Nursing in the Community Study Guide Questions
Course Introduction
Nursing in the Community explores the roles and responsibilities of nurses working outside traditional clinical settings, focusing on health promotion, disease prevention, and holistic care within diverse populations. The course examines community assessment, public health initiatives, epidemiology, and strategies for addressing social determinants of health. Students learn to collaborate with multidisciplinary teams, engage in effective health education, and provide culturally competent care to individuals, families, and groups. Emphasis is placed on developing advocacy skills, navigating community resources, and implementing interventions to improve health outcomes at the local, national, and global levels.
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
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Sample Questions
Q1) 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
Q2) In which scenario is the PHN most comprehensively fulfilling collaborative practice 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
Q3) What term is used interchangeably with the term subpopulations?
A) Groups
B) Aggregates
C) Clients
D) Communities
Answer: B
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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) In which practice area were the first PHNs in Canada employed?
A) Healthy baby clinics
B) Outpost nursing
C) School health programs
D) Tuberculosis education, prevention, and treatment
Answer: D
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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) Which community health nurse (CHN) activity demonstrates tertiary prevention related to mental health?
A) Disseminating information about mental health to community organizations
B) Partnering with PHNs for early identification of children with mental health challenges
C) Providing case management services that link clients with serious mental illnesses to mental health and community support services
D) Screening clients at high risk for mental disorders
Answer: C
Q2) Which of the following is the best way for a home health nurse (HHN) to help a client who has right-sided paresis secondary to a stroke?
A) Arranging for private duty nurses to assist the client with daily needs
B) Assisting the client with activities of daily living (ADLs)
C) Teaching self-care to the client
D) Teaching the family to assist the client with ADLs
Answer: C
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Chapter 4: Health Promotion
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Sample Questions
Q1) What 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
Q2) The Canadian Community Health Nursing Standards of Practice identifies a community health nurse (CHN)'s role as advocate in creating public policy, as supporter of community action to influence public policy, and as instrument for societal change. What is an example of a healthy public policy?
A) Immunizations
B) Behaviour change
C) Marketing materials
D) Crib/bed safety initiatives for infants and young children
Q3) 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.
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6
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 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. What would be the most likely cause of the poor outcome in the education program?
A) Failure to consider client and contextual differences
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) What best represents the first step to take when using evidence-informed practice in the clinical setting?
A) Eliminating all protocols and standards that are not evidence based
B) Gathering data on the clinical problem
C) Formulating the clinical question
D) Revising mission statements and organizational philosophies
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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. One CHN states, "But it doesn't have to be either-or. Perhaps the family members could take turns calling in sick for just 2 or 3 days. That way, they could all help and yet not upset their employers. Wouldn't that be fair?" What type of thinking is this CHN applying?
A) Communitarianism
B) Deontological ethics
C) Principlism
D) Utilitarianism
Q2) What is the central, most important concept or action in nursing today?
A) Adapting to the use of computers and other technological advances
B) Caring
C) Distinguishing nursing care from medical care
D) Seeking evidence-based outcomes
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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 family from Mexico presents to the community health centre. None of the family members speak English, and no one at the health centre speaks Spanish. What will be the most appropriate action on the part of the CHN?
A) Attempting communication using an English-Spanish phrase book
B) Calling the local hospital and arranging a referral
C) Emphatically stating, "No hablo Español" (I don't speak Spanish) and repeating as necessary
D) Finding an interpreter to translate
Q2) A CHN states, "The best way to treat clients from other countries is to care for them the same way we would want to be cared for ourselves. After all, we are all human beings with the same expectations and needs." What response does this statement exemplify?
A) Cultural awareness
B) Cultural blindness
C) Cultural knowledge
D) Cultural preservation
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9
Chapter 8: Epidemiological Applications
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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 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
Q3) Epidemiology would be a primary tool used by the nurse scientist for researching which topic?
A) Experiences of cancer care services
B) Contributing factors to childhood obesity
C) Morbidity statistics
D) Social characteristics and traits of healthy older adults
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10
Chapter 9: Working With the Community
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9 Flashcards
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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) 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
Q3) When assessing immigrant access to regional health care, which data collection method would best 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
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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 options represent the steps in health program management?
A) Assess, plan, implement, evaluate
B) Identify, initiate, implement
C) Organize, operationalize, mobilize, subsidize
D) Substantiate, negotiate, evaluate
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Chapter
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15 Flashcards
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Sample Questions
Q1) Which preventative measure would be included as 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) 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) 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.
Q2) 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.
Q3) When drawing a genogram, which style of line drawing will the CHN use to demonstrate a marital relationship between two individuals?
A) A broken line
B) A dashed line
C) A solid line
D) Two parallel lines
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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 group-building and maintenance role describes the person who tracks group process in writing and conveys information to the group?
A) Coordinator
B) Encourager
C) Orienter
D) Commentator
Q2) Which one of the following options best defines the term aggregate?
A) An aggregate is a large group.
B) An aggregate is a collection of individuals and families.
C) An aggregate is a group within a population.
D) An aggregate is another name for a demographic group.
Q3) What is the main influence on the effectiveness of a group's work?
A) The general knowledge of group members
B) The group's leadership
C) Group diversity
D) The group's health behaviours
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Chapter 14: Indigenous Health: Working With First Nations
People, Inuit, and Métis
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9 Verified Questions
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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) 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 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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Chapter 15: Working With Vulnerable Populations
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A CHN who works at a clinic for homeless persons wants to institute a more efficient treatment for chronic wounds. What CHN action offers the best way to improve outcomes for these clients?
A) Administer antibiotics to all homeless persons with chronic, nonhealing wounds.
B) Facilitate daily access to a room with soap, water, and bandages.
C) Provide free bandaging supplies to clients at each clinic visit.
D) Regularly monitor the wound condition of clients.
Q2) During a group counselling session for perpetrators of intimate partner violence, which client statement indicates a lack of insight into his violent behaviour?
A) "I have been taking out my frustrations about work on my girlfriend."
B) "I love my girlfriend and didn't want to hurt her; it was an accident."
C) "It might be a good idea for me to temporarily leave the house when I feel I am getting angry."
D) "When I drink alcohol, I become more abusive toward my girlfriend."
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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) A communicable disease outbreak has occurred in a town. At a town meeting with public health officials, a community health nurse (CHN) is asked to explain the phrase "virulent organism." What definition of virulence is correct?
A) Virulence is the ability to bypass normal immunological response mechanisms.
B) Virulence is the ability to invade major organ systems.
C) Virulence is the ability to produce toxins and poisons that weaken the body.
D) Virulence is the ability to produce severe physical reactions.
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) What would be a tertiary prevention measure implemented by the CHN to prevent TB?
A) Administering a purified protein derivative (PPD) to the contacts of those infected with TB
B) Initiating directly observed therapy (DOT) for TB-positive clients
C) Providing education about the prevention of TB to members of the community
D) Using skin tests to screen all health workers for TB
Page 18
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Chapter 17: Environmental Health
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Sample Questions
Q1) Which scenario exemplifies the CHN's practice of 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
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
Q3) A community member reports to a CHN in the public health department that the city's water has had an unusual taste for the past few months. What is the best CHN action?
A) Advocate with or lobby decision makers.
B) Consult the Canadian Partnership for Children's Health & Environment (CPCHE).
C) Check the most recent report on water quality in the community.
D) Place a call to the poison control centre.
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Chapter 18: Disaster Management
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8 Verified Questions
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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 is the best action?
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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