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
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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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 8. A registered nurse (RN), has just been
employed as a CHN. Which question would be most relevant to her practice as she
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.
DIF: Cognitive Level: Application/Apply REF: p. 15 OBJ: 1.6 TOP: Client Need: Health
Promotion and Maintenance
9. The CHN 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.