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NSG 3007 MIDTERM EXAM 2025-
VERIFIED QUESTIONS AND ANSWERS
ALREADY GRADED A+
Which of the following best describes community health nursing?
a. Giving care with a focus on the aggregate's needs
b. Giving care with a focus on the group's needs
c. Focusing on the health care of individual clients in the community
d. Working with an approach of unique client care
c. Focusing on the health care of individual clients in the community
Which of the following best describes primary health care?
a. A comprehensive way to address issues of social justice
b. Giving care to manage acute or chronic conditions
c. Giving direct care to ill individuals within their family setting
d. Having the goal of health promotion and disease prevention
a. A comprehensive way to address issues of social justice
The health of which of the following is the primary focus of public health nurses (PHNs)?
a. Families
b. Groups
c. Individuals
d. Populations
d. Populations
Which change is the primary explanation for life expectancy increasing so notably since the
early 1900s?
a. An increase in findings from medical laboratory research
b. Incredible advances in surgical techniques and procedures
c. Improved sanitation and other public health activities
d. Increased use of antibiotics to fight infections
c.Improved sanitation and other public health activities
Which community health nursing practice area receives funding from the private sector?
b. The levels of prevention
c. The number of memberships at the local fitness centre
d. Reported provincial alcohol and tobacco sales in any given month
a. Health status indicators
A registered nurse (RN), has just been employed as a CHN. Which question would be most
relevant to her practice as she begins her position?
a. "Which community groups are at greatest risk for problems?"
b. "Which patients should I see first as I begin my day?"
c. "With which physicians will I be collaborating most closely?"
d. "Who is the nursing assistant to whom I can refer patients?"
a. "Which community groups are at greatest risk for problems?"
The CHN working with women at the senior citizens' centre 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 the CHN doing?
a. Ensuring that the women do not expect the CHN 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
d. Helping the women engage in political action locally
Which activity is an example of the "advocate" role of the CHN?
a. Organizing home care support for a newly discharged older adult client
b. Acting as a member of a community action group for provision of accessible
transit choices
c. Doing prenatal assessments
d. Facilitating a self-help group for smoking cessation
b.Acting as a member of a community action group for provision of accessible
transit choices
In which scenario is the PHN most comprehensively fulfilling collaborative practice
responsibilities?
c. Giving care to schoolchildren at the school clinic and to the children's families
d. Treating paediatric patients at an outpatient clinic
a. Assessing the services and effectiveness of the school health clinic
Which public health service best represents primary prevention?
a. Developing a health education program about the dangers of smoking
b. Providing a diabetes clinic for adults in low-income neighbourhoods
c. Providing an influenza vaccination program in a community retirement village
d. Teaching school-aged children about the positive effects of exercise
c.Providing an influenza vaccination program in a community retirement village
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What term is used interchangeably with the term subpopulations?
a. Groups
b. Aggregates
c. Clients
d. Communities
b. Aggregates
Which public health service best represents secondary prevention?
a. Administering the influenza vaccine to a community of seniors
b. Initiating an infant car seat safety screening program for parents in low-income housing
c. Starting a rehabilitation clinic for middle-aged adults residing in low-income housing
d. Setting up a support group for teenage mothers of infants with Down syndrome
b. Initiating an infant car seat safety screening program for parents in low-income housing
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
b. Upstream thinking
Which is a requirement for reaching the goal of "health for all"?
a. To fulfill provincial/territorial nursing requirements
b. To help fill up the necessary credit hours for graduation
c. To meet accreditation requirements
d. To understand the present and plan for tomorrow
d. To understand the present and plan for tomorrow
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
d. Religious orders, to care for the sick, poor, and neglected
The Industrial Revolution caused earlier caregiving approaches—where care was provided by
families, friends, and neighbours—to become inadequate because of constantly increasing
demand. Which situation also contributed to the inadequacy of caregiving approaches at this
time?
a. Ongoing wars, which caused frequent deaths and injuries
b. Horrific plagues that swept through Europe
c. Migration and urbanization
d. The need to pay caregivers
c. Migration and urbanization
- Which event most notably changed health care?
a. The creation of the discipline of nursing by Florence Nightingale
b. The formation of sisterhoods by nuns who gave care
c. The establishment of the Sisters of Mercy in Dublin
d. The formation of the Dames de la Charité by Saint Vincent de Paul
a. The creation of the discipline of nursing by Florence Nightingale
Eunice Dyke was a public health nursing pioneer in Canada. In which area did she play a key role at the beginning of the twentieth century?
a. Decentralization of public health nursing
b. Specialization of public health nursing
c. Inclusion of powerful citizens on health department boards to ensure adequate
funds to pay for care
Which argument was used to convince the Metropolitan Life Insurance Company to establish
the first community health nursing program for workers in 1909?
a. Creating such a service was the morally right thing to do.
b. Employing nurses directly would be less expensive than paying taxes to the city to provide nursing services.
c. Having the company's nurses make home visits would increase morale among workers.
d. Using PHNs would keep workers healthier, which would increase worker productivity.
d. Using PHNs would keep workers healthier, which would increase worker productivity.
What is the main achievement of the Community Health Nurses Association of Canada
(CHNAC)?
a. Licensed practical nurses (LPNs) as well as registered nurses (RNs) were allowed to join the association.
b. Nurses who were not PHNs were encouraged to join.
c. National standards of practice were developed.
d. A process was developed to choose the organization's leaders and officers.
c. National standards of practice were developed.
Following the release of the Romanow Report in 2002, which type of care was identified as the most rapidly growing area of community health care?
a. Home care
b. Community problems
c. Immunization
d. Women's issues
a. Home care
In which practice area were the first PHNs in Canada employed?
a. Healthy baby clinics
b. Outpost nursing
c. School health programs
d. Tuberculosis education, prevention, and treatment
d. Tuberculosis education, prevention, and treatment
The increasing complexity of societal needs and rapid changes in public health no longer allow for adequate time for on-the-job training and education. As a result, what is the current minimum level of educational preparation for a public health nurse?
a. Training as a registered practical nurse
b. Training as a registered nurse
c. A baccalaureate degree in nursing
d. A master of science degree in nursing
c. A baccalaureate degree in nursing
What is a core competency required of PHNs?
a. Advanced knowledge in the use of high-technology diagnostics
b. Familiarity with current life-support technology
c. Highly tuned skills for assessment of critically ill clients
d. Skill in developing policy and planning programs to improve health
d. Skill in developing policy and planning programs to improve health
A health centre administrator is in the process of hiring a new CHN. Which statement by a potential employee would raise the greatest concern for the employer?
a. "I like to be the only person working on a project because individual team members have their own ideas and plans, and the resulting debate slows progress."
b. "I prefer to work in teams because no single person has too much responsibility and the burden is shared."
c. "Teamwork is better than work done by individuals because teamwork incorporates different perspectives."
d. "Whether teamwork is better than work done by individuals depends on the nature of the work being performed."
a. "I like to be the only person working on a project because individual team
members have their own ideas and plans, and the resulting debate slows progress."
Which one of the following is a primary prevention activity for decreasing the incidence of
communicable diseases?
a. Identifying and treating clients in a clinic for sexually transmitted infections (STIs)
b. Partnering with school teachers to teach handwashing to elementary school children and observe their techniques
c. Providing case management services that link clients with communicable diseases to health care and community support services
d. Providing directly observed therapy (DOT) to clients with active tuberculosis (TB)
to mental health and community support services
d. Screening clients at high risk for mental disorders
c. Providing case management services that link clients with serious mental illnesses
Which of the following represents the main difference between parish nursing and all other
fields of nursing?
a. Affiliation with a church or congregation
b. Incorporation of spiritual aspects into nursing care
c. Provision of holistic nursing care
d. Residence within the community of service
a. Affiliation with a church or congregation
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."
b. "I incorporate pastoral care in my practice when I involve the pastor in ministering to the members of the congregation."
What is the central difference between home health care and other types of health care?
a. Home health care is individualized care for the client and family.
b. Home health care is provided in the client's environment.
c. Reimbursement for home health care is different from that of care provided in institutions.
d. Home health care focuses on community health.
b. Home health care is provided in the client's environment.
A CHN is part of a palliative consultation team that provides care for people living on the streets, in parks, or in shelters or who are unwilling or unable to come to the clinic, hospital, or hospice to receive end of life care. How can this type of nursing service be best classified?
a. Community-oriented nursing
b. Home health nursing
