Primary Health Care Nursing Exam
Questions
Course Introduction
Primary Health Care Nursing focuses on the principles and practices of delivering essential health care services at the community and primary care level. The course emphasizes a holistic, patient-centered approach that promotes health promotion, disease prevention, and the management of common illnesses. Students learn to assess community health needs, implement evidence-based interventions, and collaborate with interdisciplinary teams to improve health outcomes. The curriculum covers topics such as health education, immunization, family planning, maternal and child health, and the role of nurses in advocacy and policy development, preparing students to provide comprehensive, accessible, and equitable care in diverse settings.
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
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Sample Questions
Q1) 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
Q2) Which type of thinking is most reflective of looking at a macroscopic, big-picture population focus?
A)Collaborative thinking
B)Upstream thinking
C)Holistic thinking
D)Downstream thinking
Answer: B
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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 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
Q2) What was the main reason for the brief existence of the nurse practitioner-model educational program?
A)Inadequate assessment and planning in the local area
B)Insufficient provincial/territorial funding
C)The large number of primary care physicians practicing in urban areas
D)The need for nursing expertise and skills
Answer: C
Q3) 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
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 is the primary role of the forensic nurse in Canada?
A)Health promoter
B)Disaster planner
C)Sexual assault nurse examiner (SANE)
D)Outreach worker
Answer: C
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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Chapter 4: Health Promotion
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Which of the following accurately describes 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
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.Which one of the following 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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Page 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) 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) 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
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7
Chapter 6: Ethics in Community Health Nursing Practice
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22 Verified Questions
22 Flashcards
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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) The incidence of type 2 diabetes among Aboriginal peoples (First Nations, Inuit, and Métis) is three to five times higher than in the general population.When teaching a nutrition class to a group of students, of which a large percentage is Aboriginal, the CHN incorporates into the presentation such foods as bannock and other healthy dishes familiar to Aboriginal students.Which level of prevention does this culturally sensitive action represent?
A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Both primary and secondary prevention
Q2) The CHN who wishes to develop cultural competence can improve cultural awareness by doing which one of the following?
A)Completing a survey of all the ethnic groups in the CHN's community
B)Considering how the CHN's personal beliefs and decisions are reflective of his or her culture
C)Inviting a family from another cultural background to participate in an event with the CHN
D)Studying the beliefs and traditions of persons coming from other cultures
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Chapter 8: Epidemiological Applications
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) People with immune deficiencies may have a negative tuberculosis ( TB ) skin test ( Mantoux ), even though they are infected.Which of the following measurements will the CHN conclude to be low when the TB skin test is given to persons with acquired immune deficiency syndrome ( AIDS )?
A)Positive predictive value
B)Reliability
C)Sensitivity
D)Specificity
Q2) A CHN determines that out of 8,000 women screened for breast cancer, 35 have previously been diagnosed with a cancer event and 20 are newly diagnosed with a cancer event.What is the prevalence rate in this group?
A)55
B)0.7
C)70%
D)55/8,000
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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) 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
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
Q3) Which measure of community health will the CHN who wishes to assess the status of a community's health examine?
A)Community awareness
B)Health facilities
C)Health care manpower
D)Vital statistics
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Page 11
Chapter 10: Health Program Planning and Evaluation
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) 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
Q2) Which of the following potential data sources 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
Q3) What is the ultimate goal of program planning?
A)Avoiding unanticipated conflicts in the program development phase
B)Ensuring adequate funding to meet the program's resource requirements
C)Ensuring that health care services are satisfactory, comparable, effective, and beneficial
D)Preventing unnecessary duplication of services
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Page 12
Chapter 11: Working With Vulnerable Populations
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which one of the following is the best intervention a community health nurse (CHN) can initiate to increase lasting resilience among new immigrants?
A)Directing clients to English-as-a-second-language courses
B)Giving immigrant clients money to help them get settled
C)Identifying areas in the city where housing is less expensive
D)Soliciting donations for food, clothing, and other needs
Q2) 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
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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Chapter 12: Working With Family
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16 Verified Questions
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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) 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 context
D)Family as a system
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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 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
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Sample Questions
Q1) Which one of the following is an example of a nonfunctional group role?
A)Opinion giver
B)Recognition seeker
C)Follower
D)Feasibility tester
Q2) 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
Q3) Which leadership style is most appropriate for the CHN to assume when he or she is involved in disaster management, for example, that of the severe acute respiratory syndrome (SARS) outbreak?
A)Autocratic
B)Democratic
C)Bureaucratic
D)Transactional
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Chapter 15: Environmental Health
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13 Verified Questions
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Sample Questions
Q1) A CHN desires greater understanding of the physiological effects of selected chemicals on humans.Which specialist would the CHN most likely find is the best repository of information about this subject?
A)A chemist
B)An epidemiologist
C)A pharmacologist
D)A toxicologist
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
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17
Chapter 16: Disaster Management
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8 Verified Questions
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Sample Questions
Q1) Which 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
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) A student asks the school nurse how acquired immune deficiency syndrome ( AIDS ) is diagnosed.Which of the following solves is correct?
A)AIDS is diagnosed through the negative results of a screening test called an enzyme-linked immunosorbent assay ( ELISA ).
B)Antibodies to HIV, which form in about 6 weeks to 3 months following infection with HIV, are detected in the blood.
C)Antibodies to HIV reach peak levels of 200/mL of blood.
D)AIDS is diagnosed through positive ELISA results and clinical signs of AIDS.
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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Page 19
Chapter 18: Applications in Working With Specific Aggregates
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Sample Questions
Q1) 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
Q2) Whenever possible, population-based practice focuses on which level of prevention?
A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Individual prevention
Q3) Developing a communication strategy to keep community members informed is an example of which of the following components of community capacity building?
A)Skill development
B)Partnership building
C)Documentation of progress
D)Establishing a planning team group
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