Community Health Nursing Exam Solutions
Course Introduction
Community Health Nursing focuses on the principles and practices of promoting and maintaining the health of individuals, families, and groups within a community setting. The course explores methods for assessing community health needs, planning and implementing interventions, and evaluating outcomes. Emphasizing preventive care, health education, and collaboration with multidisciplinary teams, students learn to address social determinants of health, manage communicable diseases, and respond to public health emergencies. This course prepares future nurses to advocate for community well-being, implement evidence-based practices, and support health equity in diverse populations.
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 is a requirement for reaching the goal of "health for all"?
A) Self-actualization
B) A system for health
C) Elimination of lower- and upper-class categories
D) Total compliance with immunizations and vaccines with all groups
Answer: B
Q3) Which type of thinking is most reflective of looking at a macroscopic, big-picture population focus?
A) Collaborative thinking
B) Upstream thinking
C) Holistic thinking
D) Downstream thinking
Answer: B
To view all questions and flashcards with answers, click on the resource link above. Page 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) Which public health nurse leader was instrumental in establishing the first integrated basic nursing degree program in Canada?
A) Florence Nightingale
B) Kathleen Russell
C) Edna Moore
D) Lillian Wald
Answer: B
Q2) What is the main achievement of the Community Health Nurses Association of Canada (CHNAC)?
A) Licensed practical nurses (LPNs) as well as registered nurses (RNs) were allowed to join the association.
B) Nurses who were not PHNs were encouraged to join.
C) National standards of practice were developed.
D) A process was developed to choose the organization's leaders and officers. Answer: C
To view all questions and flashcards with answers, click on the resource link above.
Page 4
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) In an effort to prevent drug abuse among junior high-school students, a PHN has enlisted the assistance of high-school role models in the areas of both sports and scholarship for an antidrug presentation. What is the level of prevention represented by this activity?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Both primary and secondary prevention
Answer: A
Q2) What practice is being implemented by the occupational health nurse (OHN) who removes a foreign body from a client's eye?
A) Primary care
B) Primary prevention
C) Secondary prevention
D) Tertiary prevention
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) Which report focused on the introduction of the "health field concept" with its four domains?
A) Epp Report
B) Black Report
C) Lalonde Report
D) WHO Commission Report on Social Determinants
Q2) What is the most important feature of the Diffusion of Innovation Theory?
A) It avoids high-cost treatments and suggests cheaper alternatives.
B) It gives members incentives to use only network providers.
C) It shows that individuals adopt innovations at different rates.
D) It advocates working with geographically based communities.
Q3) How is health promotion distinct from health protection?
A) A focus on the assurance of the highest possible quality in care
B) A concern with enabling increased control over determinants of health
C) The specific delivery of care by a group of health care providers
D) The particular achievements of social marketing campaigns
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) 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
Q2) What action by a nurse leader would best implement evidence-informed practice at a community nursing centre that serves a large Cuban immigrant population?
A) Having university experts with cultural competency expertise review the centre's policies
B) Having weekly staff meetings for the purpose of determining which methods seem to work best when helping immigrants
C) Including Cuban immigrants from the community on the centre's advisory board
D) Sending centre staff to conferences and seminars that focus on providing health care to immigrants from Spanish-speaking countries
To view all questions and flashcards with answers, click on the resource link above.
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 team of CHNs disagree about the appropriate action to take in relation to a family with an ill family member who have chosen to continue working at their jobs instead of take time off to care for the ill family member. A CHN states, "It's not up to us; it's the family's decision." What type of thinking is this CHN applying?
A) Communitarianism
B) Deontological ethics
C) Principlism
D) Utilitarianism
Q2) Much ethical debate has revolved around issues in acute health care, for example, the continuation or withdrawal of medical treatment. In such a specific situation, what is typically the dominant concern?
A) Doing what is best for the community
B) Doing what is best for the family
C) Obeying legal mandates
D) Upholding the client's autonomy
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) 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
Q2) A CHN often used to sit with his legs crossed at the knees when collecting a client's history. However, he stopped doing this around his Iranian clients after being told that they were offended because this posture exposed the sole of his foot. In changing his behaviour, which culture-related response did the CHN exhibit?
A) Cultural sensitivity
B) Cultural awareness
C) Cultural knowledge
D) Cultural skill
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) What 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
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
Q3) In 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
To view all questions and flashcards with answers, click on the resource link above.
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) Which objective is most appropriate for developing a community health nursing process?
A) All monitored clients will receive abortion therapy within 3 minutes following recognition of lethal dysrhythmia.
B) Of mothers receiving nutrition counselling, 80% will identify five sources of calcium by the end of class.
C) Ninety-five percent of children will be immunized by the age of 1 year.
D) There will be a 25% reduction in health disparities by 2015.
Q2) When involving the community-client as partner, during which phase does data collection take place to determine the community's health and structure?
A) Assessment phase
B) Planning phase
C) Implementation phase
D) Evaluation phase
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) On the basis of projected increases in the number of older adult Canadian citizens, a planning committee wants to establish a daycare program for the community's older adult population. What stage would be used to assess the needs of this proposed program?
A) Preactive stage
B) Reactive stage
C) Inactive stage
D) Interactive stage
Q2) Which descriptors meet 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
To view all questions and flashcards with answers, click on the resource link above.
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) What would be the best CHN referral for a physically and mentally challenged older adult who wants to continue living with her family but whose family members are all working outside the home?
A) Adult daycare services
B) Home health care
C) Long-term care
D) Older adult centres
Q2) What is the primary determining factor of poor health outcomes in women?
A) Feelings of powerlessness
B) Lack of knowledge
C) Poverty
D) Stress
Q3) Which type of prevention is exemplified by the administration of vaccines to promote child and adolescent health?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Both primary and secondary prevention
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) Historically, CHNs focused on the care of individuals while viewing the families of individuals as either background resources or possible stressors. Which view of the family did this traditional conceptualization take?
A) Family as the client
B) Family as a component of society
C) Family as the context
D) Family as a system
Q2) A CHN is preparing to terminate a visit with teenage parents and their new baby. During this phase of the home visit, what action 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.
Q3) Which type of risk the most important predictor of health?
A) Biological risk
B) Economic risk
C) Life-event risk
D) Health values
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) Which group conflict resolution strategy is most concerned with the self, or "I-ness"?
A) Competing
B) Avoidance
C) Compromising
D) Accommodating
Q2) Which type of conflict may be experienced when a CHN supports a palliative care client's decision to die at home but the family physician believes that the client should be in a hospital?
A) Interpersonal conflict
B) Intrapersonal conflict
C) Intergroup conflict
D) Interdisciplinary conflict
Q3) 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
To view all questions and flashcards with answers, click on the resource link above.
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 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 final phase of application of the community health nursing process?
A) Presenting feedback about a 6-week fitness class
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) What CHN action would best ensure long-term positive health outcomes in pregnant teens from low-income groups and their children?
A) Help teen mothers learn about body changes during pregnancy.
B) Develop programs that enable teen mothers to complete their education.
C) Offer courses in proper care of babies.
D) Monitor pregnant teens for early detection of problems in pregnancy.
Q2) While screening for diabetes at a community clinic, a CHN found out that a new client had type 2 diabetes. The CHN then provided counselling, referred the client to an endocrinologist for initial assessment and treatment, helped with arrangements for financial assistance, arranged transportation, and booked a follow-up appointment. What role does this type of service exemplify?
A) Case management
B) Client advocacy
C) Holistic care
D) Wrap-around services
To view all questions and flashcards with answers, click on the resource link above.
17
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) 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
Q2) A CHN asks a class to describe the ways in which HIV can be transmitted. Which student response indicates a need for additional teaching?
A) "HIV can be transmitted by droplet spread from sneezing or coughing."
B) "HIV can be transmitted by having unprotected sex with someone who is infected."
C) "HIV can be transmitted by sharing needles when shooting up drugs."
D) "HIV can be transmitted through transfusions of blood products that are contaminated with HIV."
To view all questions and flashcards with answers, click on the resource link above.
18
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 chemical company executive asks a new public health department employee about obtaining a permit to build a new factory. Which employee statement would be the biggest cause for concern?
A) "If your operation employs fewer than 20 employees, you will be exempt from the requirement to obtain a permit."
B) "Granting permits is a mechanism for controlling pollution by regulating the operations and procedures of a facility."
C) "This process may take a long time because your plans will need to be studied by engineers and other specialists."
D) "You will need to submit an application detailing how your factory will operate."
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
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) When does the mitigation phase of disaster management begin?
A) Before the disaster occurs
B) During the disaster
C) Immediately following the disaster
D) During the recovery period
Q2) 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.
Q3) After surviving a house fire, a 5-year-old begins sucking his thumb and wetting his bed. What would be the best community health nurse (CHN) intervention?
A) Explain to the child that it is important to be strong and not act like a baby.
B) Reassure the family that this behaviour is a normal reaction to a traumatic experience.
C) Recommend admission into a hospital for psychological counselling.
D) Recommend behaviour therapy to treat regression.
To view all questions and flashcards with answers, click on the resource link above.
Page 20