Community Health Nursing Test Preparation
Course Introduction
Community Health Nursing focuses on the principles and practices of providing comprehensive healthcare to individuals, families, and groups within a community setting. This course examines the role of nurses in assessing community health needs, planning and implementing health promotion and disease prevention interventions, and collaborating with diverse agencies to address public health concerns. Students learn about epidemiology, health education, community assessment, and the impact of social, environmental, and economic factors on health. Emphasis is placed on culturally competent care, advocacy, and the integration of evidence-based practice to improve health outcomes and enhance the quality of life within populations.
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) Which one of the following is an example of the "advocate" role of the CHN?
A)Organizing home care support for a newly discharged older adult client
B)Acting as a member of a community action group for provision of accessible transit choices
C)Doing prenatal assessments
D)Facilitating a self-help group for smoking cessation
Answer: B
Q2) A CHN often has to make resource allocation decisions.In such cases, which of the following approaches will help the CHN to arrive at the decision?
A)Choosing a moral or ethical principle
B)Choosing the cheapest, most economical approach
C)Choosing the most rational outcome
D)Choosing the needs of the aggregate, rather than the needs of a few individuals
Answer: D
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Chapter 2: The Evolution of Community Health Nursing in Canada
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/39740
Sample Questions
Q1) Which one of the following is the main area of concern for the occupational health nurse (OHN)?
A)Increasing benefits upon renewal of employment contracts
B)Ensuring higher salaries and bonuses upon acceptance of employment
C)Returning most nursing care to the home, where family members give all needed care
D)Focusing on disease prevention activities in the workplace
Answer: D
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 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
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 HHN in training states, "I don't understand why we have to collaborate with so many other disciplines.Doesn't this conflict with the concept of holistic nursing practice?"
Which of the following statements would be the best response by an experienced colleague?
A)"The nurse still functions holistically; however, interdisciplinary collaboration is necessary to prevent fragmentation of care."
B)"Holistic nursing is a concept applied to care in tertiary facilities such as hospitals, where materials are centrally located in one facility.In home health, this is not possible."
C)"Even though home health nursing is not as holistic as other areas of community health nursing, each discipline contributes to client needs from its special knowledge base."
D)"Yes, it does create conflict, but we as nurses are mandated to practise interdisciplinary collaboration."
Answer: A
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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) Which of the following main ideas was Lalonde highlighting in his report entitled A New Perspective in the Health of Canadians (1974)?
A)Access to health care and cost and quality of health care
B)Appropriate legislation to control health care organizations
C)The influence of biology, environment, and lifestyle on good health
D)Accessibility and health promotion
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Chapter 5: Evidence-Informed Practice in Community
Health Nursing
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/39743
Sample Questions
Q1) Which of the following actions by the nurse executive 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
Q2) For CHNs who are familiar with evidence-informed practice and want to implement it in their care of clients, which of the following is the biggest challenge?
A)Accessing the evidence and integrating it into practice
B)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
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Chapter 6: Ethics in Community Health Nursing Practice
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/39744
Sample Questions
Q1) Three CHNs are disagreeing about the appropriate treatment for Mrs.Mehta, who is probably an excellent candidate for hospice care.The first CHN says that deciding on care, rather than cure, is up to Mrs.Mehta, and no one else can decide for her.The second CHN says that it is the responsibility of the health care team to do what is best for Mrs.Mehta, and if the physician thinks there is still a possibility of cure, then the CHNs should do everything they can to implement the treatment plan.The third CHN says it is not fair for the family to expend all their resources on Mrs.Mehta, who is probably going to die in spite of the care provided by the health care team.Which one of the following conclusions can be drawn from this dispute?
A)Ethical principles can conflict with each other.
B)The first CHN is correct because autonomy demands that the patient herself decide.
C)The second CHN is correct because professional health care providers profess or promise to always do the best for those under their care.
D)The third CHN is correct because utility demands the maximization of benefit for the majority.
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Chapter 7: Diversity
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14 Flashcards
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Sample Questions
Q1) 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
Q2) A CHN rearranges the room and moves the bed of a bedridden Muslim client so that the client is facing toward Mecca for his daily prayers.What does the CHN's culture-related response exemplify?
A)Cultural skill
B)Cultural awareness
C)Cultural brokering
D)Cultural imposition
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
Source URL: https://quizplus.com/quiz/39746
Sample Questions
Q1) During the years 2005 to 2010, in a particular district, 1,000 of 10,000 girls aged 16 to 18 years tested positive for a sexually transmitted infection (STI).Of the 1,000 diagnosed STIs, 300 were gonorrhea and 500 were Chlamydia.Which one of the following statements would the CHN recognize as being true?
A)The proportion of cases of gonorrhea to all STIs was 300:1300.
B)The proportion of cases of gonorrhea to Chlamydia was 300:500.
C)The proportion of STIs to the total population was 10 per 1,000.
D)The proportion of cases of gonorrhea to all STIs was 50%.
Q2) Which of the following 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
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Chapter 9: Working With Community
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/39747
Sample Questions
Q1) 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
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) For the community health nurse (CHN) who is 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
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Page 11
Chapter 10: Health Program Planning and Evaluation
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/39748
Sample Questions
Q1) In order to evaluate a program designed to decrease obesity among school-aged children, which of the following questions would be the most important to consider?
A)Are the school-aged children satisfied with the program?
B)Can the parents and guardians support the program requirements?
C)Has obesity among the school-aged children decreased?
D)What is the program cost compared with the program benefit?
Q2) Which one of the following options represents 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) Which one of the following programs would best exemplify an emphasis on tertiary prevention?
A)Development of an in-school clinic that provides counselling on contraception
B)Providing a diabetes management program for persons with diabetes mellitus
C)Providing cardiovascular fitness evaluations at annual health fairs
D)Setting up free blood pressure screening at popular department stores and supermarkets
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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) What information is most important to keep in mind when caring for a pregnant teen?
A)All teen pregnancies are considered high risk.
B)Limited knowledge can lead to pregnancy complications.
C)Pregnant teens are less likely to focus on proper prenatal nutrition.
D)Pregnant teens who are poor are more likely to have poorer health outcomes.
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 one of the following is the designation given to groups at high risk of having poor health outcomes?
A)Cumulative risk groups
B)Health disparity groups
C)Resilient populations
D)Vulnerable populations
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Chapter 12: Working With Family
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which one of the following is the most important predictor of health?
A)Biological risk
B)Economic risk
C)Life-event risk
D)Health values
Q2) Which of the following categories is addressed by the developmental assessment aspect of the Calgary Family Assessment Model (CFAM)?
A)Family life-cycle stages
B)Instrumental and expressive functions
C)Activities of everyday living
D)Family strengths
Q3) 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
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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 of the following areas should be targeted by the community health nurse (CHN) who wishes to successfully establish a program to decrease childhood mortality rates?
A)Accidents and injuries
B)Acquired immune deficiency syndrome (AIDS)
C)Childhood obesity
D)Vaccine-preventable diseases
Q2) The second leading cause of cancer deaths in Canadian women is colorectal cancer.Which of the following options is key to improving long-term survival in women with colorectal cancer?
A)Screening and treatment
B)Primary prevention and early detection
C)Providing information and chemotherapy
D)Prevention of infections and smoking cessation
Q3) Which one of the following is the nursing specialty that focuses on holistic care of older adult clients?
A)Older adult care
B)Geriatrics
C)Geripsychiatric nursing
D)Gerontological nursing
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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) Which group conflict resolution strategy is most concerned with the self, or "I-ness"?
A)Competing
B)Avoidance
C)Compromising
D)Accommodating
Q3) In your textbook, which one of the following is described as being a competency of emotional intelligence?
A)Norming
B)Group cohesion
C)Self-management
D)Adjourning
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16
Chapter 15: Environmental Health
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/39753
Sample Questions
Q1) In which of the following scenarios does the occupational health nurse (OHN) use primary prevention to improve health outcomes when environmental health risks are present?
A)Using radiation detectors to detect unsafe levels of radiation exposure
B)Irrigating the eyes of an employee who has had a chemical splash to the face
C)Teaching new employees who will work outdoors about the signs and symptoms of heat-related illness
D)Using spirometry to rule out obstructive or restrictive lung disease in workers before they start using mask respirators
Q2) In order to increase the proportion of noninstitutionalized adults who are vaccinated annually against influenza, a nurse practitioner has established a mobile clinic.Which part of the nursing process is fulfilled by delivering immunization services?
A)Goal setting
B)Planning
C)Intervention
D)Evaluation
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Chapter 16: Disaster Management
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) 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.
Q2) In which of the following scenarios has an influenza pandemic occurred?
A)There is a lack of pandemic vaccine production.
B)A new strain of influenza appears.
C)Cases of H1N1 outnumber those of influenza A.
D)More than 75% of the population is affected.
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Chapter 17: Communicable and Infectious Disease
Prevention and Control
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/39755
Sample Questions
Q1) Which of the following presents a challenge with 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) 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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Chapter 18: Applications in Working With Specific Aggregates
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/39756
Sample Questions
Q1) 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
Q2) 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
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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