Community Health Nursing Exam Preparation Guide
Course Introduction
Community Health Nursing explores the principles and practices of nursing in diverse community settings, emphasizing health promotion, disease prevention, and the management of chronic and acute conditions outside hospital environments. The course covers topics such as community assessment, epidemiology, public health policy, and culturally competent care, preparing students to address health disparities and advocate for vulnerable populations. Students will learn to collaborate with interdisciplinary teams, design and implement community-based health interventions, and evaluate the outcomes to improve population health and wellbeing.
Recommended Textbook
Community Health Nursing in Canada 2nd Edition by Marcia
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18 Chapters
292 Verified Questions
292 Flashcards
Source URL: https://quizplus.com/study-set/2001
Page 2
Chapter 1: Community Health Nursing
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/39739
Sample Questions
Q1) In which of the following scenarios is the PHN most probably fulfilling required employment responsibilities?
A)The PHN meets with several groups about community recreation issues.
B)The PHN spends the day attending meetings at various health agencies.
C)The PHN talks to several people about their particular health concerns.
D)The PHN watches television, including a telecast of a city council meeting on the local cable station.
Answer: B
Q2) Which of the following is the simplest definition of primary health care?
A)It is based on a multidisciplinary group of health care providers working as a team.
B)It provides essential care that is universally accessible to persons in a community and encourages self-management, self-reliance, and competence.
C)It focuses on health promotion and disease prevention among those who can afford to engage in behaviours that facilitate them.
D)It is based on local efforts to meet the Declaration of Alma-Ata, known as Health for All.
Answer: B
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3
Chapter 2: The Evolution of Community Health Nursing in Canada
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following makes public health nursing appealing to many nurses?
A)The autonomy of practice and independence in decision making it affords
B)Its focus on acute care and immediately visible outcomes
C)The backup support of other health care professionals
D)The rapport among the nursing staff
Answer: A
Q2) 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
Q3) Which one of the following 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
Page 4
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Chapter 3: Community Health Nursing in Canada: Settings,
Functions, and Roles
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/39741
Sample Questions
Q1) An employee in a laboratory drops a flask, resulting in the chemical splashing into her eyes.Which of the following is the agent in this scenario?
A)Chemical
B)Employee
C)Flask
D)Laboratory
Answer: A
Q2) Through which one of the following interventions can the parish nurse implement primary prevention of obesity in school-aged church members?
A)Establishing a walking program that is sufficiently challenging, yet not too strenuous, for those who are obese
B)Partnering with youth camp cooks to ensure that a nutritious diet is provided
C)Supervising height and weight measurements taken by clinic assistants
D)Working with parents of obese children to implement lifestyle changes in the family
Answer: B
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Page 5
Chapter 4: Health Promotion
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/39742
Sample Questions
Q1) Which one of the following is perhaps the most helpful idea among the unlimited suggestions for how to improve health care in Canadian communities?
A)Increasing funding and personnel to advance new pharmaceutical interventions
B)Increasing funding for further research into the most effective medical interventions
C)Increasing technological advances to constantly improve surgical survival rates
D)Involving communities in their health care and encouraging their participation in decisions about health care
Q2) 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.
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6
Chapter 5: Evidence-Informed Practice in Community
Health Nursing
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) The CHN who best applies evidence-informed practice directly performs which of the following actions to determine the best way to address an outbreak of a new infectious disease?
A)Reviews policies and procedures
B)Reviews outcomes of clinical trials
C)Reviews several nursing textbooks
D)Gets information from the Internet
Q2) 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.Which one of the following is the most likely cause of the poor outcome in the education program?
A)Failure to consider client individuality
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
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7
Chapter 6: Ethics in Community Health Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A pregnant teenage client asks a CHN to provide information on abortions and a list of health care providers who offer abortion services.The CHN has very strong personal beliefs against abortion that would get in the way of helping the client.What should the CHN do?
A)Call in another CHN to care for this client.
B)Explain, from the personal perspective, all the reasons why abortion should be made illegal.
C)Offer the client a combination of oral contraceptives to induce spontaneous abortion. D)Provide information on alternatives to abortion and give the client information on adoption agencies.
Q2) In which year was the first code of ethics for nursing written?
A)In 1893, by Lystra Gretter
B)In 1950, by the American Nurses Association ( ANA ) House of Delegates
C)In 1954, by the International Council of Nurses ( ICN )
D)In 2001, by the American Nurses Association ( ANA ) House of Delegates
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Chapter 7: Diversity
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) 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." Which of the following behaviours does this statement exemplify?
A)Ethnocentrism
B)Prejudice
C)Racism
D)Stereotyping
Q2) Which of the following practices applies to nursing care for clients with a foreign cultural background?
A)Altering nonverbal behaviour to reflect the cultural norms the client is used to
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
Q3) Which one of the following is 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
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Chapter 8: Epidemiological Applications
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) When doing which of the following activities does the community health nurse (CHN) act in the role of a nurse epidemiologist?
A)Eliciting the health history of a client presenting with an illness
B)Performing a physical assessment of an ill client
C)Providing treatment and health education to a client with a disease
D)Evaluating the number of clients presenting with similar diseases
Q2) Which one of the following would be the best choice for the nurse researcher who wishes to identify the long-term benefits and risks of a treatment for hyperlipidemia?
A)A cross-sectional study
B)An ecological study
C)A clinical trial
D)A retrospective analysis
Q3) The CHN can enhance the sensitivity and specificity of a test by using its predictive value.Which one of the following best defines positive predictive value?
A)The proportion of persons with a negative test who are actually disease-free
B)The variation inherent in the trait being measured
C)Any inconsistency in the testing instrument
D)The proportion of persons with a positive test who actually have the disease
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Chapter 9: Working With Community
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) During which phase would the CHN determine the ability of specific interventions to achieve an increase to at least 90% in the proportion of all pregnant women who receive first-trimester prenatal care?
A)Assessment phase
B)Planning phase
C)Implementation phase
D)Evaluation phase
Q2) When assessing immigrant access to regional health care, which data collection method would be the best choice to provide key information about the community?
A)Interviews with employees of the local health board
B)Informant interviews with local community members
C)Interview with a legislator or local politician
D)Interview with a public health official
Q3) The CHN acts in the role of a change partner when doing which of the following?
A)Administers vaccinations to preschoolers
B)Analyzes community problems to determine the best interventions
C)Establishes a care centre for older adults living with family members who work in jobs outside the home
D)Teaches anger management skills to a group of teens in a halfway house
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Page 11
Chapter 10: Health Program Planning and Evaluation
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Which of the following descriptors meets all of the criteria for identifying a potential client for a program?
A)All women 40 to 50 years of age who have not had a menstrual period for 3 consecutive months
B)Immigrants residing in the district of Wakefield for less than 5 years who have difficulty understanding care instructions because of limited English proficiency
C)Pregnant women who have received nutritional counselling but whose nutritional status did not improve
D)Children aged 18 months to 5 years who have been treated for nutritional deficiencies at the district health clinic
Q2) Which of the following potential data sources would most likely be eliminated by the community health nurse (CHN) who wishes to conduct a needs assessment on a limited budget?
A)Community forums
B)Examination of community indicators
C)Focus groups
D)Surveys
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Page 12
Chapter 11: Working With Vulnerable Populations
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/39749
Sample Questions
Q1) Which of the following actions is a way in which the CHN 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.
Q2) A CHN suspects that a new client may be a drug addict.When getting the health history of the client, the CHN needs to keep in mind that the client may not admit to drug use.Which one of the following is a primary symptom of addiction?
A)Confusion
B)Denial
C)Forgetfulness
D)Mental status changes
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13
Chapter 12: Working With Family
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A CHN is preparing to terminate a visit with teenage parents and their new baby.During this phase of the home visit, which of the following actions will the CHN want to take?
A)Determine the family's willingness for home visits.
B)Establish the purpose of the visit.
C)Review important points of teaching discussed during the visit.
D)Review the family record and reason for referral.
Q2) Which of the following actions by the CHN has the most potential to empower the family of a mother with newly diagnosed breast cancer?
A)Applying for emergency financial assistance on the family's behalf
B)Arranging for community members to assist with child care
C)Recommending that the mother join a cancer support group
D)Teaching the family how to navigate the health care system
Q3) During which of the following phases should documentation of home visits take place?
A)Engagement phase
B)In-home phase
C)Termination phase
D)Postvisit phase
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Page 14
Chapter 13: Working With Client As Individual: Health and Wellness
Across the Lifespan
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following examples constitutes tertiary prevention by a CHN who wants to promote improved health in obese children?
A)Establishing lifestyle improvement programs through local youth organizations
B)Evaluating the food intake of a group of children for a 48-hour period
C)Providing educational programs to overweight prospective parents because they are at greater risk of having overweight children
D)Measuring body mass index in children during regularly scheduled well-child assessments
Q2) Which of the following is the primary determining factor of poor health outcomes in women?
A)Feelings of powerlessness
B)Lack of knowledge
C)Poverty
D)Stress
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Chapter 14: Working With Groups, Teams and Partners
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which one of the following would be considered an effective group norm?
A)Group meetings generally do not start on time, but they do end on time.
B)Group members share positive and negative feelings about what is happening.
C)Group members often have hidden agendas to meet other purposes.
D)The group leader makes most of the group decisions.
Q2) Which group conflict resolution strategy is most concerned with the self, or "I-ness"?
A)Competing
B)Avoidance
C)Compromising
D)Accommodating
Q3) Which of the following is the correct definition of group involvement?
A)Group involvement is the degree of attraction and commitment of group members.
B)Group involvement is how the group works as a unit and how members interact.
C)Group involvement is how the group members connect and relate to each other.
D)Group involvement is the attraction between individual members and the group.
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16
Chapter 15: Environmental Health
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) When a concerned citizen asks the CHN about environmental health, the CHN wants to provide comprehensive information.Which of the following definitions of environmental health does the CHN provide?
A)Environmental health is the causative factors invading a susceptible host through an environment favourable to producing disease, such as a biological or chemical agent.
B)Environmental health is the systematic and ongoing observation and collection of data concerning disease occurrence to describe phenomena and detect changes in frequency or distribution.
C)Environmental health is the study of the effect of physical, chemical, and biological factors in the external environment on human health.
D)Environmental health is the achievement of health and wellness and the prevention of illness and injury from exposure to physical or psychosocial environmental hazards.
Q2) Local inspections of restaurants are conducted by which level of government?
A)Local and regional boards of health
B)Environment Canada
C)Provincial/territorial Ministry of Labour
D)Health Canada
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Chapter 16: Disaster Management
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) What is the ultimate contribution of the disaster preparedness plan?
A)It reduces injuries.
B)It enhances collaboration among the community partners.
C)It reduces stress and panic behaviours.
D)It reduces involvement.
Q2) On the second day after a disaster, a disaster relief worker is found to be irritable and having difficulty focusing.He denies having any problem other than a headache.Which of the following actions is the best one for the CHN to take?
A)Dismiss the problem of inability to focus as probably being the result of worry, so that the worker can concentrate on the work at hand and deal with his emotions later.
B)Explain to the relief worker that he is experiencing signs and symptoms of psychological stress and recommend that he take some time off from work to relax.
C)Explain to the worker that his problem arises from multitasking and advise him to focus on one task at a time.
D)Suspect dehydration and encourage the worker to drink more fluids.
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Chapter 17: Communicable and Infectious Disease
Prevention and Control
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Which one of the following sexually transmitted infections (STIs) can be prevented through immunization?
A)Chlamydia
B)Gonorrhea
C)Hepatitis B
D)Herpes
Q2) Of the following statements about Salmonella made by class members in a class about disease prevention, which one indicates that additional teaching is needed?
A)"Certain pets and farm animals may be Salmonella carriers."
B)"It is possible to transmit Salmonella through person-to-person contact."
C)"Salmonella may be spread through blood once the infected blood is exposed to air."
D)"Salmonella outbreaks are usually due to contaminated meat, poultry, and eggs."
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19
Chapter 18: Applications in Working With Specific Aggregates
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) 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.
Q2) Developing a communication strategy to keep community members informed is an example of which of the following components of community capacity building?
A)Skill development
B)Partnership building
C)Documentation of progress
D)Establishing a planning team group
Q3) Which of the following demonstrates the second 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
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