 3 at your community health
clinic, a complete picture of her situation would require an assessment including:
a) values assessment .
b) social work referral .
c) drug screening .
d) determinants of health - Answer-d
The best example of primary care is:
COMPLETE SOLUTIONS
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
what is cultural conflict - Answer-perceived threat arising from misunderstanding of
expectations
what is cultural shock - Answer-negative responses of clients unable to adapt to cultural
expectations of another group
what is cultural impositon - Answer-ignoring alternative healing therapies while
promoting western medical traditions
what is ethnocentrism - Answer-judging behaviour from one's own standards for
behaviour
what special health care considerations do community health nurses need to be aware
of with regard to migrant workers - Answer-they often have high occupational mobility
and may seek health care only when they are too ill to work
its important to teach these clients about disease prevention, health maintenance, etc
before the client moves on
A nurse is teaching the importance of childhood immunizations to a group of postpartum
mothers. This is considered which level of preventive care
a) Tertiary prevention .
b) Secondary prevention .
c) Health screening .
d) Primary prevention - Answer-d
When assessing an unemployed, 18 year old mother of 3 at your community health
clinic, a complete picture of her situation would require an assessment including:
a) values assessment .
b) social work referral .
c) drug screening .
d) determinants of health - Answer-d
The best example of primary care is:
