Nursing Practice in Diverse Communities Exam Review
Course Introduction
This course explores the principles and practices of nursing within diverse communities, emphasizing culturally competent care and health promotion strategies for populations with varied backgrounds. Students will learn to assess community health needs, address health disparities, and collaborate with interprofessional teams to develop and implement care plans sensitive to cultural, socioeconomic, and environmental factors. Through case studies, fieldwork, and theoretical frameworks, learners will gain skills necessary to advocate for and deliver effective nursing care that supports the wellbeing of individuals and groups in multicultural, urban, and rural settings.
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 public health services represents secondary prevention?
A)Administering the influenza vaccine to a community of seniors
B)Initiating an infant car seat safety screening program for parents in low-income housing
C)Starting a rehabilitation clinic for middle-aged adults residing in low-income housing
D)Setting up a support group for teenage mothers of infants with Down syndrome
Answer: B
Q2) Which of the following best describes primary health care?
A)A comprehensive way to address issues of social justice
B)Giving care to manage acute or chronic conditions
C)Giving direct care to ill individuals within their family setting
D)Having the goal of health promotion and disease prevention
Answer: A
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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 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
Q2) 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
Q3) Following the release of the Romanow Report in 2002, which type of care was identified as the most rapidly growing area of community health care?
A)Home care
B)Community problems
C)Immunization
D)Women's issues
Answer: A
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) Which of the following is a core competency required of PHNs?
A)Advanced knowledge in the use of high-technology diagnostics
B)Familiarity with current life-support technology
C)Highly tuned skills for assessment of critically ill clients
D)Skill in developing policy and planning programs to improve health
Answer: D
Q2) Which one of the following is a primary prevention activity for decreasing the incidence of communicable diseases?
A)Identifying and treating clients in a clinic for sexually transmitted infections ( STIs )
B)Partnering with school teachers to teach handwashing to elementary school children and observe their techniques
C)Providing case management services that link clients with communicable diseases to health care and community support services
D)Providing directly observed therapy ( DOT ) to clients with active tuberculosis ( TB )
Answer: B
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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) In his document entitled Achieving Health for All: A Framework for Health Promotion, Epp supported a community and policy focus in health promotion.Which one of the following did he recommend?
A)Cooperating fully with the WHO member nations in implementing the plan internationally
B)Denying that the goal of health is socially and economically productive lives for all citizens
C)Taking actions that foster public participation
D)Focusing primarily on disease prevention and health promotion in selected areas
Q2) 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
Q3) 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
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Page 6
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) The CHN who best applies evidence-informed practice directly performs which of the following actions to determine the best way to address an outbreak of a new infectious disease?
A)Reviews policies and procedures
B)Reviews outcomes of clinical trials
C)Reviews several nursing textbooks
D)Gets information from the Internet
Q2) A nursing administrator who wishes to develop a work environment conducive to the implementation of evidence-informed practice can best achieve it through which of the following actions?
A)Conducting market research to determine customer satisfaction with evidence-informed practice
B)Eliciting opinions from CHNs on how evidence-informed practice will affect workload
C)Increasing access of nursing research holdings, including nursing research journals, in the libraries of health care institutions
D)Sending staff to conferences related to incorporation of evidence-informed practice into practice
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7
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) A CHN finds that a family has decided not to accept medical intervention for a particular health concern because the intervention could affect the family member's ability to return to work, and consequently the family's resources would be drastically reduced.Which of the following actions by the CHN would ethically be most appropriate in this situation?
A)The CHN should appreciate that the couple has made the decision that they feel is best for their family and take no further action if it is clear that they have made an informed choice.
B)The CHN should insist that every individual in society has a right to health care and that the family will have to find some way to raise funds for the needed treatment.
C)The CHN should talk to the social worker on the health care team to see if he or she can convince the couple to agree to the medical intervention.
D)The CHN should arrange a meeting with the family to discuss the consequences of the couple's decision.
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Chapter 7: Diversity
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Sample Questions
Q1) 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." Which culture-related response does this statement exemplify?
A)Cultural awareness
B)Cultural blindness
C)Cultural knowledge
D)Cultural preservation
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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Page 9
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) Epidemiology is a primary tool used by the nurse scientist for researching which of the following topics?
A)Locations where family violence is increasing
B)Contributing factors to childhood obesity
C)Morbidity statistics
D)Population characteristics for healthy older adults
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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) 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) During which phase would the CHN determine the ability of specific interventions to achieve an increase to at least 90% in the proportion of all pregnant women who receive first-trimester prenatal care?
A)Assessment phase
B)Planning phase
C)Implementation phase
D)Evaluation phase
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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) A committee of health care professionals would like to establish a district-wide program to improve access to culturally competent health care services for Vietnamese immigrants.Which one of the following would be the best person to select as a key information provider about this community's needs?
A)The hospital administrator
B)A Vietnamese community leader
C)A national expert on cultural competency
D)A provincial/territorial or municipal government official
Q2) 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?
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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) 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 is this type of service most representative of?
A)Case management
B)Client advocacy
C)Holistic care
D)Wrap-around services
Q2) Which definition accurately reflects the meaning of the term health inequities?
A)Health inequities are the accumulation of multiple factors that lead to poor health.
B)Health inequities occur when people are more inclined to become ill and usually do not seek appropriate care.
C)Health inequities are unfair differences in health that could be avoided with reasonable action.
D)Health inequities are wide variations in health status and services among certain population groups.
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13
Chapter 12: Working With Family
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/39750
Sample
Questions
Q1) A CHN researcher wants to know and better understand how the chronic illness of a child can affect a family's communication patterns, relationships, role expectations, and role behaviours.Which of the following types of family nursing theory would best address the purpose of the CHN's research?
A)Developmental theory
B)Interactional theory
C)Structure-function theory
D)Systems theory
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) 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
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Page 14
Chapter 13: Working With Client As Individual: Health and Wellness
Across the Lifespan
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/39751
Sample Questions
Q1) Which of the following is the primary determining factor of poor health outcomes in women?
A)Feelings of powerlessness
B)Lack of knowledge
C)Poverty
D)Stress
Q2) Which of the following examples constitutes tertiary prevention by a CHN who wants to promote improved health in obese children?
A)Establishing lifestyle improvement programs through local youth organizations
B)Evaluating the food intake of a group of children for a 48-hour period
C)Providing educational programs to overweight prospective parents because they are at greater risk of having overweight children
D)Measuring body mass index in children during regularly scheduled well-child assessments
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Chapter 14: Working With Groups, Teams and Partners
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/39752
Sample Questions
Q1) 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 group within a population.
D)An aggregate is another name for a demographic group.
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 one of the following is an example of a nonfunctional group role?
A)Opinion giver
B)Recognition seeker
C)Follower
D)Feasibility tester
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Chapter 15: Environmental Health
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/39753
Sample Questions
Q1) 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 action on the part of the CHN?
A)Advocate with or lobbying 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.
Q2) The CHN is examining blood lead levels in school-aged children one year after a community-wide education intervention.Which of the following terms identifies this phase of the nursing process?
A)Assessment
B)Diagnosis
C)Intervention
D)Evaluation
Q3) 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
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Page 17
Chapter 16: Disaster Management
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/39754
Sample Questions
Q1) 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.
Q2) 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
Q3) 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.
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18
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) 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."
Q2) A CHN asks a class to describe the ways in which HIV can be transmitted.Which of the following responses by a student 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."
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19
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 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
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 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.
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