(Test Bank) Community Health Nursing A Canadian Perspective

Stamler, 4

Nursing

Test Bank

4th Edition

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Test Bank for Community Health Nursing A Canadian Perspective, The downloadable file consists of 348 pages, and the total size of the file is 2.06 MB. Purchase now only for highly discounted price.

Author(s): Stamler

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1-1 Community Health Nursing A Canadian Perspective 4th Edition Stamler Test Bank Chapter 1: The History of Community Health Nursing in Canada Multiple Choice Questions 1. Who would a visiting nurse most likely work with in the early 1900s in Canada? a. Families who could afford to pay b. Poor and destitute families c. The community d. School children Correct Answer: b (page 6) 2. Which community health nursing specialty emerged in early 20th -century Canada to combat communicable disease, infant mortality, and childhood morbidity? a. Visiting nursing b. District nursing c. Private duty nursing d. Public health nursing Correct Answer: d (page 4) 3. In the early 20th century, health departments were dissolved after a local emergency was over. Which statement below characterizes the social attitude of the era? a. Public health was the responsibility of doctors b. Visiting nurses were responsible for community health c. The state was not responsible for health care d. Women should not be working outside of the family Correct Answer: c (page 3) 1-2 4. What was the primary reason for the establishment of school health programs? a. Prevent ill children from becoming dependent citizens b. Promote the health of all children c. Provide food for children who lived in poverty d. Treat sick children so they could work and contribute to the family income Correct Answer: b (page 4) 5. The earliest forms for healthcare in Canada were: a. The practices of Aboriginal people b. European settlers who were physicians c. The wives of surgeons d. The Grey Nuns Correct Answer: a (page 2) 6. were Canada’s first community nursing order who made significant contributions to providing access to health services, food, shelter, and education for the most vulnerable: a. The Victorian Order of Nurses b. The Grey Nuns c. Public Health Nurses d. School Nurses Correct Answer: b (page 3) 7. The dual mandate of doing charitable work and providing affordable nursing care was held by which agency? a. The Margaret Scott Nursing Mission b. The Victorian Order of Nurses c. Indian Health Services d. Public Health Services Correct Answer: b (page 4) 1-3 8. How were public health nurses and home visiting nurses different from nurses employed in other sectors of the healthcare system? a. They received less compensation for their services b. They were dependent on other health care professionals c. They required post-diploma training at a university d. They offered services to the elite living in urban districts Correct Answer: c (page 4) 9. Which of the following were the first two public health nursing specialties? a. TB nursing and school nursing b. Private duty nursing and TB nursing c. Home -visiting nursing and school nursing d. Outpost nursing and school nursing Correct Answer: a (page 4) 10. What was the role of the first public health nurses in Canada? a. To assess hygiene conditions in the home b. To conduct well baby clinics c. To promote breastfeeding of newborn infants d. To promote health of school children Correct Answer: d (page 4) 11. Which organization is credited for establishing well-baby clinics? a. The Grey Nuns b. The Victorian Order of Nurses c. The Red Cross d. Provincial Health Departments Correct Answer: c (page 5) 1-4 12. Why did public health programs have limited success in rural and isolated areas? a. There was a greater need for home care and midwifery b. There were many physicians in the rural areas c. There was higher need for health education and illness prevention d. Local health departments were situated in rural areas Correct Answer: a (page 6) 13. Which of the following roles best describes the work of the district and visiting nurse? a. They provided home visits and well-baby clinic services b. They provided bed-side nursing and health education c. They provided maternal child health programs d. They provided well-baby clinic services and health education Correct Answer: b (page 6) 14. How did publicly funded healthcare programs change the work of visiting nursing associations? a. The Victorian Order of Nurses took over public health programs b. Visiting nurses provided care to those who could not afford it c. Hospital admission became the norm for those requiring obstetrical care d. Chronically ill individuals no longer remained in community settings Correct Answer: c (page 7) 15. Military nursing requires the nurse to demonstrate which of the following competencies of community health nursing: a. A narrow vision b. Acute care health approaches c. The ability to adapt practice in diverse settings d. The ethical comportment to address simple conflicts that involve violence Correct Answer: c (page 7) 1-5 16. Which of the following types of community health nursing refers to nurses providing services in the most remote geographic locations? a. Visiting nursing b. Public health nursing c. Outpost nursing d. District nursing Correct Answer: c (page 7) 17. Which group played an important role in developing the social and healthcare services in smaller communities? a. The Victorian Order of Nurses b. The politicians c. District and visiting nurses d. Women volunteers Correct Answer: d (page 5) 18. What was the focus of the first group of public health officials in the early 20th century? a. Waste disposal and a safe water supply b. Health education and disease prevention c. Infant and child welfare d. Social welfare programs Correct Answer: c (page 5) 19. Which of the following programs were taken over by the health department as part of the process of consolidating all public health programs? a. School health programs b. Social welfare programs c. Well-baby programs d. Home visiting programs Correct Answer: a (page 5) 1-6 20. Which of the following organizations is viewed as Canada’s oldest and most experienced visiting nursing organization? a. The Red Cross b. The Victorian Order of Nurses c. The Grey Nuns d. Provincial health departments Correct Answer: b (page 9) 21. Early school -based initiatives involved which of the following activities? a. Immunizations at various ages b. Medical inspections of children followed by home visits c. Breakfast and lunch programs d. Sanitation and access to potable water Correct Answer: b (page 5) 22. How did the reduction in government spending in the 1980s and 1990s affect community health nurses? a. Increased funding for physical infrastructure b. Re-institutionalization of mental health patients c. Improved capacity to follow -up with patients with communicable diseases d. Reduced nursing positions Correct Answer: d (page 10) 23. In which year was the Community Health Nurses Association of Canada established? a. 1995 b. 2000 c. 1987 d. 1976 Correct Answer: c (page 11) 1-7 24. Which document continues to be recognized as a visionary document with recommendations for shifting resources and policy in the direction of primary health care, home healthcare, and health promotion, which nurses as key players in the system? a. The Alma -Ata Declaration b. The Ottawa Charter for Health Promotion c. The Medical Care Act d. The Romanow Commission’s report Correct Answer: d (page 11) 25. General public health nursing practice emerged from which type of nursing a. School nursing b. Visiting nursing c. Outpost nursing d. Home -visiting nursing Correct Answer: a (page 12) Short Answer Questions 26. Contrast the three sectors of nursing that existed in Canada in the 20th century. Correct Answer: Hospital nurses, private -duty nurses, and public health nurses (including visiting nurses). Differences in practice settings/locations, pay/funding, educational preparation, focus of care, types of clientele (page 4). 27. Discuss the role that women’s voluntee rism and leadership in communities played in the development of community health nursing. Correct Answer: They worked on community development, the made the development of healthcare services a priority; they lobbied local officials, served tea at child we lfare clinics, sewed layettes for destitute families, provided transportation, made referrals, raised funds, and enabled CHNs to fulfill their professional obligations to the fullest extent possible (page 4). 1-8 28. Discuss why local physicians so metimes did not support local public health programs Correct Answer: Because they feared that the PHNs would provide primary care and thus compete with them for both patients and income (page 5). 29. Discuss how increased government responsibility for the healthcare of Canadians had an impact on public health nursing. Correct Answer: Programs were expanded between 1940 and 1970; shift in focus from child health, immunization, and communicable disease c ontrol to a focus on decreasing morbidity and mortality from chronic diseases and injuries; increased demands on time for the early postpartum discharge home visiting program (page 9). 30. The early practice of community health nursing was generalist in nature, consisting of a comprehensive range of services, including home healthcare and health promotion. Why did community health nursing become specialized over time? Correct Answer: special ization occurred as a response to social, economic, and political forces, including the expanding knowledge of society (page 12). 2-1 Chapter 2: Financing, Policy, and Politics of Healthcare Delivery Multiple Choice Questions 1. Where was Canada’s first universal health insurance program implemented? a. Manitoba in 1957 b. Canada in 1967 c. Prince Edward Island in 1867 d. Saskatchewan in 1947 Correct Answer : d (page 18) 2. What was the purpose of the Canada Health Act (1984)? a. Provide the provinces with more legal authority b. Ban extra billing and user fees c. Establish a national drug plan d. Increase access to care based on ability to pay Correct Answer : b (page 18) 3. What Act has as its cornerstones publicly administered, comprehensive, universal, portable, and accessible? a. Hospital Insurances and Diagnostic Services Act b. Constitution Act c. Canada Health Act d. American Medicare Act Correct Answer : c (page 18) 2-2 4. What is one of the primary objectives of Canadian health care policy according to the Canada Health Act (1984)? a. Facilitate reasonable access to hospital care b. Protect the health care system from privatization c. Restore stable health care funding to the provinces d. Protect, promote, and restore the physical and mental well -being of the residents of Canada Correct Answer : d (page 19) 5. How has the Canada Health Act (1984) been successful in ensuring all Canadians have access to the health care they need? a. Creating specific mechanisms to ensure accountability and transparency b. Establishing criteria and conditions for insured health care ser vices that must be met before federal transfer of funds are made c. Penalizing provinces that do not comply with the public health aspects of the act d. Determining the extent to which each province and territory has satisfied the conditions and criteria of the Act Correct Answer : b (page 18) 6. Which model dominated public and political thinking about health during the time that the Canadian Medicare System was created in 1957? a. Healthy lifestyle model b. Socio -environmental model c. Biomedical model d. Health promotion model Correct Answer : c (page 19) 2-3 7. Which document was considered revolutionary by the global community and led to a reconceptualization of health promotion? a. The Lalonde Report b. The Declaration of Alma Ata c. The Ottawa Charter d. The Social Determinants of Health Correct Answer : a (page 20) 8. Who said, “The practice of healthcare has evolved. And despite efforts to keep pace, medicare has not.” a. Monique Begin, former Minister of Health b. Ralph Klein, former Premier of Alberta c. Justin Trudeau, Prime Minister of Canada d. Ray Romanow, Commissioner on the Future of Health Care Correct Answer : d (page 19) 9. How does Canada rank in the world with respect to healthcare? a. Canada has the lowest infant mortality rate in the world b. Canada’s universal coverage is more costly and less effective than the privatized U.S. health care system c. Canada’s life expectancy at birth ranks among the highest in the world d. Canada spends less than one -half as much per capita on healthcare than Japan Correct Answer : c (page 19) 2-4 10. What are the four determinants of health identified in the Lalonde Report (1974)? a. Socio -environmental, biomedical, disease prevention, and health promotion b. Gender, culture, working conditions, and education c. Biological, emotional, spiritual, and psychological d. Environment, lifestyle, human biology, and healthcare system Correct Answer : d (page 20) 11. What provided the basis for the Ottawa Charter? a. Epp Report b. Alma Ata Declaration c. Canada Health Act d. British North America Act Correct Answer : a (page 20) 12. What is involved in a system that focuses on primary care? a. People accessing health care services at the first point of contact b. Health education, proper nutrition, and disease prevention c. Health protection, health promotion, and disease prevention d. Accessible, affordable, and acceptable health care Correct Answer : a (page 22) 13. In which province do Family Health Teams deliver primary health care? a. Quebec b. Nova Scotia c. Ontario d. British Columbia Correct Answer : c (page 22) 2-5 14. Who funds public health in Canada? a. Provinces and municipalities b. Municipalities c. Federal government d. Provincial and federal government Correct Answer : a (page 23) 15. Which of the following is a challenge of public health in Canada? a. There is decreased complexity and increased funding b. While funding is decreasing, it is still adequate c. Public health infrastructure was constructed d. There is disparity in human resources among provinces Correct Answer : d (page 23) 16. Which services have been steadily growing in Canada over the past 35 years? a. Public health b. Acute care c. Home care d. Long term care Correct Answer : c (page 24) 17. Mr. Jones lives in Ontario and requires home care nursing and support services. Who would deliver these services? a. Social services branch of the department of health b. Local public health units c. Agency contracted by the Local Health Integration Network d. Local health authority Correct Answer : c (page 25) 2-6 18. Role clarity has been identified as an issue for community health nurses. What is a component of role clarity? a. Understanding the role of other health care professionals b. Sharing a common language to describe the role c. Leadership development d. Access to specialized expertise Correct Answer : b (page 25) 19. What would help community health nurses to be valued more by other health care professionals? a. To be able to describe their role with confidence b. Quality supervision and management c. Access to ongoing education and training d. Stronger leadership in the area Correct Answer : a (page 25) 20. Which of the following is identified as attributes of nurse leaders that contribute to effectiveness: a. Avoiding risk taking b. Organizational ability c. Social awareness d. Comfort with routines Correct Answer : c (page 28) 21. Within a context of community health nursing practice, which organizational supports positively influence practice? a. A work environment that disestablishes leadership b. A work environment that devalues unique contribution of staff c. A work environment that has unstable funding d. A work environment that has access to resources Correct Answer : d (page 29) 2-7 22. Transformational leadership practices include which of the following? a. Building relationships and trust b. Creating disempowering work environments c. Creating a culture that supports knowledge stasis d. Avoiding taking any risks Correct Answer : a (page 28) 23. Professionals working in health service organizations with strong leadership demonstrate which of the following? a. Lower levels of organizational effectiveness b. Decreased organizational commitment c. Increased ability to lead a stagnant workforce d. Greater sense of affiliation with organizational goals Correct Answer : d (page 28) 24. Which of the following personal resources are necessary for developing and sustaining leadership? a. Personal identity b. Leadership expertise c. Community attributes d. Family supports Correct Answer : b (page 28) 25. What is one way to strengthen collaborative leadership at the national level? a. Promoting community health solutions across sectors b. Creating an empowering work environment c. Cultivating personal supports d. Willingness to be risk averse Correct Answer : a (page 29)