Nursing in the Community Final Exam Questions
Course Introduction
Nursing in the Community focuses on the essential roles and responsibilities of nurses within community settings, emphasizing the promotion of health, prevention of illness, and management of chronic conditions outside of traditional hospital environments. The course explores the principles of community-based care, including epidemiology, health education, public health policy, and culturally competent practice. Students learn to assess population health needs, implement evidence-based interventions, and collaborate with multidisciplinary teams to improve the well-being of diverse groups. Through case studies and practical experiences, the course prepares future nurses to act as advocates, educators, and leaders in fostering healthier communities.
Recommended Textbook
Community Health Nursing in Canada 3rd Edition by Marcia
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18 Chapters
276 Verified Questions
276 Flashcards
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Chapter 1: Community Health Nursing
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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) The CHN working with women at the senior citizens' centre reminds them that the only way the centre will be able to afford a driver and a van service for those who cannot drive themselves is to continue to write letters to their local city council representatives, requesting funding for such a service. What is the CHN doing?
A) Ensuring that the women do not expect the CHN herself to do anything about their problem
B) Demonstrating that she understands the women's concerns and needs
C) Expressing empathy, support, and concern
D) Helping the women engage in political action locally
Answer: D
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Page 3
Chapter 2: The Evolution of Community Health Nursing in Canada
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The Industrial Revolution caused earlier caregiving approaches-where care was provided by families, friends, and neighbours-to become inadequate because of constantly increasing demand. Which situation also contributed to the inadequacy of caregiving approaches at this time?
A) Ongoing wars, which caused frequent deaths and injuries
B) Horrific plagues that swept through Europe
C) Migration and urbanization
D) The need to pay caregivers
Answer: C
Q2) 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
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Chapter 3: Community Health Nursing in Canada: Settings, Functions,
and Roles
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) What is the central difference between home health care and other types of health care?
A) Home health care is individualized care for the client and family.
B) Home health care is provided in the client's environment.
C) Reimbursement for home health care is different from that of care provided in institutions.
D) Home health care focuses on community health.
Answer: B
Q2) What activity is the PHN participating in when tracing the sexual contacts of clients with STIs for potential screening purposes?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Secondary and tertiary prevention
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 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
Q2) 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
Q3) What would describe an appropriate starting point for the application of a population health approach?
A) Emergency life-saving care
B) The determinants of health
C) Health promotion models
D) Risk management
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Chapter 5: Evidence-Informed Practice in Community
Health Nursing
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) A health care provider is concerned about the high number of clients with type 2 diabetes who have poor glucose control. In order to implement evidence-informed practice to manage this problem, what would be the best reference for the health care provider to use?
A) Published protocols
B) Current research findings
C) Opinions of colleagues
D) Media reports
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
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Chapter 6: Ethics in Community Health Nursing Practice
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21 Verified Questions
21 Flashcards
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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) 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. One CHN states, "The whole family is being affected and will fall apart if they don't focus on the family's needs first." What type of thinking is this CHN applying?
A) Communitarianism
B) Deontological ethics
C) Principlism
D) Utilitarianism
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Page 8
Chapter 7: Diversity and Relational Practice in Community
Health Nursing
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) A client at a community health outpost who describes a culturally safe encounter describes which CHN practices?
A) Recognizing and respecting cultural identity
B) Mirroring and matching of cultural behaviours
C) Seeking similarities and commonalities
D) Supporting the adoption of dominant cultural behaviours
Q2) 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
Q3) A health care worker tells the CHN, "It does no good to try to teach those Indigenous clients about nutrition because they will just eat whatever they want to, no matter how much we teach them." What behaviour does this statement exemplify?
A) Cultural imposition
B) Ethnocentrism
C) Racism
D) Stereotyping
Page 9
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Chapter 8: Epidemiological Applications
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) 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
Q2) The CHN knows that a regular-sized blood pressure (BP) cuff will provide readings that are falsely high if used to measure BP in an obese person and will provide readings that are falsely low if used to measure BP in a small or very thin person. Which of the following does a regular-sized BP cuff lack when used to measure BP in all individuals?
A) Reliability
B) Sensitivity
C) Specificity
D) Validity
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Chapter 9: Working With the Community
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/37198
Sample Questions
Q1) Which measure of community health will be examined by the CHN who wishes to assess the status of a community's health?
A) Community awareness
B) Health facilities
C) Health care manpower
D) Vital statistics
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
Q3) What CHN activity demonstrates the role of a change partner?
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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11
Chapter 10: Health Program Planning and Evaluation
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Evaluation is under way for a province-wide program that aims to decrease teen injury and death associated with driving while under the influence of alcohol. Which of the following questions is most effective in helping make a summative evaluation of the program?
A) Are program participants completing all aspects of the program, and do their satisfaction scores indicate that they are pleased with the program?
B) What is the change in statistics for injuries and deaths associated with drunk driving among teens in the year following the program?
C) What is the difference in the amount of alcohol intake by teens before and after participant entry into the program?
D) What problems with program implementation have been identified?
Q2) Which data source 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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Chapter
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15 Verified Questions
15 Flashcards
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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 nursing specialty that focuses on holistic care of older adult clients?
A) Older adult care
B) Geriatrics
C) Geripsychiatric nursing
D) Gerontological nursing
Q3) Which 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
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Chapter 12: Working With Families
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Which CHN action 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
Q2) 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
Q3) Which scenario provides an example of a normative event that can increase the risk for illness?
A) A family is involved in a motor vehicle accident.
B) A group of teens experiments with recreational drugs.
C) A woman is pregnant with her first child.
D) The family's only earning member is laid off from work.
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Page 14
Chapter 13: Working With Groups, Teams, and Partners
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which one of the following would be designated as a group in the community?
A) Clients in the emergency room (ER) waiting area
B) Shoppers in a mall elevator
C) Passengers waiting at a bus stop
D) Teens who socialize on weekends
Q2) The ability to work with diverse groups is an important skill required in community health nursing. What best defines cohesion, one of the core concepts of working in groups?
A) Cohesion is anything a member does that makes an intentional contribution to the group's purpose.
B) Cohesion is the perception of a definite move toward meeting the group's goals and tasks.
C) Cohesion is encouraging all members to describe the experiences in their families and workplaces that they perceive as relevant.
D) Cohesion is a measure of attraction between individual members and the group.
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15
Chapter 14: Indigenous Health: Working With First Nations
People, Inuit, and Métis
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) Whenever possible, population-based practice focuses on which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Individual prevention
Q2) 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
Q3) 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
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Page 16
Chapter 15: Working With Vulnerable Populations
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A CHN is concerned about caregiver stress in the children of older clients with health concerns. What secondary prevention strategy can the CHN implement to limit caregiver stress?
A) Asking caregivers how they are coping with their role
B) Encouraging caregivers to periodically take a few hours away from their duties
C) Establishing support groups for caregivers of older adult parents
D) Referring some caregiving responsibilities to home health nurses (HHNs) or professional caregivers
Q2) What designation is 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
Q3) 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.
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Page 17
Chapter 16: Communicable and Infectious Disease
Prevention and Control
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) What sexually transmitted infections (STIs) can be prevented through immunization?
A) Chlamydia
B) Gonorrhea
C) Hepatitis B
D) Herpes
Q2) 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.
Q3) For what reason 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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Page 18
Chapter 17: Environmental Health
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/37206
Sample Questions
Q1) 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.
Q2) Which scenario exemplifies the occupational health nurse's (OHN's) practice of primary prevention to improve health outcomes from environmental health risks?
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
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Chapter 18: 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) What level of prevention is the CHN implementing when participating in the development of a community-wide disaster management plan?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) All prevention levels
Q3) 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
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