Advanced Concepts in Community Health Nursing
Exam Answer Key
Course Introduction
This course explores advanced concepts and practices in community health nursing, emphasizing evidence-based strategies for promoting population health and preventing disease in diverse communities. Students will analyze social determinants of health, community assessment methods, health policy, and leadership roles undertaken by nurses in community settings. The curriculum incorporates the planning, implementation, and evaluation of community-based interventions, as well as ethical, cultural, and global considerations influencing community health outcomes. Through critical appraisal and application of current research, students will develop advanced skills in health education, advocacy, case management, and collaborative partnerships to enhance the health and well-being of individuals, families, and communities.
Recommended Textbook
Community Health Nursing in Canada 3rd Edition by Marcia
Available Study Resources on Quizplus
18 Chapters
276 Verified Questions
276 Flashcards
Source URL: https://quizplus.com/study-set/1863 Page 2
Chapter 1: Community Health Nursing
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/37190
Sample Questions
Q1) 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?"
Answer: A
Q2) 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
D) Increased use of antibiotics to fight infections
Answer: C
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: The Evolution of Community Health Nursing in Canada
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/37191
Sample Questions
Q1) Following the release of the Romanow Report in 2002, which type of care was identified as the most rapidly growing area of community health care?
A) Home care
B) Community problems
C) Immunization
D) Women's issues
Answer: A
Q2) Which was a very important factor in the success of early visiting nurses?
A) The care they provided that served as a model for all later hospitals
B) The more economical care they provided to families
C) Their role model, Edna Moore
D) The superb publicity campaign that was created by the health departments
Answer: B
Q3) Which one of the following is a reason to study nursing history?
A) To fulfill provincial/territorial nursing requirements
B) To help fill up the necessary credit hours for graduation
C) To meet accreditation requirements
D) To understand the present and plan for tomorrow
Answer: D
Page 4
To view all questions and flashcards with answers, click on the resource link above.
Chapter 3: Community Health Nursing in Canada: Settings,
Functions, and Roles
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/37192
Sample Questions
Q1) A family member asks an HHN to explain the concept of hospice care. Which action would the HHN need to include as the fundamental underlying philosophy of hospice?
A) Making it possible for the client to die at home
B) Ensuring that the client's living will is honoured
C) Placing experts in the position of power of attorney
D) Providing respite and comfort measures before death
Answer: D
Q2) In addition to the common barriers faced by most rural residents, what is an additional barrier to health care that a Mexican migrant farm worker is more likely to encounter?
A) Absence of culturally appropriate care
B) Availability of specialists
C) Distance of health care facilities from the place of residence
D) Lack of anonymity
Answer: A
To view all questions and flashcards with answers, click on the resource link above.
Page 5
Chapter 4: Health Promotion
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/37193
Sample Questions
Q1) Using the Community Mobilization Framework and the three health promotion community mobilization approaches, which element should be addressed first within the framework's social planning component?
A) Shifting power relationships
B) Problem solving at the community level
C) Community participation
D) Community social concerns
Q2) What is an example of self-efficacy?
A) Attending a walk-in clinic for health care
B) Allowing others' input into one's health decisions
C) Paying for a fitness centre membership
D) Making healthy food choices while grocery shopping
Q3) What is the focus of the definition of health in the Ottawa Charter on Health Promotion?
A) Health is an outcome.
B) Enjoying life is more important than the need to maintain one's health.
C) Health is incorporated into one's activities of daily living.
D) Health is a way to maintain a stable environment.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Evidence-Informed Practice in Community
Health Nursing
Available Study Resources on Quizplus for this Chatper
9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/37194
Sample Questions
Q1) A CHN implemented an education program that incorporated computer games to reinforce learning in a community of older adults. Although earlier research had demonstrated evidence of improved retention of information by using this method, the CHN found exactly the opposite effect in this group of clients. What would be the most likely cause of the poor outcome in the education program?
A) Failure to consider client and contextual differences
B) Inadequate incorporation of evidence into practice
C) Inferior quality of the available research evidence
D) The CHN's lack of skills in evaluating the evidence
Q2) What is the biggest challenge for CHNs who are familiar with evidence-informed practice and want to implement it in their care of clients?
A) Interpreting vast amounts of evidence and integrating it into practice
B) Advocating for change and convincing others that it is beneficial
C) Distinguishing evidence-informed practice from practice based on old standards
D) Showing clients that evidence-informed practice will improve their health outcomes
To view all questions and flashcards with answers, click on the resource link above. Page 7
Chapter 6: Ethics in Community Health Nursing Practice
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/37195
Sample Questions
Q1) A CHN finds that a family has decided to refuse medical intervention for a particular health concern because the intervention could affect the family member's ability to return to work, and consequently the family's resources would be drastically reduced. Which of the following actions by the CHN would ethically be most appropriate in this situation?
A) The CHN should appreciate that the couple has made the decision that they feel is best for their family and take no further action if it is clear that they have made an informed choice.
B) The CHN should insist that every individual in society has a right to health care and that the family will have to find some way to raise funds for the needed treatment.
C) The CHN should talk to the social worker on the health care team to see if he or she can convince the couple to agree to the medical intervention.
D) The CHN should arrange a meeting with the family to discuss the consequences of the couple's decision.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 7: Diversity and Relational Practice in Community
Health Nursing
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/37196
Sample Questions
Q1) What practice demonstrates cultural competency for the care of clients with a cultural background different to one's own?
A) Maintaining an open attitude that welcomes differences
B) Keeping all behaviours culturally neutral to avoid misinterpretation
C) Relying on friendly gestures to communicate a caring attitude
D) Avoiding showing prejudice by using the same behaviour with all clients
Q2) A health care provider states, "I'm not going to change the way I practise medicine regardless of where the client is from, because research shows that Western medicine is the best." What behaviour does this statement exemplify?
A) Ethnocentrism
B) Prejudice
C) Racism
D) Stereotyping
Q3) What would be an example of "overt racism"?
A) Using traditional food and traditional dress
B) Restricting the burning of sweet grass
C) Participating in hate crimes
D) Making job positions available only to persons who are Canadian-born
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Epidemiological Applications
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/37197
Sample Questions
Q1) People with immune deficiencies may have a negative tuberculosis (TB) skin test (Mantoux), even though they are infected. Which of the following measurements will the CHN conclude to be low when the TB skin test is given to persons with acquired immune deficiency syndrome (AIDS)?
A) Positive predictive value
B) Reliability
C) Sensitivity
D) Specificity
Q2) What is a CHN implementing when advising a client with osteoporosis to have three servings of milk or dairy products daily?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Treatment, but not prevention
To view all questions and flashcards with answers, click on the resource link above.
10
Chapter 9: Working With the Community
Available Study Resources on Quizplus for this Chatper
9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/37198
Sample Questions
Q1) The CHN identified that a knowledge deficit is the primary reason why new mothers in a region choose not to breastfeed and wants to determine the best strategy to implement an intervention. What should this intervention emphasize?
A) Alternate dimension
B) Process dimension
C) Status dimension
D) Structural dimension
Q2) What is the best resource for the CHN who wants information about the leading causes of morbidity and mortality in a local region of the country?
A) Hospital records and statistics
B) Online information from Statistics Canada
C) The local chamber of commerce
D) The obituary columns of local newspapers
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: Health Program Planning and Evaluation
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/37199
Sample Questions
Q1) A committee of health care professionals would like to establish a district-wide program to improve access to culturally competent health care services for Vietnamese immigrants. Who would be the best person to select as a key information provider about this community's needs?
A) The hospital administrator
B) A Vietnamese community leader
C) A national expert on cultural competency
D) A provincial/territorial or municipal government official
Q2) Which options represent the steps in health program management?
A) Assess, plan, implement, evaluate
B) Identify, initiate, implement
C) Organize, operationalize, mobilize, subsidize
D) Substantiate, negotiate, evaluate
Q3) What is the ultimate goal of program planning?
A) Avoiding unanticipated conflicts in the program development phase
B) Ensuring adequate funding to meet the program's resource requirements
C) Ensuring that health care services are satisfactory, comparable, effective, and beneficial
D) Preventing unnecessary duplication of services
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/37200
Sample Questions
Q1) Which statement provides the best definition of women's health?
A) Women's health is health care taken in fostering gynecological and reproductive wellness.
B) Women's health is health care that assists the transition from girlhood to womanhood and through menopause.
C) Women's health includes health promotion, health protection, and health maintenance across a woman's lifespan.
D) Women's health is the management and treatment of conditions unique to the female sex.
Q2) Testicular cancer is a common solid-tumour malignancy affecting men aged 15 to 35. What is the most common symptom of testicular cancer?
A) Low back pain
B) Fatigue
C) Painless, firm scrotal mass or swelling
D) Mild to moderate pressure to the scrotum
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Working With Families
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/37201
Sample Questions
Q1) Family functions and structures create unique challenges in family nursing. What is the primary reason for the existence of these challenges?
A) The functions and structures of families continue to change over time.
B) Function and structure do not apply to all family units.
C) Some clients do not have families.
D) Traditional families are rare in today's society.
Q2) When drawing a genogram, which style of line drawing will the CHN use to demonstrate a marital relationship between two individuals?
A) A broken line
B) A dashed line
C) A solid line
D) Two parallel lines
Q3) Which nursing function to identify family problems and strengths is the foundation for family nursing interventions?
A) Assessment
B) Plan
C) Implementation
D) Evaluation
To view all questions and flashcards with answers, click on the resource link above.
14
Chapter 13: Working With Groups, Teams, and Partners
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/37202
Sample Questions
Q1) What is an example of an intradisciplinary team?
A) A registered nurse, 4 licensed/registered practical nurses
B) Two registered nurses, a social worker, a physician
C) A physician, a dietitian, a registered nurse
D) A registered nurse, a licensed/registered practical nurse, a social worker
Q2) The CHN is preparing to organize a small group with the purpose of sustaining weight loss in obese individuals. What is the ideal number of members for this group?
A) 12 members
B) 18 members
C) 25 members
D) 30 members
Q3) Which kind of team consists of members who work independently but come together to make client-based decisions?
A) Intradisciplinary team
B) Multidisciplinary team
C) Interdisciplinary team
D) Interprofessional team
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Indigenous Health: Working With First Nations
People, Inuit, and Métis
Available Study Resources on Quizplus for this Chatper
9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/37203
Sample Questions
Q1) Which of the following demonstrates the third phase of application of the community health nursing process?
A) Assessing the cultural norms
B) Determining the needs of the community
C) Developing a 6-week wellness program
D) Supervising a fitness class at the local YWCA or YMCA
Q2) Whenever possible, population-based practice focuses on which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Individual prevention
Q3) Which of the following demonstrates the first phase of application of the community health nursing process?
A) Participating in a health promotion lecture
B) Determining the needs of the community
C) Developing a 6-week wellness program
D) Supervising a fitness class at the local YWCA or YMCA
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Working With Vulnerable Populations
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/37204
Sample Questions
Q1) A CHN suspects that a new client may have a substance use disorder. When getting the health history of the client, the CHN needs to keep in mind that the client may not admit to drug use. What is a primary symptom of substance use disorder?
A) Confusion
B) Denial
C) Forgetfulness
D) Mental status changes
Q2) What CHN action can help prevent depression in older adults who are at high risk for it?
A) Encourage them to move to a nursing home where they will have the company of others in the same age group.
B) Monitor for signs and symptoms of depression.
C) Organize a health promotion program for older adults at the local centre.
D) Encourage older adult clients to focus on their strengths rather than their weaknesses.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Communicable and Infectious Disease
Prevention and Control
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/37205
Sample Questions
Q1) What presents a challenge for human papillomavirus (HPV) prevention?
A) HPV can be transmitted through all body fluids.
B) HPV warts may grow in areas that a barrier (e.g., a condom) does not cover.
C) With HPV, thin-walled pustules may rupture to form honey-coloured crusts.
D) With HPV, vesicles are hidden and ulcerate within 1 day.
Q2) CHNs have been advised by the medical director to give injections of hepatitis A immunoglobulin to selected susceptible persons in the event of a hepatitis A epidemic. What outcome will be the result?
A) Active immunization
B) Long-lasting immunity
C) Natural immunity
D) Passive immunization
Q3) A communicable disease outbreak has occurred in a town. At a town meeting with public health officials, a community health nurse (CHN) is asked to explain the phrase "virulent organism." What definition of virulence is correct?
A) Virulence is the ability to bypass normal immunological response mechanisms.
B) Virulence is the ability to invade major organ systems.
C) Virulence is the ability to produce toxins and poisons that weaken the body.
D) Virulence is the ability to produce severe physical reactions.
Page 18
To view all questions and flashcards with answers, click on the resource link above.
Chapter 17: Environmental Health
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/37206
Sample Questions
Q1) A CHN desires greater understanding of the physiological effects of selected chemicals on humans. Which specialist would provide the best source of information about this subject?
A) A chemist
B) An epidemiologist
C) A pharmacologist
D) A toxicologist
Q2) What is the first step to understanding the potential environmental health risks in a community in order to conduct an environmental health assessment?
A) Conduct a health risk assessment of randomly selected individuals.
B) Perform a windshield survey.
C) Review facility permits and consumer confidence reports.
D) Survey community members.
Q3) Which statement made by a seminar participant indicates that the speaker needs to further clarify teaching about environmental principles?
A) "Everything is connected to everything else."
B) "Everything has to go somewhere."
C) "The solution to pollution is prosecution."
D) "Today's solution may be tomorrow's problem."
To view all questions and flashcards with answers, click on the resource link above.
Page 19
Chapter 18: Disaster Management
Available Study Resources on Quizplus for this Chatper
8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/37207
Sample Questions
Q1) Which scenario exemplifies that an influenza pandemic has occurred?
A) There is a lack of pandemic vaccine production.
B) A new strain of influenza appears.
C) Cases of H<sub>1</sub>N<sub>1</sub> outnumber those of influenza A.
D) More than 75% of the population is affected.
Q2) In the event of a disaster localized to one district, what group would most likely direct the community nursing response?
A) Canadian Red Cross
B) Centres for Disease Control and Prevention
C) Centre for Emergency Preparedness and Response (CEPR)
D) Paramedics
Q3) What is the purpose of disaster planning?
A) Decreasing global instability
B) Disrupting and altering community functioning
C) Managing response to disasters
D) Preventing disasters
To view all questions and flashcards with answers, click on the resource link above. Page 20