NFDN Midterm Exam 2025 Questions and
Answers
Community? - ANS People and relationships. Commonly shared agencies, institutions or
environment.
What is community health nursing? - ANS All nurses who work IN and WITH the community.
Focus of community health nursing - ANS Health of individual and population
What's under the umbrella? - ANS Public, Home, Occupational Health
What does community nursing involve? - ANS Direct care, coordinating care, planning
services, programs and policies.
Collaboration involves who - ANS Individuals, caregivers, families, communities and
governments
Population? - ANS Large group of people who share 1 or more personal or environmental
characteristic. Ex. All high risk children
Aggregate - ANS Groups within a population. Ex. High risk infants younger than 1 year of age
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,Population Health - ANS Health outcomes of a population. Measured by determinants of
health and health status.
1980-1990 - ANS Shift from illness prevention to health promotion.
2001 - ANS Home care costs less than institutional care
2002 - ANS Romanow identified home care as the most rapidly growing area of community
health. Due to early discharge.
2020 - ANS 2/3 of all nurses will be practicing in the community
Canada health act: Universality - ANS All insured residents are entitled to the same level of
health care
Canada Health Act: accessibility - ANS Reasonable access to healthcare facilities
Canada Health Act: comprehensiveness of services - ANS All health services must be insured
Canada Health Act: portability - ANS individuals have access to healthcare in other provinces
and territories without cost or penalty
Canada Health Act: Public Administration - ANS all administration of provincial health
insurance must be carried out by a public authority on a non-profit basis
Purpose of Health Canada - ANS Safeguards population health, by surveillance, prevention,
legislation and research.
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, Health Canada focuses on - ANS Environmental health, disease outbreaks, drug products,
food safety.
1930's realizations - ANS Canadians wanted government to take over healthcare. Poverty
was a result of sociopolitical factors not individual weakness.
1970s Lalonde Report - ANS Initiated health promotion. Development of first health
determinants.
What were the first determinants of health - ANS Biology, lifestyle, healthcare and
environment
1978- Alma Ata Declaration - ANS Primary health care was defined
1986- Epp Report - ANS "health for all"
Broader social, economic and environmental factors. Income level, education and physical
environment important influences on health.
Ottawa charter 2006 - ANS Increase control to improve their health.
Core values of Ottawa charter - ANS Equity, participation, empowerment.
Prerequisites for health - ANS Peace, shelter, education, food, income, stable ecosystem,
sustainable resources, social justice, equity.
Most important social determinants - ANS Poverty, economic inequality, social status, stress,
education, care in early life.
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
Answers
Community? - ANS People and relationships. Commonly shared agencies, institutions or
environment.
What is community health nursing? - ANS All nurses who work IN and WITH the community.
Focus of community health nursing - ANS Health of individual and population
What's under the umbrella? - ANS Public, Home, Occupational Health
What does community nursing involve? - ANS Direct care, coordinating care, planning
services, programs and policies.
Collaboration involves who - ANS Individuals, caregivers, families, communities and
governments
Population? - ANS Large group of people who share 1 or more personal or environmental
characteristic. Ex. All high risk children
Aggregate - ANS Groups within a population. Ex. High risk infants younger than 1 year of age
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,Population Health - ANS Health outcomes of a population. Measured by determinants of
health and health status.
1980-1990 - ANS Shift from illness prevention to health promotion.
2001 - ANS Home care costs less than institutional care
2002 - ANS Romanow identified home care as the most rapidly growing area of community
health. Due to early discharge.
2020 - ANS 2/3 of all nurses will be practicing in the community
Canada health act: Universality - ANS All insured residents are entitled to the same level of
health care
Canada Health Act: accessibility - ANS Reasonable access to healthcare facilities
Canada Health Act: comprehensiveness of services - ANS All health services must be insured
Canada Health Act: portability - ANS individuals have access to healthcare in other provinces
and territories without cost or penalty
Canada Health Act: Public Administration - ANS all administration of provincial health
insurance must be carried out by a public authority on a non-profit basis
Purpose of Health Canada - ANS Safeguards population health, by surveillance, prevention,
legislation and research.
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, Health Canada focuses on - ANS Environmental health, disease outbreaks, drug products,
food safety.
1930's realizations - ANS Canadians wanted government to take over healthcare. Poverty
was a result of sociopolitical factors not individual weakness.
1970s Lalonde Report - ANS Initiated health promotion. Development of first health
determinants.
What were the first determinants of health - ANS Biology, lifestyle, healthcare and
environment
1978- Alma Ata Declaration - ANS Primary health care was defined
1986- Epp Report - ANS "health for all"
Broader social, economic and environmental factors. Income level, education and physical
environment important influences on health.
Ottawa charter 2006 - ANS Increase control to improve their health.
Core values of Ottawa charter - ANS Equity, participation, empowerment.
Prerequisites for health - ANS Peace, shelter, education, food, income, stable ecosystem,
sustainable resources, social justice, equity.
Most important social determinants - ANS Poverty, economic inequality, social status, stress,
education, care in early life.
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
