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NSG 3007 FINAL EXAM 2025-2026 PREP
QUESTIONS AND ANSWERS ALREADY
GRADED A+
What is the primary focus of community health nursing?
The health care of individual clients in the community.
How is primary health care best described?
A comprehensive way to address issues of social justice and equity.
What is the primary focus of public health nurses (PHNs)?
Populations.
What change has primarily contributed to the increase in life expectancy since the early 1900s?
Improved sanitation and other public health activities.
Which community health nursing practice area receives funding from the private sector?
Nurse entrepreneurs.
What is a key role of a public health nurse (PHN) in disease prevention?
Working with community members to carry out public health functions.
What is used as a measurement of population health?
Health status indicators.
What question should a newly employed community health nurse (CHN) consider first?
Which community groups are at greatest risk for problems?
What is the goal of primary health care?
Health promotion and disease prevention.
What is the cognitive level of knowledge/remember in nursing education?
It involves recalling facts and basic concepts.
What is the importance of assessing the community in public health nursing?
To determine appropriate interventions for health needs.
What is the relationship between public health activities and life expectancy?
Public health activities have led to significant increases in life expectancy.
What is the focus of health promotion in community health nursing?
To enhance the health and well-being of populations.
What is the difference between community health nursing and public health nursing?
Community health nursing focuses on individual clients, while public health nursing focuses on populations.
What are health status indicators?
Measurements used to assess the health outcomes of a population.
What is the role of data in public health nursing?
To determine needed health services based on community health assessments.
What is a common misconception about community health nursing?
That it only focuses on individual care rather than community-wide health.
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What is the significance of community health nursing in Canada?
It addresses the unique health needs of diverse populations across the country.
What is the primary focus of Community Health Nurses (CHNs) when determining which patients to see first?
CHNs apply the nursing process to the entire community, focusing on groups at greatest risk.
What is the significance of a CHN focusing on community groups at greatest risk?
It reflects a community-oriented perspective in public health.
What is the main goal of a CHN when encouraging political action among community members?
To empower the community to advocate for necessary services and funding.
How does attending meetings at health agencies benefit a PHN's practice?
It allows for comprehensive communication and collaboration on health concerns.
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What is a key consideration for CHNs when making decisions about resource allocation?
The predominant needs of the population should outweigh individual needs.
What does the term 'aggregate' refer to in the context of community health nursing?
It refers to the collective needs of a population rather than individual needs.
What is one way a CHN can demonstrate understanding of community needs?
By actively engaging with community members and addressing their concerns.
What is the role of a CHN in ensuring that community members do not rely solely on the CHN for problem-solving?
The CHN ensures that community members are empowered to take action themselves.
Why is it important for CHNs to focus on political action within the community?
Political action can lead to improved resources and services for community health.
What is the cognitive level required when CHNs apply the nursing process to community health?
Application/Apply.
What does the term 'collaborative practice' mean in the context of public health nursing?
How does understanding community dynamics enhance a CHN's practice?
It allows for tailored interventions that address specific community health needs.
What is the importance of resource allocation decisions in community health nursing?
They ensure that limited resources are used effectively to benefit the largest number of people.
What approach considers the entire group of children receiving care in an outpatient clinic?
A public health or population-focused approach.
Which public health service best represents primary prevention?
Providing an influenza vaccination program in a community retirement village.
What term is used interchangeably with subpopulations?
Aggregates.
Which public health service best represents secondary prevention?
Initiating an infant car seat safety screening program for parents in low-income housing.
What type of thinking uses a macroscopic, big-picture population focus?
Upstream thinking.
What is a requirement for reaching the goal of 'health for all'?
A system for health.
What is the simplest definition of primary health care?
It provides essential care that is universally accessible to persons in a community and encourages self-management, self-reliance, and competence.
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What is the goal of a public health service focused on primary prevention?
To prevent disease before it occurs.
Why is studying nursing history important?
To understand the evolution of nursing practices and fulfill educational requirements.
What does the term 'health promotion' encompass in public health?
Activities aimed at improving health and preventing disease.
What is the role of aggregates in public health?
They refer to subpopulations within a larger community.
How does primary health care facilitate community health?
By ensuring essential care is accessible and promoting self-management.
What is the focus of health promotion and disease prevention in primary health care?
To engage individuals in behaviors that facilitate health.
What is the significance of immunizations in public health?
They are essential for achieving primary prevention goals.
What is the relationship between public health services and community needs?
Public health services are designed to address the specific health needs of communities.
What is the impact of health education programs on community health?
They raise awareness and promote healthier behaviors among community members.
What is the role of multidisciplinary teams in primary health care?
To provide comprehensive care that addresses various health needs.
What is one reason for understanding the past in nursing practice?
To make plans for today and tomorrow based on lessons learned through history.
Most people were responsible for their own health care services.
How did the Industrial Revolution affect caregiving approaches?
It made earlier caregiving approaches inadequate due to increased demand.
What was the role of religious convents and monasteries during the Middle Ages?
They established hospitals to care for the aged, disabled, sick, poor, and neglected.
What did Florence Nightingale contribute to health care?
She revolutionized health care by establishing the discipline of nursing.
What was the impact of urbanization on health care during the Industrial Revolution?
It increased demand for health care services.
What did Eunice ****'s work in 1914 signify for public health nursing?
It marked a shift towards generalist roles for public health nurses.
What was the primary function of visiting nurses?
To provide care wherever the client was located, making it more economical.
What historical period saw the establishment of hospitals by religious orders?
The Middle Ages.
What did the decentralization of public health nursing lead to?
Public health nurses became generalists rather than working in specialized areas.
Why were early visiting nurses considered more economical than private duty nurses?
They cared for several families in one day instead of just one patient.
What was a common characteristic of care before the Industrial Revolution?
Care was primarily provided by families, friends, and neighbors.
Who was instrumental in establishing the first integrated basic nursing degree program in Canada?
Kathleen Russell, Director of the Department of Public Health Nursing at the University of Toronto, established the program in 1920.
What was a major milestone in nursing education established in 1920?
The first integrated basic degree nursing program in Canada.
What argument did Lillian Wald use to convince the Metropolitan Life Insurance Company to establish the first community health nursing program in 1909?
Using public health nurses would keep workers healthier, which would increase worker productivity.
What was the main achievement of the Community Health Nurses Association of Canada (CHNAC)?
The development of national standards of practice for community health nurses, published in 2003.
What type of care was identified as the most rapidly growing area of community health care in the Romanow Report (2002)?
Home care.
In which practice area were the first public health nurses (PHNs) in Canada employed?
Tuberculosis education, prevention, and treatment.
What led to the brief existence of the nurse practitioner-model educational program in Ontario?
A perceived duplication of services and a lack of career opportunities due to a large number of primary care physicians in urban areas.
What was the role of public health nurses in tuberculosis care from the 1920s to the 1940s?
They specialized in tuberculosis education, prevention, and treatment.
What year was the Community Health Nurses Association of Canada (CHNAC) formed?
1987
