Community Health Nursing: A Canadian Perspective (4th Edition) By Lynnette Leeseberg Stamler PhD RN FAAN
Community Health Nursing: A Canadian Perspective (4th Edition) By Lynnette Leeseberg Stamler PhD RN FAAN
Community Health Nursing, A Canadian Perspective, 5th Edition (Stamler, 2020), Chapter 1-33
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Community Health Nursing: A Canadian Perspective
(4th Edition) By Lynnette Leeseberg Stamler PhD RN
FAAN
The public health nurse (PHN) knows that he must approach a public health problem
with an understanding of the related underlying risk factors in order to develop
effective nursing interventions. He must also consider that these risk factors can be
either ______ based or ______ based.
a) Epidemic; population
b) Disease; individual
c) Individual; population
d) Intervention; government - ANSWER: a) Individual; population
If the international medical community was working to contain several worldwide
pandemics, they would look to the World Health Organization (WHO), which is:
a) Working to improve health and well being for the global population
b) The public health arm of the united nations
c) Working with nurses to promote public health interventions
d) All of the above - ANSWER: d) All of the above
The Institute of Medicine (IOM) stated in their report, The Future of the Public's
Health, that there are three core functions that society carries out to collectively
support the optimum conditions for public health. Which one of the following is not
one of these functions?
a) Assessment
b) Assurance
c) Prevention
d) Policy development - ANSWER: c) Prevention
With aging, there is an increase in noncommunicable (chronic) illness. The PHN
recognizes that an example of a noncommunicable illness is:
a) Heart disease
b) Severe acute respiratory syndrome (SARS)
c) HIV
d) Hepatitis - ANSWER: a) Heart disease
The obesity rate in a local neighborhood is partially the product of a limited access to
full service grocery stores and a lack of dedicated safe venues for exercise. This is an
example of issues related to the "upstream" determinants of public health that
contribute to the ecology of a community's health "downstream." The PHN
understands that upstream determinants include social relations, neighborhoods
and communities, institutions, and ____.
,a) Tertiary nursing interventions
b) Availability of medicine to treat disease
c) Increasing the number of primary care provider
d) Social and economic policies - ANSWER: d) Social and economic policies
A nursing instructor is giving a lecture on community participation in an ecological
public health system. She teaches that the benefits of this collaboration for
participants in the community's public health are that their efforts increase
effectiveness and productivity, empower the participants, strengthen social
engagement, and ____.
a) Increase the number of medical facilities
b) Decrease disease rates
c) Monitor childhood illnesses
d) Ensure accountability - ANSWER: d) Ensure accountability
Which layer of government is responsible for issuing quarantines during a
communicable disease outbreak?
a)State
b) Local
c) Federal
d) All of the above - ANSWER: b) Local
The nursing student is taught correctly that local health departments do not oversee
which of the following?
a) The surveillance of disease
b) Public sanitation and water supply
c) Licensing of local hospitals
d) Investigation of disease outbreaks - ANSWER: c) Licensing of local hospitals
The PHN recognizes that environmental science, epidemiology, biostatistics,
biomedical sciences, and ______ form the foundational subjects of public health.
a) Social and behavioral sciences
b) The humanities
c) Anthropology
d) economics - ANSWER: a) Social and behavioral sciences
If a PHN meets the PHN Core Competencies, he or she should be able to do which of
the following? Select all that apply
a) Work with corporations to create an emergency response program to bioterrorism
b) Create a financial plan for a clinic and manage the budget
c) Function as a medical doctor at a clinic if there is none
d) Understand the dietary restrictions of new immigrants
, e) Develop policy for handling a local quarantine - ANSWER: a) Work with
corporations to create an emergency response program to bioterrorism
d) Understand the dietary restrictions of new immigrants
e) Develop policy for handling a local quarantine
In 2011, the National Prevention Strategy released a plan to increase the number of
Americans who are healthy at every stage of life. Which of the following is not one of
the strategic directions included in the strategy?
a) Eliminating health disparities
b) Building healthy and safe community efforts
c) Increasing access to care
d) Empowering people to make healthy choices - ANSWER: c) Increasing access to
care
A nursing student is studying the seven priorities of the National Prevention Strategy.
The student correctly identifies which one of the following interventions as not
reflecting any of the seven priorities in this plan?
a) Conducting a smoking cessation clinic
b) Assisting low-income families to sign up for health-care insurance
c) Providing nutrition classes which offer weekly fill-in guides for grocery shopping
d) Building a health and exercise center in a hospital near the physical and
occupational therapy areas - ANSWER: b) Assisting low-income families to sign up for
health-care insurance
If a nurse is using the natural history of a disease to help develop a primary
prevention program for a specific disease, he or she would begin with:
a) Making sure that everyone in a certain area receives treatment.
b) Studying the continuum of the disease with a focus on the disease free state.
c) Looking at screening tools for identifying person who may have the disease.
d) Going to the autopsies of the patients who have died. - ANSWER: b) Studying the
continuum of the disease with a focus on the disease free state.
When a health-care provider offers nutritional health teaching on portions, patterns,
and choices, he or she is using which type of approach?
a) Ecological
b) Downstream
c) Upstream
d) Health promotion - ANSWER: b) Downstream
A school cafeteria is planning menus for the school year. They used the 2012
national law that calls for school lunch programs to have larger portions of fruits and
vegetables, less sodium, and no trans fats as their guide. This is an example of:
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