Test Bank Community Health Nursing in Canada
3rd Edition-GradesA+-2023-2024
Chapter 01: Community Health Nursing
Stanhope: Community Health Nursing in Canada, 3rd Canadian Edition
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
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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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d. Increased use 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
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8. Ay4registeredy4nursey4(RN),y4hasy4justy4beeny4employedy4asy4ay4CHN.y4Whichy4questiony4w
ouldy4bey4mosty4relevanty4toy4hery4practicey4asy4shey4beginsy4hery4position?
a. “Whichy4communityy4groupsy4arey4aty4greatesty4risky4fory4problems?”
b. “Whichy4patientsy4shouldy4Iy4seey4firsty4asy4Iy4beginy4myy4day?”
c. “Withy4whichy4physiciansy4willy4Iy4bey4collaboratingy4mosty4closely?”
d. “Whoy4isy4they4nursingy4assistanty4toy4whomy4Iy4cany4refery4patients?”
ANS:y 4 A
CHNsy4applyy4they4nursingy4processy4toy4they4entirey4community;y4askingy4whichy4groupsy4arey
4aty4greatesty4risky4reflectsy4ay4community-
orientedy4perspective.y4They4othery4possibley4responsesy4focusy4ony4particulary4individuals.
DIF: Cognitivey4Level:y4Application/Apply
REF:y 4 p.y415y4OBJ:y 4 1.6
TOP:y 4 Clienty4Need:y4Healthy4Promotiony4andy4Maintenance
9. They4CHNy4workingy4withy4womeny4aty4they4seniory4citizens’y4centrey4remindsy4themy4thaty4
they4onlyy4wayy4they4centrey4willy4bey4abley4toy4affordy4ay4drivery4andy4ay4vany4servicey4fory
4thosey4whoy4cannoty4drivey4themselvesy4isy4toy4continuey4toy4writey4lettersy4toy4theiry4localy4
cityy4councily4representatives,y4requestingy4fundingy4fory4suchy4ay4service.y4Whaty4isy4they4C
HNy4doing?
a. Ensuringy4thaty4they4womeny4doy4noty4expecty4they4CHNy4herselfy4toy4doy4anything
y4abouty4theiry4problem
b. Demonstratingy4thaty4shey4understandsy4they4women’sy4concernsy4andy4needs
c. Expressingy4empathy,y4support,y4andy4concern
d. Helpingy4they4womeny4engagey4iny4politicaly4actiony4locally
ANS:y 4 D
CHNsy4havey4any4imperativey4toy4worky4withy4they4membersy4ofy4they4communityy4toy4carryy4o
uty4publicy4healthy4functionsy4suchy4asy4politicaly4action.
DIF: Cognitivey4Level:y4Application/Apply
REF:y 4 p.y413,y4Howy4Toy4boxy4OBJ:y 4 1.5y4|y41.6
TOP:y 4 Clienty4Need:y4Safey4andy4Effectivey4Carey4Environmenty4-y4Managementy4ofy4Care
10. Whichy4activityy4isy4any4exampley4ofy4they4“advocate”y4roley4ofy4they4CHN?
a. Organizingy4homey4carey4supporty4fory4ay4newlyy4dischargedy4oldery4adulty4client
b. Actingy4asy4ay4membery4ofy4ay4communityy4actiony4groupy4fory4provisiony4of
y4accessibley4transity4choices
c. Doingy4prenataly4assessments
d. Facilitatingy4ay4self-helpy4groupy4fory4smokingy4cessation
ANS:y 4 B
Any4advocatey4providesy4ay4voicey4toy4clienty4concernsy4wheny4actingy4asy4ay4membery4ofy4ay4c
ommunityy4actiony4groupy4fory4provisiony4ofy4accessibley4transity4choices.
DIF: Cognitivey4Level:y4Application/Apply
REF:y 4 p.y419,y4Tabley41-3y4OBJ:y 4 1.6
TOP:y 4 Clienty4Need:y4Safey4andy4Effectivey4Carey4Environmenty4-y4Managementy4ofy4Care
11. Iny4whichy4scenarioy4isy4they4PHNy4mosty4comprehensivelyy4fulfillingy4collaborative
y4practicey4responsibilities?
a. They4PHNy4meetsy4withy4severaly4groupsy4abouty4communityy4recreationy4issues.
b. They4PHNy4spendsy4they4dayy4attendingy4meetingsy4aty4variousy4healthy4agencies.
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