Edition TEST BANK by Stamler
What is the difference between upstream and downstream thinking? -
ANSWER:Upstream thinking: What are the relevant factors that influence the clients
health (bigger picture)
Downstream thinking: Focused on the issue at hand
What is the difference between primary health care and primary care? -
ANSWER:Primary care: First contact between individuals and the health care system
Primary health care: Comprehensive and includes disease prevention
What are the 12 determinants of health? - ANSWER:- Income and social status
- Social support network
- Education and literacy
- Employment and working conditions
- Physical environment
- Biology and genetic endowment
- Personal health practices and coping skills
- Healthy child development
- Gender
- Culture
- Social environment
- Health services
What are the major differences between population-focused care and traditional
direct-care? - ANSWER:Population - focused: Problems are defined and solutions are
implemented for or with a defined community
Traditional Health Care: The individual is the focus
What are the key features of a public health nurse? - ANSWER:- Population-focused
- Community as context
- Health and prevention-focused
- Interventions at the community or population level
True or False:
In the community practice, the dominant needs of the population outweigh the
expressed needs of one person or a few people. - ANSWER:True
What are two strategies used by community health nurses as they partner with
clients to build capacity? - ANSWER:Empowerment and advocacy
Why is primary health care relevant to community health nursing? - ANSWER:-
Provides essential health care services
, - Focuses on health promotion, disease prevention, and health protection
- Includes therapeutic, curative, and rehabilitative care
- Promotes coordination and interdisciplinary collaboration
- Focuses on the client as an equal partner in health with health professionals
What is the relevance of the social determinants of health to community health
nursing practice? - ANSWER:Community health nurses must recognize that the social
determinants of health can predict the health of populations and that healthy public
policy includes consideration of the social determinants of health.
True or false:
The Victorian Order of Nurses (VON) was a partner in public health development in
Canada. - ANSWER:True
What are two types of community health nursing that existed in Canada in the early
twentieth century? - ANSWER:Visiting nursing and outpost nursing
What are factors that have contributed to a stronger focus on community health
care? - ANSWER:Outbreaks of severe acute respiratory syndrome (SARS), avian flu,
listeriosis, and H1N1; creation of the Public Health Agency of Canada in 2004;
visibility of the Community Health Nurses Association; increased demands for home
care for an aging population and increased chronic illness; emphasis on population
health and the social determinants of health
True or false:
In Canada, the terms community health nursing and public health nursing are
interchangeable. - ANSWER:False
True or false:
The Romanow Report (2002) identified home care as the most rapidly growing area
of community health care. - ANSWER:True
What information would you need to explore when beginning work in a new
community in order to identify the possibility of health inequities? - ANSWER:Health
inequities can be understood by exploring the relationship of employment, housing,
income, food security, education and other determinants and social determinants to
health status and outcomes
In January, Kristin notices a spike in the numbers of clients attending the community
health centre with complaints of colds and respiratory irritation or seeking allergy
and asthma treatment. Assessing these individuals, she notices a commonality.
Many workers in the community, attempting to save money, reside in overcrowded
rented cabins during the winter while off work and away from seasonal work camps
that provide housing at mining, forestry or fishing work sites during spring, summer
and fall.