Nursing Practice in Community Settings
Test Questions
Course Introduction
This course explores the roles and responsibilities of nurses in community-based settings, emphasizing the promotion of health, prevention of illness, and management of chronic conditions among diverse populations. Students will examine community assessment methods, health education strategies, and collaborative approaches to care involving individuals, families, and groups within local communities. Core topics include public health principles, cultural competence, resource utilization, and the impact of social determinants of health. Clinical experiences and case studies will support the development of practical skills for effective nursing intervention and advocacy in various community contexts.
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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Page 2
Chapter 1: Community Health Nursing
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Whenever Ms.LeBlanc, BSc, RN, talks to the women at the senior citizens' centre, she reminds them that the only way the centre will be able to afford a driver and a van service for those who cannot drive themselves is to continue to write letters to their local city council representatives, requesting funding for such a service.What is Ms.LeBlanc doing?
A)Ensuring that the women do not expect Ms.LeBlanc herself to do anything about their problem
B)Demonstrating that she understands the women's concerns and needs
C)Expressing empathy, support, and concern
D)Helping the women engage in political action locally
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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3
Chapter 2: The Evolution of Community Health Nursing in Canada
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Sample Questions
Q1) 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
Q2) Which of the following nurses was instrumental in establishing the first integrated basic nursing degree program in Canada?
A)Florence Nightingale
B)Kathleen Russell
C)Edna Moore
D)Lillian Wald
Answer: B
Q3) 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
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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 statement by a parish nurse exhibits a misunderstanding of the concept of pastoral care?
A)"By working with my clients to help them identify their spiritual strengths, I am drawing on the pastoral care aspects of practice."
B)"I incorporate pastoral care in my practice when I involve the pastor in ministering to the members of the congregation."
C)"I am practising pastoral care when I emphasize the spiritual dimension of nursing while providing care."
D)"Lending support to clients during their times of joy as well as times of sorrow is part of providing pastoral care."
Answer: B
Q2) From which of the following health care professionals is a rural resident with asthma more likely to receive health care services?
A)Allergist
B)Nurse practitioner
C)Pediatrician
D)Pulmonologist
Answer: B
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Chapter 4: Health Promotion
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Sample Questions
Q1) 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
Q2) What is the focus of health promotion in Canada?
A)Achieving consensus on community health needs
B)Developing a population approach based on the determinants of health
C)Dictating interventions that match the government's identified priorities
D)Promoting individual health status
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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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) 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
Q2) Which of the following is included in the ways in which a CHN can best facilitate incorporation of evidence-informed practice in the clinical setting?
A)Elimination of all protocols and standards that are not evidence based
B)Group reflection on the ideals and expectations of nursing care
C)Incorporation of more practice-oriented research into decision making
D)Revision of mission statements and organizational philosophies
Q3) 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
Page 7
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Chapter 6: Ethics in Community Health Nursing Practice
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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) A nurse practitioner (NP) has just found out that her immigrant client is not taking the penicillin prescribed because his illness is "hot" and he feels that penicillin, a "hot" medicine, will not provide balance.If the NP changes the penicillin to a different but equally effective antibiotic, which cultural attribute will the NP be demonstrating?
A)Cultural awareness
B)Cultural brokering
C)Cultural knowledge
D)Cultural skill
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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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) The CHN can enhance the sensitivity and specificity of a test by using its predictive value.Which one of the following best defines positive predictive value?
A)The proportion of persons with a negative test who are actually disease-free
B)The variation inherent in the trait being measured
C)Any inconsistency in the testing instrument
D)The proportion of persons with a positive test who actually have the disease
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Chapter 9: Working With Community
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Sample Questions
Q1) The CHN has identified that a knowledge deficit is the primary reason why new mothers in a region are choosing not to breastfeed and wants to determine the best strategy to implement an intervention.Which emphasis should this intervention have?
A)Alternate dimension
B)Process dimension
C)Status dimension
D)Structural dimension
Q2) 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
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11
Chapter 10: Health Program Planning and Evaluation
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Sample Questions
Q1) Which one of the following programs would best exemplify an emphasis on tertiary prevention?
A)Development of an in-school clinic that provides counselling on contraception
B)Providing a diabetes management program for persons with diabetes mellitus
C)Providing cardiovascular fitness evaluations at annual health fairs
D)Setting up free blood pressure screening at popular department stores and supermarkets
Q2) 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
Q3) 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?
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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) During a group counselling session for perpetrators of intimate partner violence, which of the following statements made by one of the clients indicates a lack of insight into his violent behaviour?
A)"I have been taking out my frustrations about work on my girlfriend."
B)"I love my girlfriend and didn't want to hurt her; it was an accident."
C)"It might be a good idea for me to temporarily leave the house when I feel I am getting angry."
D)"When I drink alcohol, I become more abusive toward my girlfriend."
Q2) Which of the following actions is a way in which the CHN can help prevent depression in older adults who are at high risk for it?
A)Encourage them to move to a nursing home where they will have the company of others in the same age group.
B)Monitor for signs and symptoms of depression.
C)Organize a health promotion program for older adults at the local centre.
D)Encourage older adult clients to focus on their strengths rather than their weaknesses.
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Chapter 12: Working With Family
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Sample Questions
Q1) The CHN conducting a health risk appraisal assesses which one of the following?
A)Health promotion activities
B)Illness prevention activities
C)Risk reduction activities
D)Unhealthy events
Q2) Which one of the following nursing functions that identify family problems and strengths is the foundation for family nursing interventions?
A)Assessment
B)Plan
C)Implementation
D)Evaluation
Q3) Which of the following categories is addressed by the developmental assessment aspect of the Calgary Family Assessment Model (CFAM)?
A)Family life-cycle stages
B)Instrumental and expressive functions
C)Activities of everyday living
D)Family strengths
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Chapter 13: Working With Client As Individual: Health and Wellness
Across the Lifespan
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Sample Questions
Q1) Which of the following areas should be targeted by the community health nurse (CHN) who wishes to successfully establish a program to decrease childhood mortality rates?
A)Accidents and injuries
B)Acquired immune deficiency syndrome (AIDS)
C)Childhood obesity
D)Vaccine-preventable diseases
Q2) Which type of prevention is exemplified by the administration of vaccines to promote child and adolescent health?
A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Both primary and secondary prevention
Q3) 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
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Chapter 14: Working With Groups, Teams and Partners
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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) Which group-building and maintenance role describes the person who monitors group process to ensure that the group stays focused and identifies departures from the group's stated goals or procedures?
A)Coordinator
B)Encourager
C)Orienter
D)Commentator
Q3) Which one of the following options best defines the term aggregate?
A)An aggregate is a large group.
B)An aggregate is a collection of individuals and families.
C)An aggregate is group within a population.
D)An aggregate is another name for a demographic group.
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Page 16
Chapter 15: Environmental Health
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Sample Questions
Q1) When a concerned citizen asks the CHN about environmental health, the CHN wants to provide comprehensive information.Which of the following definitions of environmental health does the CHN provide?
A)Environmental health is the causative factors invading a susceptible host through an environment favourable to producing disease, such as a biological or chemical agent.
B)Environmental health is the systematic and ongoing observation and collection of data concerning disease occurrence to describe phenomena and detect changes in frequency or distribution.
C)Environmental health is the study of the effect of physical, chemical, and biological factors in the external environment on human health.
D)Environmental health is the achievement of health and wellness and the prevention of illness and injury from exposure to physical or psychosocial environmental hazards.
Q2) Local inspections of restaurants are conducted by which level of government?
A)Local and regional boards of health
B)Environment Canada
C)Provincial/territorial Ministry of Labour
D)Health Canada
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Chapter 16: Disaster Management
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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) In which of the following scenarios has an influenza pandemic occurred?
A)There is a lack of pandemic vaccine production.
B)A new strain of influenza appears.
C)Cases of H1N1 outnumber those of influenza A.
D)More than 75% of the population is affected.
Q3) What is the purpose of disaster planning?
A)Decreasing global instability
B)Disrupting and altering community functioning
C)Managing response to disasters
D)Preventing disasters
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Chapter 17: Communicable and Infectious Disease
Prevention and Control
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Sample Questions
Q1) Which one of the following would be a tertiary prevention measure implemented by the CHN to prevent TB?
A)Administering a purified protein derivative ( PPD ) to the contacts of those infected with TB
B)Initiating directly observed therapy ( DOT ) for TB-positive clients
C)Providing education about the prevention of TB to members of the community
D)Using skin tests to screen all health workers for TB
Q2) For which of the following reasons should the school nurse recommend that an HIV-infected child not be allowed to attend school?
A)The child develops allergies with sneezing.
B)The school system requires students to receive routine immunizations.
C)There is an outbreak of chicken pox at the school.
D)There is strong objection from parents of well children.
Q3) Which of the following presents a challenge with human papillomavirus (HPV) prevention?
A)HPV can be transmitted through all body fluids.
B)HPV warts may grow in areas that a barrier (e.g., a condom) does not cover.
C)With HPV, thin-walled pustules may rupture to form honey-coloured crusts.
D)With HPV, vesicles are hidden and ulcerate within 1 day.
Page 19
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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) 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
Q3) Whenever possible, population-based practice focuses on which level of prevention?
A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Individual prevention
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