Public Health Nursing
Textbook Exam Questions
Course Introduction
Public Health Nursing focuses on the promotion and protection of the health of populations using knowledge from nursing, social, and public health sciences. This course explores the roles, responsibilities, and practices of public health nurses at local, national, and global levels, emphasizing principles of population-based care, health education, epidemiology, community assessment, and disease prevention. Students learn to design, implement, and evaluate interventions that reduce health disparities, address social determinants of health, and respond to health emergencies. The course also highlights collaborative approaches with interdisciplinary teams to advocate for healthy policies and environments within diverse communities.
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
Source URL: https://quizplus.com/quiz/39739
Sample Questions
Q1) Which of the following is used as a measurement of population health?
A)Health status indicators
B)Awareness of levels of prevention
C)The number of memberships at the local fitness centre
D)Reported provincial alcohol and tobacco sales in any given month
Answer: A
Q2) A PHN strives to prevent disease and disability, often in partnership with other community groups.Which one of the following is an appropriate summary of the PHN's role?
A)The PHN asks the political leaders what interventions should be chosen.
B)The PHN assesses the community and decides on appropriate interventions.
C)The PHN uses data from the main health care institutions in the community to determine needed health services.
D)The PHN works with community members to carry out public health functions.
Answer: D
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3
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) In which area was 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
Q2) What has been the main achievement of the Community Health Nurses Association of Canada ( CHNAC )?
A)Licensed practical nurses ( LPNs ) as well as registered nurses ( RNs ) were allowed to join the association.
B)Nurses who were not PHNs were encouraged to join.
C)National standards of practice were developed.
D)A process was developed to choose the organization's leaders and officers.
Answer: C
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) The increasing complexity of societal needs and rapid changes in public health no longer allow adequate time for on-the-job training and education.As a result, which of the following is the current minimum level of educational preparation for a military nurse?
A)Training as a registered practical nurse
B)Training as a registered nurse
C)A baccalaureate degree in nursing
D)A master of science degree in nursing
Answer: C
Q2) Which of the following represents the primary difference between parish nursing and all other fields of nursing?
A)Affiliation with a church or congregation
B)Incorporation of spiritual aspects into nursing care
C)Provision of holistic nursing care
D)Residence within the community of service
Answer: A
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Page 5
Chapter 4: Health Promotion
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) What is the focus of the definition of health in the Ottawa Charter on Health Promotion?
A)Health is an outcome.
B)Enjoying life is more important than the need to maintain one's health.
C)Health is incorporated into one's activities of daily living.
D)Health is a way to maintain a stable environment.
Q2) 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
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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) A busy CHN who is concerned that obesity is increasing rapidly among children in her community wants to implement evidence-informed practice but faces barriers because of time constraints.A knowledge manager can help this CHN by doing which of the following?
A)Identifying students who are obese in order to closely monitor for weight control success or failure
B)Evaluating best practices to identify those practices that have the highest success rates for weight control in children
C)Organizing files, scheduling appointments, and handling phone calls in order to decrease interruptions
D)Setting up an obesity management program for children whose body mass index exceeds normal
Q2) Which of the following 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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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Having heard several debates about the appropriate thing to do for a specific client, a CHN feels a real need for a rule that would help with decision making.Which one of the following criteria could the CHN apply to this rule for his or her decision making?
A)The rule absolutely will not get the CHN in trouble with employer.
B)The rule will gain the support of an expert, such as a spiritual leader.
C)The CHN would recommend the rule to anyone in a similar situation.
D)The supervisor would feel comfortable reporting the rule to the administration.
Q2) Which one of the following 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
Q3) In which year was the first code of ethics for nursing written?
A)In 1893, by Lystra Gretter
B)In 1950, by the American Nurses Association ( ANA ) House of Delegates
C)In 1954, by the International Council of Nurses ( ICN )
D)In 2001, by the American Nurses Association ( ANA ) House of Delegates
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Chapter 7: Diversity
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A family from Mexico presents to the public health department.None of the family members speak English, and no one at the health department speaks Spanish.Which of the following 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 often used to sit with his legs crossed at the knees when collecting a client's history.However, he stopped doing this around his Iranian clients after being told that they were offended because this posture exposed the sole of his foot.In changing his behaviour, which culture-related response did the CHN exhibit?
A)Cultural sensitivity
B)Cultural awareness
C)Cultural knowledge
D)Cultural skill
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Chapter 8: Epidemiological Applications
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Through which of the following actions would the CHN who wishes to decrease the incidence of obesity in elementary school children provide secondary prevention?
A)Giving a presentation on the importance of exercise and physical fitness
B)Designing a game in which students need to make healthy food choices
C)Weighing students to identify those who are overweight
D)Putting students on a diet if they weigh more than 20% of their ideal weight
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
Q3) 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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Page 10
Chapter 9: Working With Community
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) 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
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
Q3) 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
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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) 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) A CHN is checking the records of a health unit to compare the number of new teen clients who have sought contraceptive counselling and management in the 2 months before and after an education intervention program to decrease teen pregnancy.What step of the evaluation process does the CHN's action represent?
A)Determining outcome goal measurement
B)Goal setting
C)Measuring the goal effect
D)Evaluating the program
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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) A CHN presents a proposal for a program for preventing teen pregnancy to a group of parents.In the discussion that follows the presentation, which of the following responses by a parent indicates the need for additional teaching by the CHN?
A)"I do not know if my son is sexually active; however, I have decided that I am going to talk to him about birth control, just in case."
B)"I have found that being very strict and checking on my daughter whenever she is out are the best ways to prevent trouble."
C)"I plan to sit down with my daughter and have an honest talk about sexuality and potential risks."
D)"I will start spending more time with my teens when I get home from work."
Q2) A CHN is asked by a parent group to explain the risk factors for alcoholism.Which of the following statements should the CHN include in the explanation?
A)Alcoholism is determined solely by environment.
B)Alcoholism is determined partly by genes.
C)Alcoholism is higher in women.
D)Persons born with fetal alcohol syndrome are alcoholics from birth.
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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) When drawing a genogram, which one of the following 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
Q2) 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
Q3) Which of the following scenarios is 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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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 referral would be the best recommendation by the CHN 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) 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
Q3) According to the Comprehensive School Health Framework of health promotion, which one of the following is the correct definition of primordial prevention?
A)Interventions aimed at educating children about health risks
B)Preventing risk factors of health issues from ever occurring
C)Screening activities aimed at improving student health
D)Activities aimed at reducing the health complications associated with disease
Page 15
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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) 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
Q2) A group member who has exhibited an angry emotional outburst tearfully apologizes to the group for being "hateful." The group leader responds, "I believe I speak for all of us when I say that you did not appear hateful.You just appeared to be passionate about your beliefs." In this scenario, which of the following behaviours is the group leader exhibiting?
A)Analyzing
B)Clarifying
C)Evaluating
D)Reflecting
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Chapter 15: Environmental Health
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Which of the following statements made by a seminar participant indicates that the community health nurse (CHN) speaker needs to further clarify teaching about environmental principles?
A)"Everything is connected to everything else."
B)"Everything has to go somewhere."
C)"The solution to pollution is prosecution."
D)"Today's solution may be tomorrow's problem."
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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Chapter 16: 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) 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
Q3) 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
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18
Chapter 17: Communicable and Infectious Disease
Prevention and Control
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) A client with TB wants to know why DOT is required as part of the treatment.Which of the following responses by the CHN would be the most appropriate one?
A)"Clients with TB are often noncompliant; DOT will ensure that you take the drugs prescribed to you."
B)"This therapy is recommended by TB experts as the best way to ensure that you receive the treatment you need and that the infection doesn't become resistant to treatment."
C)"This ensures that you get your medication even at the late stages of TB, when your memory may be affected by inadequate oxygenation to the brain."
D)"TB medications are very expensive, and this method ensures that government health care resources are not wasted by those who will not take the drugs regularly."
Q2) Which one of the following sexually transmitted infections (STIs) can be prevented through immunization?
A)Chlamydia
B)Gonorrhea
C)Hepatitis B
D)Herpes
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Page 19
Chapter 18: Applications in Working With Specific Aggregates
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9 Verified Questions
9 Flashcards
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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 one of the following is a feature of community capacity building?
A)Asking why
B)Assessing the status quo
C)Obtaining sustainable financial resources
D)Ensuring government is involved at all levels of planning
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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Page 20