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Test Bank - Stanhope and Lancaster's Community Health Nursing in Canada, 4th Edition (Mac, Exams of Community Health

Test Bank - Stanhope and Lancaster's Community Health Nursing in Canada, 4th Edition (MacDonald, 2022), Chapter 1-18 | All Chapters

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Test Bank - Stanhope and Lancaster's Community
Health Nursing in Canada, 4th Edition (MacDonald,
2022), Chapter 1-18 | All Chapters
1. 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.
2. 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.
3. What is the best example of upstream thinking in community health
nursing?
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Test Bank - Stanhope and Lancaster's Community

Health Nursing in Canada, 4th Edition (MacDonald,

2022), Chapter 1-18 | All Chapters

  1. 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.

  1. 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.

  1. 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.

  1. 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.

  1. 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.

  1. 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