Solution Manual for Community Health Nursing A
Canadian Perspective Canadian 4th Edition by Stamler
Yiu and Dosani ISBN 0133156257
9780133156256
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Chapter 3: Nursing Roles, Functions, and Practice Settings
Multiple Choice Questions
1. Which of the following statements is true about the Blueprint for Action for Community Health Nursing in Canada (CHNC, 2011)?
a. It incorporates the voices of government officials about public health
b. It is a point of reference for ongoing dialogue about community health nursing practice
c. It is a landmark document about primary health care in Canada
d. It provides a framework for intersectoral collaboration
Correct Answer: b (page 38)
2. Which of the following documents outlines six areas of action, one of them being supporting nursing leadership development?
a. The Ottawa Charter
b. The Declaration of Alma Ata
c. The Blueprint for Action for Community Health Nursing in Canada
d. The Lalonde Report
Correct Answer: c (page 38)
3. The Canadian Nurses Association predicts that by 2020:
a. 25% of nurses will be working outside of the acute care setting
b. 45% of nurses will be working outside of the acute care setting
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c. 60% of nurses will be working outside of the acute care setting
d. 70% of nurses will be working outside of the acute care setting
Correct Answer: c (page 38)
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4. What level of prevention is evident in screening school children for vision and hearing?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Quaternary prevention
Correct Answer: a (page 38)
5. What activity is an example of a community health nurse working at the individual level?
a. Providing immunization in a travel clinic
b. Providing school health education services
c. Developing a web-based community resource guide
d. Engaging in consultation about healthy public policy
Correct Answer: a (page 38)
6. A community health nurse has successfully lobbied the government to invest in a rehabilitation facility for people with traumatic brain injuries. What type of health promotion strategy does this represent?
a. Secondary prevention
b. Tertiary prevention
c. Primary prevention
d. Quaternary prevention
Correct Answer: b (page 38)
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7. Which of the following is foundational to health equity and central to community health nursing practice?
a. Health promotion
b. Social determinants of health
c. Social justice
d. Health education
Correct Answer: c (page 38)
8. The mission of the Community Health Nurses of Canada (CHNC) is to:
a. Advance practice and to improve the health of Canadians
b. Build capacity among community health nurses
c. Advocate for healthy public policy
d. Provide services to vulnerable populations
Correct Answer: a (page 38)
9. Clinical practice, research, administration, and education are known as:
a. Priorities for community health nursing
b. Standards of practice for community health nursing
c. Blueprint for action for community health nursing
d. Domains of practice for community health nursing
Correct Answer: d (page 40)
10. The purpose of _____________________ is to define the scope and depth of nursing practice in the community and establish expectations for acceptable, safe, and ethical nursing care:
a. Blueprint for action for community health nursing
b. Domains of practice for community health nursing
c. Standards of practice for community health nursing
d. Priorities for community health nursing
Correct Answer: c (page 40)
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11. Which two types of community health nurses are the largest groups?
a. Public health nursing and home health nursing
b. Home health nursing and outpost nursing
c. Public health nursing and military nursing
d. Home health nursing and street nursing
Correct Answer: a (page 40)
12. What is the goal of public health nursing?
a. To develop health education messages for school children
b. To increase the health of the public by preventing disease
c. To provide immunizations to community members
d. To conduct home visits to newborns in the postpartum period
Correct Answer: b (page 40)
13. The aim is to provide accessible, responsive, and timely care which allows people to stay in their homes with safety and dignity. This statement is representative of which type of nursing?
a. Outpost nursing
b. Public health nursing
c. Home health nursing
d. Street nursing
Correct Answer: c (page 41)
14. What type of health care is described in the statement: “healthcare that is scientifically sound, socially acceptable, universally accessible to individuals and families and at a cost that the community and country can afford”
a. Disease and injury prevention
b. Global health
c. Population health promotion
d. Primary health care
Correct Answer: d (page 42)
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15. What type of community health nurse focuses on health promotion, maintenance and restoration, and injury and disease prevention in the workplace?
a. Nurse entrepreneur
b. Occupational health nurse
c. Forensic nurse
d. Primary health care nurse practitioner
Correct Answer: b (page 44)
16. The 5 A’s of behavior change (assess, advise, agree, assist, and arrange) are used by which type of community health nurse?
a. Telehealth nurse
b. Primary health care nurse practitioner
c. Public health nurse
d. Chronic disease management nurse
Correct Answer: d (page 48)
17. Which of the following statements best represents the work of outreach/street nurses?
a. They determine the health care needs of clients over the phone
b. They use harm reduction strategies specific to vulnerable population groups
c. They work within the community often in remote and rural areas
d. They work closely with the health care team to monitor and manage diseases with clients
Correct Answer: b (page 48)
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18. What is the primary focus of a forensic nurse’s work?
a. Works with clients who have been the victims of crimes
b. Consulting for ethics review boards
c. Working at a summer camp for troubled youth
d. Providing health care services within psychiatric institutions
Correct Answer: a (page 45)
19. What action is required if a community health nurse wants to become a primary health care nurse practitioner (PHCNP)
a. Gather additional skills to be able to assist physicians
b. Take additional nursing education with a focus on advanced clinical nursing practice
c. Write the national nurse practitioner examination
d. Work in the United States as this position is not available in Canada
Correct Answer: b (page 49)
20. What is an example of a health promotion activity that a public health nurse would provide?
a. Giving stress reduction seminars to employees at a large corporation
b. Symptom management support for a family in a palliative care situation
c. Monitoring home oxygen therapy for a client awaiting a lung transplant
d. Providing meningitis prophylaxis to high school students in an outbreak situation
Correct Answer: d (page 43)
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21. Which of the following statements pertains to Parish Nursing?
a. Parish nursing began in Europe and moved to the united states in the mid1890s
b. Parish nursing integrates faith and health into nursing practice
c. Parish nursing arrived in Canada in the early 1900s
d. Parish nursing is not expected to facilitate spiritual care
Correct Answer: b (page 52)
22. The first recorded instance of military nursing in Canada was:
a. At the Northwest Rebellion in 1885 with the Metis uprising against the Canadian government
b. During World War I within the Royal Canadian Army
c. During World War II within the navy, army, and air force
d. The South African War in 1900
Correct Answer: a (page 53)
23. Which term best describes the following statement: Everyone, regardless of socially determined circumstances, has an equal opportunity to attain their full health potential without being disadvantaged
a. Community justice
b. Social action
c. Political advocacy
d. Health equity
Correct Answer: d (page 54)
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24. Which of the following is part of the standards of practice for community health nurses?
a. Engaging in capacity building of communities
b. Participating in political advocacy
c. Working towards community justice
d. Initiating social action activities
Correct Answer: a (page 40)
25. What type of community health nurse focuses on primary care, chronic disease prevention and management, substance abuse prevention and management, personal practices and coping skills, low income supports, and access to housing?
a. Occupational health nurse
b. Rural/outpost nurse
c. Telehealth nurse
d. Parish nurse
Correct Answer: b (page 51)
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Short Answer Questions
26. Contrast three of the practice settings of community health nurses in terms of role focus and unique characteristics of nursing practice. Give an example for each practice setting of where the community health nurse might work.
Correct Answer:
Public Health Nurse:
Role focus-mandated by legislation to promote and protect the health of populations. Focus is on health enhancement, health protection, and disease prevention
Unique characteristics-primarily works with a healthy population, minimal contact with unwell people, may have entire community as client
Work setting-public health unit
Home Health Nurse:
Role focus-client as individual or family; provides direct clinical care and case management
Unique characteristics-works alone, practises highly autonomously and independently, adaptable to client-controlled environment
Work setting-client home or school
Parish Nurse:
Role focus-client as individual or group; focuses on education, counseling, and referrals
Unique characteristics-integrates faith-based approach to care. U.S.-based credential available
Work setting-a United Church
Occupational Health Nurse:
Role focus-client as individual or group; provides direct care, including primary, secondary, and tertiary preventive services
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Unique characteristics-addresses health, safety, and well-being for employees. May earn specialty credential from CNA COHN(C)
Work setting-a meat-packing plant (pages 43 – 46)
27. Discuss the role of two professional nursing associations as they relate to community health nurses
Correct Answer:
- Community Health Nursing Association of Canada (CHNAC) developed the Canadian Community Health Nursing Standards of Practice (2003).
- Canadian Nurses Association (CNA) is a national voluntary association that exists to link nurses who work in the same practice area. Will work with CHNAC to create a national certification for CHNs. All provincial associations except Quebec belong to the CNA.
- Provincial regulatory body and professional associations regulate the profession of nursing in each province. Protect the public through maintaining a nursing registry. Professionally advocate for nurses and the public to have a strong publicly funded universal health care system. Promote excellence in nursing practice (page 38).
28. List the seven Canadian Community Health Nursing Standards of Practice
Correct Answer:
- Health promotion
- Prevention and health protection
- Health maintenance, restoration, and palliation
- Professional relationships
- Capacity building
- Access and equity
- Professional responsibility and accountability (page 40)
29. Draw the Canadian Community Health Nursing Professional Practice Model
Correct Answer: see figure 3.1 (page 39)
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30. Several factors, both enablers and barriers, are influencing community health nursing education. List 2 enablers and 2 barriers.
Correct Answer:
- Enablers: strong community-academic partnerships, supportive curriculum structures and processes
- Barriers: devaluing community health nursing education, insufficient time in theory classes and clinical placements (page 55).
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