Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
TEST BANK
Stanhope and Lancaster's
Community Health Nursing in Canada
Sandra A. MacDonald, Sonya L. Jakubec
4th Edition
, Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
Table of Contents
UNIT I: Background and Roles for Community Health Nursing
1. Community Health Nursing
2. The Evolution of Community Health Nursing in Canada
3. Community Health Nursing in Canada: Settings, Functions, and Roles
UNIT II: Community Health Foundations and Principles
4. Health Promotion
5. Evidence-Informed Practice in Community Health Nursing
6. Ethics in Community Health Nursing Practice
7. Diversity and Relational Practice in Community Health Nursing
8. Epidemiological Applications
9. Working with the Community
10. Health Program Planning and Evaluation
UNIT III: Stakeholders and Populations of Community Health Nursing Practice
11. Working with the Individual as Client: Health and Wellness Across the Lifespan
12. Working with Families
13. Working with Groups, Teams, and Partners
14. Indigenous Health: Working with First Nations People, Inuit, and Métis
15. Working with Working with People Who Experience Structural Vulnerabilities
UNIT IV: Specific Domains of Community Health Practice
16. Communicable and Infectious Disease Prevention and Control
17. Environmental Health
18. Emergency Management and Disaster Preparedness
,Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
,Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
, Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Populations and Aggregates OBJ: 1.2
TOP: Health Promotion and Maintenance
8. A registered nurse (RN), has just been employed as a community health nurse (CHN). Which
question would be most relevant to practice as the nurse begins her position?
a. “Which community groups are at greatest risk for problems?”
b. “Which patients should I see first as I begin my day?”
c. “With which physicians will I be collaborating most closely?”
d. “Who is the nursing assistant to whom I can refer patients?”
ANS: A
CHNs apply the nursing process to the entire community; asking which groups are at greatest
risk reflects a community-oriented perspective. The other possible responses focus on
particular individuals.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Populations and Aggregates OBJ: 1.6
TOP: Health Promotion and Maintenance
9. The community health nurse (CHN) who is working with women at the senior citizens’ centre
reminds them that the only way the centre will be able to afford a driver and a van service for
those who cannot drive themselves is to continue to write letters to their local city council
representatives, requesting funding for such a service. What is the CHN doing?
a. Ensuring that the women do not expect the CHN herself to do anything about their
problem
b. Demonstrating that she understands the women’s concerns and needs
c. Expressing empathy, support, and concern
d. Helping the women engage in political action locally
ANS: D
CHNs have an imperative to work with the members of the community to carry out public
health functions such as political action.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Public Health Practice OBJ: 1.5 | 1.6
TOP: Safe and Effective Care Environment
10. Which activity is an example of the “advocate” role of the community health nurse?
a. Organizing home care support for a newly discharged older client
b. Acting as a member of a community action group for provision of accessible
transit choices
c. Doing prenatal assessments
d. Facilitating a self-help group for smoking cessation
ANS: B
An advocate provides a voice to client concerns when acting as a member of a community
action group for provision of accessible transit choices.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Community Health Nursing Roles and Functions OBJ: 1.6
TOP: Safe and Effective Care Environment
, Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
11. In which scenario is the public health nurse (PHN) most comprehensively practising
interprofessional collaboration?
a. The PHN meets with several groups about community recreation issues.
b. The PHN spends the day attending meetings at various health agencies.
c. The PHN talks to several people about their particular health concerns.
d. The PHN watches television, including a telecast of a city council meeting on the
local cable station.
ANS: B
Any of these might represent a public health nurse (PHN) communicating, cooperating, or
collaborating with community residents or groups about health concerns. However, the PHN
who spends the day attending meetings at various health agencies is most comprehensively
fulfilling requirements effectively, since health is broader than recreation, individual concerns
are not as important as aggregate priorities, and watching television is only one-way
communication.
PTS: 1 DIF: Cognitive Level: Synthesis/Synthesize
REF: Collaborating in Interprofessional Teams OBJ: 1.5
TOP: Safe and Effective Care Environment
12. A community health nurse (CHN) often has to make resource allocation decisions. In such
cases, which approach will most help the CHN to arrive at the decision?
a. Choosing a moral or ethical principle
b. Choosing the cheapest, most economical approach
c. Choosing the most rational outcome
d. Choosing the needs of the aggregate, rather than the needs of a few individuals
ANS: D
Although all of the answers represent components of the CHN’s decision-making process, the
predominant needs of the population outweigh the expressed needs of one person or a few
people.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Social Justice OBJ: 1.3
TOP: Safe and Effective Care Environment
13. Which situation most closely represents the focus of public health nursing?
a. Assessing the services and effectiveness of the school health clinic
b. Caring for patients after their outpatient surgeries
c. Giving care to schoolchildren at the school clinic and to the children’s families
d. Treating pediatric patients at an outpatient clinic
ANS: A
A public health or population-focused approach would consider the entire group of children
receiving care, to see if services are effective in achieving the goal of improving the health of
the school population.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Community Health Nursing Roles and Functions OBJ: 1.5
TOP: Health Promotion and Maintenance
, Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
14. Which public health service best represents primary prevention?
a. Developing a health education program about the dangers of smoking
b. Providing a diabetes clinic for adults in low-income neighbourhoods
c. Providing an influenza vaccination program in a community retirement village
d. Teaching school-aged children about the positive effects of exercise
ANS: C
Although all the services listed are appropriate and valuable, providing influenza vaccines to
healthy adults represents the primary level of health prevention.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Principles of Public Health Practice: Levels of Intervention and Prevention
OBJ: 1.5 TOP: Health Promotion and Maintenance
15. What term is used interchangeably with the term subpopulations?
a. Groups
b. Aggregates
c. Clients
d. Communities
ANS: B
Generally, subpopulations are referred to as aggregates within the larger community
population.
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Populations and Aggregates OBJ: 1.2
TOP: Health Promotion and Maintenance
16. Which public health service best represents secondary prevention?
a. Administering the influenza vaccine to a community of seniors
b. Initiating an infant car seat safety screening program for parents in low-income
housing
c. Starting a rehabilitation clinic for middle-aged adults residing in low-income
housing
d. Setting up a support group for teenage mothers of infants with Down syndrome
ANS: B
Secondary prevention seeks to detect disease early in its progression—for example, through
mass screening programs.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Principles of Public Health Practice: Levels of Intervention and Prevention
OBJ: 1.5 TOP: Health Promotion and Maintenance
17. Which type of thinking is most reflective of looking at a macroscopic, big-picture population
focus?
a. Collaborative thinking
b. Upstream thinking
c. Holistic thinking
d. Downstream thinking
ANS: B
, Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
Upstream thinking uses a macroscopic, big-picture population focus, whereas downstream
thinking is a microscopic, individual curative focus.
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Principles of Public Health Practice: Levels of Intervention and Prevention
OBJ: 1.5 TOP: Health Promotion and Maintenance
18. Which is a requirement for reaching the goal of “health for all”?
a. Self-actualization
b. A system for health
c. Elimination of lower- and upper-class categories
d. Total compliance with immunizations and vaccines with all groups
ANS: B
The requirements identified to reach the “health for all” goal include (1) basic needs, (2)
belonging and engagement, (3) healthy living, and (4) a system for health.
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Public Health Practice OBJ: 1.2
TOP: Safe and Effective Care Environment
19. Which is the simplest definition of primary health care?
a. It is based on a multidisciplinary group of health care providers working as a team.
b. It provides essential care that is universally accessible to persons in a community
and encourages self-management, self-reliance, and competence.
c. It focuses on health promotion and disease prevention among those who can afford
to engage in behaviours that facilitate them.
d. It is based on local efforts to meet the Declaration of Alma-Ata, known as Health
for All.
ANS: B
Primary health care is generally defined as essential care made universally accessible to
individuals and families in a community with their full participation and at a cost that the
community can afford.
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Primary Health Care OBJ: 1.4
TOP: Safe and Effective Care Environment
20. Which public health service best represents primary prevention?
a. Administering the influenza vaccine to a group of seniors
b. Initiating an infant car seat safety screening program for parents in low-income
housing
c. Starting a rehabilitation clinic for middle-aged adults who reside in low-income
housing
d. Setting up a blood pressure screening clinic at the local mall
ANS: A
Primary prevention activities seek to prevent the occurrence of a disease (based on the natural
history of a disease) or an injury.
PTS: 1 DIF: Cognitive Level: Application/Apply
, Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
REF: Principles of Public Health Practice: Levels of Intervention and Prevention
OBJ: 1.5 TOP: Health Promotion and Maintenance
TEST BANK
Stanhope and Lancaster's
Community Health Nursing in Canada
Sandra A. MacDonald, Sonya L. Jakubec
4th Edition
, Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
Table of Contents
UNIT I: Background and Roles for Community Health Nursing
1. Community Health Nursing
2. The Evolution of Community Health Nursing in Canada
3. Community Health Nursing in Canada: Settings, Functions, and Roles
UNIT II: Community Health Foundations and Principles
4. Health Promotion
5. Evidence-Informed Practice in Community Health Nursing
6. Ethics in Community Health Nursing Practice
7. Diversity and Relational Practice in Community Health Nursing
8. Epidemiological Applications
9. Working with the Community
10. Health Program Planning and Evaluation
UNIT III: Stakeholders and Populations of Community Health Nursing Practice
11. Working with the Individual as Client: Health and Wellness Across the Lifespan
12. Working with Families
13. Working with Groups, Teams, and Partners
14. Indigenous Health: Working with First Nations People, Inuit, and Métis
15. Working with Working with People Who Experience Structural Vulnerabilities
UNIT IV: Specific Domains of Community Health Practice
16. Communicable and Infectious Disease Prevention and Control
17. Environmental Health
18. Emergency Management and Disaster Preparedness
,Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
,Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
, Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Populations and Aggregates OBJ: 1.2
TOP: Health Promotion and Maintenance
8. A registered nurse (RN), has just been employed as a community health nurse (CHN). Which
question would be most relevant to practice as the nurse begins her position?
a. “Which community groups are at greatest risk for problems?”
b. “Which patients should I see first as I begin my day?”
c. “With which physicians will I be collaborating most closely?”
d. “Who is the nursing assistant to whom I can refer patients?”
ANS: A
CHNs apply the nursing process to the entire community; asking which groups are at greatest
risk reflects a community-oriented perspective. The other possible responses focus on
particular individuals.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Populations and Aggregates OBJ: 1.6
TOP: Health Promotion and Maintenance
9. The community health nurse (CHN) who is working with women at the senior citizens’ centre
reminds them that the only way the centre will be able to afford a driver and a van service for
those who cannot drive themselves is to continue to write letters to their local city council
representatives, requesting funding for such a service. What is the CHN doing?
a. Ensuring that the women do not expect the CHN herself to do anything about their
problem
b. Demonstrating that she understands the women’s concerns and needs
c. Expressing empathy, support, and concern
d. Helping the women engage in political action locally
ANS: D
CHNs have an imperative to work with the members of the community to carry out public
health functions such as political action.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Public Health Practice OBJ: 1.5 | 1.6
TOP: Safe and Effective Care Environment
10. Which activity is an example of the “advocate” role of the community health nurse?
a. Organizing home care support for a newly discharged older client
b. Acting as a member of a community action group for provision of accessible
transit choices
c. Doing prenatal assessments
d. Facilitating a self-help group for smoking cessation
ANS: B
An advocate provides a voice to client concerns when acting as a member of a community
action group for provision of accessible transit choices.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Community Health Nursing Roles and Functions OBJ: 1.6
TOP: Safe and Effective Care Environment
, Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
11. In which scenario is the public health nurse (PHN) most comprehensively practising
interprofessional collaboration?
a. The PHN meets with several groups about community recreation issues.
b. The PHN spends the day attending meetings at various health agencies.
c. The PHN talks to several people about their particular health concerns.
d. The PHN watches television, including a telecast of a city council meeting on the
local cable station.
ANS: B
Any of these might represent a public health nurse (PHN) communicating, cooperating, or
collaborating with community residents or groups about health concerns. However, the PHN
who spends the day attending meetings at various health agencies is most comprehensively
fulfilling requirements effectively, since health is broader than recreation, individual concerns
are not as important as aggregate priorities, and watching television is only one-way
communication.
PTS: 1 DIF: Cognitive Level: Synthesis/Synthesize
REF: Collaborating in Interprofessional Teams OBJ: 1.5
TOP: Safe and Effective Care Environment
12. A community health nurse (CHN) often has to make resource allocation decisions. In such
cases, which approach will most help the CHN to arrive at the decision?
a. Choosing a moral or ethical principle
b. Choosing the cheapest, most economical approach
c. Choosing the most rational outcome
d. Choosing the needs of the aggregate, rather than the needs of a few individuals
ANS: D
Although all of the answers represent components of the CHN’s decision-making process, the
predominant needs of the population outweigh the expressed needs of one person or a few
people.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Social Justice OBJ: 1.3
TOP: Safe and Effective Care Environment
13. Which situation most closely represents the focus of public health nursing?
a. Assessing the services and effectiveness of the school health clinic
b. Caring for patients after their outpatient surgeries
c. Giving care to schoolchildren at the school clinic and to the children’s families
d. Treating pediatric patients at an outpatient clinic
ANS: A
A public health or population-focused approach would consider the entire group of children
receiving care, to see if services are effective in achieving the goal of improving the health of
the school population.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Community Health Nursing Roles and Functions OBJ: 1.5
TOP: Health Promotion and Maintenance
, Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
14. Which public health service best represents primary prevention?
a. Developing a health education program about the dangers of smoking
b. Providing a diabetes clinic for adults in low-income neighbourhoods
c. Providing an influenza vaccination program in a community retirement village
d. Teaching school-aged children about the positive effects of exercise
ANS: C
Although all the services listed are appropriate and valuable, providing influenza vaccines to
healthy adults represents the primary level of health prevention.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Principles of Public Health Practice: Levels of Intervention and Prevention
OBJ: 1.5 TOP: Health Promotion and Maintenance
15. What term is used interchangeably with the term subpopulations?
a. Groups
b. Aggregates
c. Clients
d. Communities
ANS: B
Generally, subpopulations are referred to as aggregates within the larger community
population.
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Populations and Aggregates OBJ: 1.2
TOP: Health Promotion and Maintenance
16. Which public health service best represents secondary prevention?
a. Administering the influenza vaccine to a community of seniors
b. Initiating an infant car seat safety screening program for parents in low-income
housing
c. Starting a rehabilitation clinic for middle-aged adults residing in low-income
housing
d. Setting up a support group for teenage mothers of infants with Down syndrome
ANS: B
Secondary prevention seeks to detect disease early in its progression—for example, through
mass screening programs.
PTS: 1 DIF: Cognitive Level: Application/Apply
REF: Principles of Public Health Practice: Levels of Intervention and Prevention
OBJ: 1.5 TOP: Health Promotion and Maintenance
17. Which type of thinking is most reflective of looking at a macroscopic, big-picture population
focus?
a. Collaborative thinking
b. Upstream thinking
c. Holistic thinking
d. Downstream thinking
ANS: B
, Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
Upstream thinking uses a macroscopic, big-picture population focus, whereas downstream
thinking is a microscopic, individual curative focus.
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Principles of Public Health Practice: Levels of Intervention and Prevention
OBJ: 1.5 TOP: Health Promotion and Maintenance
18. Which is a requirement for reaching the goal of “health for all”?
a. Self-actualization
b. A system for health
c. Elimination of lower- and upper-class categories
d. Total compliance with immunizations and vaccines with all groups
ANS: B
The requirements identified to reach the “health for all” goal include (1) basic needs, (2)
belonging and engagement, (3) healthy living, and (4) a system for health.
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Public Health Practice OBJ: 1.2
TOP: Safe and Effective Care Environment
19. Which is the simplest definition of primary health care?
a. It is based on a multidisciplinary group of health care providers working as a team.
b. It provides essential care that is universally accessible to persons in a community
and encourages self-management, self-reliance, and competence.
c. It focuses on health promotion and disease prevention among those who can afford
to engage in behaviours that facilitate them.
d. It is based on local efforts to meet the Declaration of Alma-Ata, known as Health
for All.
ANS: B
Primary health care is generally defined as essential care made universally accessible to
individuals and families in a community with their full participation and at a cost that the
community can afford.
PTS: 1 DIF: Cognitive Level: Knowledge/Remember
REF: Primary Health Care OBJ: 1.4
TOP: Safe and Effective Care Environment
20. Which public health service best represents primary prevention?
a. Administering the influenza vaccine to a group of seniors
b. Initiating an infant car seat safety screening program for parents in low-income
housing
c. Starting a rehabilitation clinic for middle-aged adults who reside in low-income
housing
d. Setting up a blood pressure screening clinic at the local mall
ANS: A
Primary prevention activities seek to prevent the occurrence of a disease (based on the natural
history of a disease) or an injury.
PTS: 1 DIF: Cognitive Level: Application/Apply
, Stanhope and Lancaster's Community Health Nursing in Canada 4th Edition MacDonald TEST BANK
REF: Principles of Public Health Practice: Levels of Intervention and Prevention
OBJ: 1.5 TOP: Health Promotion and Maintenance
