Download Test Bank - Stanhope and Lancaster's Community Health Nursing in Canada, 4th Edition (Mac and more Exams Community Health in PDF only on Docsity!
Test Bank - Stanhope and Lancaster's Community
Health Nursing in Canada, 4th Edition (MacDonald,
2022), Chapter 1-18 | All Chapters
- The primary goal of community health nursing is: a. Treating illness in individuals b. Promoting and preserving the health of populations c. Performing clinical procedures d. Rehabilitating individual clients
Community health nursing emphasizes population-level health
promotion and disease prevention rather than individual
treatment.
- Which principle best guides community health nursing practice? a. Hospital-based care is most efficient b. Disease-specific care is more effective c. Health is a resource for everyday living d. Individuals must be treated in isolation
Health is seen as a dynamic resource that enables individuals to
function in society, central to community health nursing.
- What is the best example of upstream thinking in community health nursing?
a. Advocating for improved housing policies b. Providing wound care for the homeless c. Administering flu vaccines in a clinic d. Teaching a diabetic client how to inject insulin
Upstream thinking addresses root causes of poor health such as
social determinants like housing.
- The term “population health” refers to: a. Hospital-based metrics b. The health outcomes of a group and the distribution of those outcomes c. Individual treatment outcomes d. Acute care protocols
Population health considers health outcomes within a group and
the equity of distribution across that group.
- What concept is central to the Ottawa Charter for Health Promotion? a. Tertiary care b. Empowering people to take control over their health c. Funding of acute care facilities d. Standardizing treatment protocols
The Ottawa Charter focuses on enabling, mediating, and
advocating for health promotion.
- Which determinant of health is considered most influential in Canada? a. Genetics b. Gender c. Income and social status
Policy development involves influencing decisions that affect
population health.
10.What is a key role of a community health nurse? a. Providing surgery b. Diagnosing diseases c. Engaging in community assessment d. Prescribing medication
Community assessment allows nurses to identify strengths, needs,
and resources.
11.Which concept best reflects primary prevention? a. Screening for cancer b. Immunizing school-age children c. Providing palliative care d. Rehabilitation after stroke
Primary prevention prevents disease before it occurs, such as
through immunization.
12.What is secondary prevention? a. Promoting breastfeeding b. Palliative chemotherapy c. Mammography screening d. Leg amputation in diabetes
Secondary prevention detects diseases early and treats them
promptly.
13.What is the focus of tertiary prevention? a. Risk reduction b. Health education c. Immunization d. Rehabilitation post-stroke
Tertiary prevention focuses on limiting disability and restoring
function.
14.Which community health nursing model emphasizes working with communities? a. Biomedical model b. Illness model c. Participatory model d. Traditional model
The participatory model focuses on empowering communities to
improve their health.
15.What is community empowerment? a. Providing aid to individuals b. Making policies without consultation c. Strengthening community capacity and autonomy d. Teaching clients independently
19.What does incidence measure in epidemiology? a. Total cases b. New cases over a time period c. Mortality rates d. Cured cases
Incidence refers to the number of new cases of a disease.
20.Prevalence refers to: a. Future projections b. Infection potential c. Total number of cases (new and existing) at a given time d. Rate of hospital discharge
Prevalence includes all ongoing cases, not just new ones.
21.Which is a characteristic of a vulnerable population? a. Increased risk of adverse health outcomes b. Equal access to care c. Strong support networks d. Financial independence
Vulnerable populations are at higher risk due to systemic and
social disadvantages.
22.The best example of cultural competence is: a. Avoiding discussion of culture b. Assuming similarities c. Valuing and integrating clients' cultural beliefs
d. Replacing cultural beliefs with clinical norms
Cultural competence respects and incorporates cultural values in
care.
23.What is community-based nursing primarily focused on? a. Hospital treatment b. Research methods c. Illness care in the community setting d. Population policy
It focuses on illness care for individuals and families outside
institutional settings.
24.A windshield survey is a method of: a. Disease surveillance b. Community assessment by observing the environment c. Vital statistics reporting d. Quality control in hospitals
It involves observing a community’s conditions from a moving
vehicle.
25.Which strategy reduces health disparities? a. Promoting access to education and healthcare b. Increasing hospital security c. Limiting community outreach d. Standardizing prescription drugs
Addressing root determinants of health reduces disparities.
d. Insurance policy enforcement
PHAC’s mandate is to improve public health and reduce chronic
and infectious diseases.
30.Which action demonstrates health promotion? a. Emergency surgery b. Cancer screening c. Organizing a healthy cooking workshop d. ICU care
Health promotion enhances well-being and prevents illness before
it starts.
31.A nurse visiting a family to teach about nutrition is engaging in: a. Policy advocacy b. Health protection c. Health education d. Surveillance
Education is a key strategy in primary prevention.
32.The best way to evaluate a community program’s effectiveness is: a. Review media coverage b. Measure health outcomes pre- and post-intervention c. Interview hospital staff d. Count volunteers
Outcomes determine whether goals were achieved.
33.Which group has historically faced health inequities in Canada? a. Urban professionals b. Indigenous populations c. Military officers d. College faculty
Colonialism and systemic barriers have impacted Indigenous
health.
34.In the population health promotion model, what are "strategies"? a. Surveillance methods b. Disease symptoms c. Interventions used to influence health determinants d. Medical diagnoses
Strategies include actions like education, policy development, and
community mobilization.
35.What is health equity? a. Same services for everyone b. Ignoring differences c. Fair opportunities for all to achieve health d. Prioritizing high-income groups
Health equity means tailoring approaches to give everyone a fair
chance at health.
36.What defines a community of interest? a. A group with shared goals or experiences b. People in the same workplace
40.A nurse leading a needle exchange program is using which approach? a. Enforcement b. Harm reduction c. Abstinence promotion d. Palliative care
Harm reduction accepts that some behaviors will occur and seeks
to reduce related harm.
41.A nurse addressing racism in hiring policies is advocating for: a. Clinical excellence b. Health equity and social justice c. Standardized care d. Evidence-based diagnosis
Advocating for systemic change aligns with social justice
principles.
42.In public health nursing, a "client" is often: a. The nurse b. A hospital c. A community or population group d. A surgical patient
Public health nurses work with groups, not just individuals.
43.What is the best example of surveillance in public health? a. Monitoring infectious disease trends
b. Issuing driver's licenses c. Conducting physical exams d. Applying dressings
Surveillance involves ongoing collection and analysis of health
data.
44.What does advocacy mean in community health? a. Supporting individuals or communities to access resources and influence decisions b. Enforcing medical rules c. Providing financial aid d. Diagnosing health conditions
Advocacy empowers clients and promotes fairness.
45.Which term refers to the ability to influence others to improve health? a. Leadership b. Policy c. Diagnosis d. Surveillance
Leadership includes guiding people and making health-promoting
changes.
46.What are upstream determinants of health? a. Disease symptoms b. Vaccines c. Education, income, housing
50.The Lalonde Report emphasized: a. Genetic engineering b. Technology-based medicine c. The importance of lifestyle and environment d. Cost-cutting in hospitals
The Lalonde Report shifted focus to determinants beyond medical
care.
51.What role does the nurse take when coordinating community resources? a. Researcher b. Evaluator c. Case manager d. Health promoter
A case manager ensures that services are efficiently coordinated
for client and community needs.
52.A public health nurse monitors rates of obesity and plans interventions. This is an example of: a. Rehabilitation b. Direct care c. Community health planning d. Surveillance only
Community health planning involves using data to inform
decisions that benefit populations.
53.Which action is an example of social justice in nursing? a. Advocating for housing for marginalized groups b. Enforcing treatment compliance c. Teaching CPR d. Managing caseloads
Social justice seeks fair access to health determinants and
opportunities.
54.Which organization supports health equity and Indigenous health in Canada? a. Red Cross b. First Nations and Inuit Health Branch (FNIHB) c. Canadian Dental Association d. World Health Organization
FNIHB delivers and funds health programs for Indigenous peoples.
55.The principle of "do no harm" is known as: a. Beneficence b. Fidelity c. Non-maleficence d. Justice
Non-maleficence guides nurses to avoid causing harm through
their actions or omissions.
56.Which factor best reflects the concept of resiliency? a. High socioeconomic status b. Full-time employment
Evaluation determines the effectiveness and outcomes of nursing
interventions.
60.Which example represents a meso-level health determinant? a. National income policy b. Individual choices c. Neighbourhood safety d. Genetic predisposition
Meso-level determinants include community-level factors like
infrastructure and services.
61.An environmental health risk is: a. High BMI b. Contaminated water c. Poor diet d. Depression
Environmental health risks stem from physical surroundings that
influence well-being.
62.Public health surveillance is used to: a. Punish noncompliance b. Allocate insurance c. Track health trends and guide interventions d. Reduce emergency visits
Surveillance identifies emerging threats and supports timely public
health actions.
63.A nurse helping a client access food security programs is addressing which determinant? a. Education b. Gender c. Income and social support d. Culture
Food security is tied to income and access to supportive services.
64.What is the main focus of family health nursing? a. Individual outcomes b. Hospitalization c. Promoting family health across the life course d. Surgical care
Family health nursing supports families as units of care and as
systems.
65.Which level of government is primarily responsible for public health in Canada? a. Federal b. Provincial/territorial c. Municipal only d. International
