Community Health Nursing
Midterm Exam
Course Introduction
Community Health Nursing explores the principles and practices of nursing care within community settings, emphasizing the promotion, maintenance, and restoration of health for diverse populations. The course covers concepts such as epidemiology, health education, preventive care, and the role of nurses in assessing community health needs. Students learn to plan, implement, and evaluate health programs, work with interdisciplinary teams, and address factors affecting community well-being, such as environmental, cultural, and socioeconomic influences. Through theoretical learning and practical experiences, students develop skills in advocacy, health promotion, and leadership to improve the health outcomes of communities.
Recommended Textbook
Community Health Nursing in Canada 2nd Edition by Marcia
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18 Chapters
292 Verified Questions
292 Flashcards
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Chapter 1: Community Health Nursing
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/39739
Sample Questions
Q1) Which of the following best describes community health nursing?
A)Focusing on the health care of individual clients in the community
B)Giving care with a focus on the group's needs
C)Giving care with a focus on the aggregate's needs
D)Working with an approach of unique client care
Answer: A
Q2) Which of the following definitions reflects "client as society"?
A)Groups within a population working together on a defined activity
B)Systems that incorporate the social, political, economic, and cultural infrastructure to address issues of concern
C)People and the relationships that emerge among them as they develop and share environments
D)A large group of people who have at least one characteristic in common and who reside in close proximity
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 group was the first to establish hospitals?
A)Feudal lords, to keep their peons working
B)Small towns, to care for their own citizens
C)The military, to enable soldiers to keep fighting
D)Religious orders, to care for the sick, poor, and neglected
Answer: D
Q2) 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
Q3) Which one of the following events notably changed health care?
A)The creation of the discipline of nursing by Florence Nightingale
B)The formation of sisterhoods by nuns who gave care
C)The establishment of the Sisters of Mercy in Dublin
D)The formation of the Dames de la Charité by Saint Vincent de Paul
Answer: A
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
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Sample Questions
Q1) Which of the following best describes the concept of public health?
A)A population health approach designed to prevent disease, promote health, and protect populations
B)Health care provision offered in primary and secondary institutions or in clients' homes
C)Provision of health care services in institutions located in the community but outside the hospital
D)Use of the nursing process and evidence-informed practice to meet the objectives for community health improvement
Answer: A
Q2) To help congregation members better meet their nutritional needs, a parish nurse encourages them to participate in activities that focus on fellowship, as well as serving healthy meals to both attending and homebound church members.What do programs such as this exemplify?
A)Entitlement programs
B)Health ministries
C)Partnerships
D)Pastoral care practices
Answer: B
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Chapter 4: Health Promotion
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) How is the contemplation stage for changing behaviour different from the precontemplation stage for changing behaviour?
A)During the contemplation stage, the client does not yet intend to change his or her behaviour within the next 6 months.
B)During the contemplation stage, there is a lack of readiness to change behaviour.
C)During the precontemplation stage, there is a readiness to change behaviour.
D)During the contemplation stage, the client is thinking about changing behaviour within the next 6 months.
Q2) What is the focus of health promotion in Canada?
A)Achieving consensus on community health needs
B)Developing a population approach based on the determinants of health
C)Dictating interventions that match the government's identified priorities
D)Promoting individual health status
Q3) Which one of the following 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
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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) 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
Q2) Which of the following is included in the ways in which a CHN can best facilitate incorporation of evidence-informed practice in the clinical setting?
A)Elimination of all protocols and standards that are not evidence based
B)Group reflection on the ideals and expectations of nursing care
C)Incorporation of more practice-oriented research into decision making
D)Revision of mission statements and organizational philosophies
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Chapter 6: Ethics in Community Health Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Gilligan and Noddings both believe in the morality of responsibility in relationships.They emphasize connection.Which term is used to describe this belief?
A)A distributive justice approach
B)A feminine ethic
C)A principled approach
D)Virtue ethics
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
Q3) Most of us believe that everyone should receive his or her fair share, that one should always be fair, and that each person should be allowed maximum liberty to make decisions about the self.Which one of the following does such an approach not take into account?
A)The needs of society as a whole
B)The inconsistent desire or need for a share of resources
C)The predisposition in some people for a need to be taken care of
D)Insufficient resources to give everyone a fair share
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Page 8
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 Flashcards
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Sample Questions
Q1) Which model best explains the reasons why homeless individuals are at increased risk of disease as a result of multiple agent, host, and environmental factors?
A)The web of causality
B)The epidemiological triangle
C)The levels of prevention
D)The Health Promotion Model
Q2) Through which of the following actions would the CHN who wishes to decrease the incidence of obesity in elementary school children provide secondary prevention?
A)Giving a presentation on the importance of exercise and physical fitness
B)Designing a game in which students need to make healthy food choices
C)Weighing students to identify those who are overweight
D)Putting students on a diet if they weigh more than 20% of their ideal weight
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) Which of the following objectives 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) Which of the following 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
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11
Chapter 10: Health Program Planning and Evaluation
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) A CHN is checking the records of a health unit to compare the number of new teen clients who have sought contraceptive counselling and management in the 2 months before and after an education intervention program to decrease teen pregnancy.What step of the evaluation process does the CHN's action represent?
A)Determining outcome goal measurement
B)Goal setting
C)Measuring the goal effect
D)Evaluating the program
Q2) A committee concludes that a program's objectives were met and that activities received positive ratings from the community, but decides that the program will be discontinued because its cost was triple the amount anticipated.In this scenario, which one of the following program evaluation measures has been identified as the problem?
A)Adequacy
B)Effectiveness
C)Impact
D)Sustainability
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Chapter 11: Working With Vulnerable Populations
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which of the following actions by a case manager would be classified as primary prevention?
A)Advocating for the client whose values conflict with those of the medical service provider
B)Collaborating between nursing and occupational health personnel
C)Educating a group regarding community services that are available if they are ever needed
D)Resolving conflict between a primary care clinic and a tertiary care facility
Q2) Which one of the following characteristics observed in a teenage boy should always alert the CHN to the possibility of suicide?
A)Age between 15 and 19 years
B)A homosexual orientation and history of depression
C)Threatening to cause harm to peers
D)A history of torturing and abusing animals
Q3) Which of the following is a primary cause of vulnerability?
A)Breakdown of family structures
B)Poverty
C)Prejudice
D)Social isolation
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Page 13
Chapter 12: Working With Family
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The CHN conducting a health risk appraisal assesses which one of the following?
A)Health promotion activities
B)Illness prevention activities
C)Risk reduction activities
D)Unhealthy events
Q2) In a predominantly poor community, where eating clay ( pica ) is a common practice, through which of the following actions can the CHN intervene at the tertiary prevention level?
A)Helping the clients obtain extra welfare money, after explaining that clay, although filling, does not provide necessary nutrients
B)Initiating early intervention in the school system through education programs designed to focus on healthy food choices
C)Conducting laboratory testing and physical assessments to identify nutritional deficits resulting from pica and the lack of regular food intake
D)Surveying families to determine the presence and extent of pica
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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 measure needs to be included in the primary prevention of osteoporosis in women?
A)A diet rich in calcium and vitamin D
B)Exposure to sunlight for 40 minutes a day, recommended as an alternative source of vitamin D
C)Exercise, especially non-weight-bearing activity
D)Weight control
Q2) Testicular cancer is a common solid-tumour malignancy affecting men age 15 to 35.Which one of the following 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
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
Page 15
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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 type of conflict may be experienced when a CHN who does not personally support abortion is working with a group of teenagers to teach them about sexual health and pregnancy?
A)Interpersonal conflict
B)Intrapersonal conflict
C)Intergroup conflict
D)Interdisciplinary conflict
Q2) According to the five stages of group development outlined by Tuckman and Jensen (1977), the group is in which stage of group development when it focuses on the group work with a sharing of ideas in a supportive group environment?
A)Forming
B)Storming
C)Norming
D)Performing
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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Page 16
Chapter 15: Environmental Health
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) 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
Q2) In which of the following scenarios does the CHN use secondary prevention to reduce environmental health risks?
A)Collecting blood specimens from preschool children to check for lead levels
B)Meeting with local government officials to request that the city clean up a contaminated vacant lot
C)Referring a child diagnosed with toxic lead levels to a neurologist
D)Teaching the parents of a 2-year-old about the dangers of lead-based paint in older homes
Q3) Which of the following 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.
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Page 17
Chapter 16: Disaster Management
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8 Verified Questions
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Sample Questions
Q1) In the event of a disaster localized to one district, nursing response would most likely be directed by which following group?
A)Canadian Red Cross
B)Centres for Disease Control and Prevention
C)Centre for Emergency Preparedness and Response (CEPR)
D)Paramedics
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
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Sample Questions
Q1) Women who develop vaginal fungal infections (commonly referred to as yeast infections) usually have a history of having been prescribed antibiotics for bacterial infections.Which component of the epidemiological triangle (agent-host-environment) contributes most to the development of vaginal infections?
A)Agent
B)Environment
C)Host
D)Agent and host
Q2) For which of the following reasons should the school nurse recommend that an HIV-infected child not be allowed to attend school?
A)The child develops allergies with sneezing.
B)The school system requires students to receive routine immunizations.
C)There is an outbreak of chicken pox at the school.
D)There is strong objection from parents of well children.
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Chapter 18: Applications in Working With Specific Aggregates
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9 Verified Questions
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Sample Questions
Q1) Which one of the following is a feature of community capacity building?
A)Asking why
B)Assessing the status quo
C)Obtaining sustainable financial resources
D)Ensuring government is involved at all levels of planning
Q2) Which one of the following groups has the highest life expectancy?
A)Inuit males
B)Inuit females
C)Registered Indian males
D)Registered Indian females
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
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