COMMUNITY HEALTH NURSING: A CANADIAN PERSPECTIVE 6TH
EDITION (STAMLER & YIU) | COMPLETE TEST BANK WITH
VERIFIED QUESTIONS & ANSWERS UPDATED 2025-2026
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Question 1:
A community health nurse is reviewing the concept of "primary health care"
(PHC) with a student. Which of the following statements by the student indicates
a correct understanding of a key principle of PHC?
A. "PHC focuses on providing specialist medical care within hospital settings."
B. "A key principle of PHC is active public participation in planning and
implementing health services."
C. "The main goal of PHC is to reduce wait times for emergency department
visits."
D. "PHC prioritizes the use of high-technology medical interventions."
Answer: B. "A key principle of PHC is active public participation in
planning and implementing health services."
Rationale: Primary Health Care, as defined by the World Health Organization
(WHO) and embraced in Canada, is founded on five key principles: accessibility,
public participation, health promotion, appropriate technology, and intersectoral
cooperation. Public participation is essential for ensuring health services are
relevant and responsive to community needs. Options A, C, and D describe
elements of a more traditional, medically-oriented, curative system, which is the
opposite of the community-based, health-promotive focus of PHC.
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Question 2:
According to the Community Health Nurses of Canada (CHNC) standards of
practice, which of the following is a key responsibility of a community health
nurse regarding health equity?
A. Treating all clients exactly the same way to ensure fairness.
B. Advocating for policies that address the social determinants of health.
C. Focusing health promotion efforts solely on individual lifestyle choices.
D. Prioritizing care for clients who can pay out-of-pocket for services.
Answer: B. Advocating for policies that address the social determinants of
health.
Rationale: Health equity is a central value in community health nursing. It
involves striving to achieve the highest possible level of health for all people,
which requires addressing unfair and avoidable health disparities. The CHNC
standards emphasize advocacy and upstream approaches that target the root
causes of poor health, namely the social determinants of health (e.g., income,
education, housing). Treating everyone the same (A) is equality, not equity,
which requires providing resources tailored to need. Focusing only on individual
choices (C) ignores broader systemic factors. Prioritizing based on ability to pay
(D) is unethical and contradicts Canadian healthcare values.
Question 3:
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A community health nurse is using the Population Health Promotion Model to
plan an intervention for a neighbourhood with high rates of childhood asthma.
Which of the following actions represents an intervention at the "community
level"?
A. Teaching a child and their family how to use an inhaler correctly.
B. Lobbying the city council to pass stricter air quality bylaws for local
industries.
C. Running a weekly asthma education and support group at the community
health centre.
D. Assessing the home environment of a newly diagnosed client for triggers.
Answer: B. Lobbying the city council to pass stricter air quality bylaws for
local industries.
Rationale: The Population Health Promotion Model asks "How can we build
capacity?" at various levels. Community-level action aims to change the social,
political, economic, and physical environments to make them more supportive of
health. Lobbying for policy change (B) is a classic community-level, upstream
intervention. Options A and D are individual/family-level interventions. Option
C is a group-level intervention, which is still more downstream than policy
advocacy.
Question 4: