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    Exam Review

    1. Which report introduced the concept of health promotion?
      A)
      Epp Report
      B)
      Lalonde Report
      C)
      Black Report
      D)
      WHO Commission Report on Social Determinants
    2. Which type of prevention is exemplified by the administration of vaccines to promote child and adolescent health?
      A)
      Primary prevention
      B)
      Tertiary prevention
      C)
      Secondary prevention
      D)
      Both primary and secondary prevention
    3. In which of the following activities does the community health nurse (CHN) act in the role of a nurse epidemiologist?
      A)
      Evaluating the number of clients presenting with similar diseases
      B)
      Performing a physical assessment of an ill client
      C)
      Providing treatment and health education to a client with a disease
      D)
      Eliciting the health history of a client presenting with an illness
    4. Which of the following is an example of primary prevention?
      A)
      Screening of pregnant women for gestational diabetes
      B)
      Mammography to detect breast cancer
      C)
      Papanicolaou (Pap) tests to detect cervical cancer
      D)
      COVID-19 immunization clinics
    Page 1 of 5

    Exam Review

    1. Which main idea did Lalonde highlight in his report entitled A New Perspective in the Health of Canadians (1974)?
      A)
      The influence of biology, environment, and lifestyle on good health
      B)
      Access to health care and cost and quality of health care
      C)
      Appropriate legislation to control health care organizations
      D)
      Accessibility and health promotion
    2. What is the primary determining factor of poor health outcomes in women?
      A)
      Stress
      B)
      Feelings of powerlessness
      C)
      Lack of knowledge
      D)
      Poverty
    3. The Canadian Community Health Nursing Standards of Practice identifies a community health nurse (CHN)'s role as advocate in creating public policy, as supporter of community action to influence public policy, and as instrument for societal change. What is an example of a healthy public policy?
      A)
      Immunizations
      B)
      Behaviour change
      C)
      Marketing materials
      D)
      Crib/bed safety initiatives for infants and young children
    4. 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
    Page 2 of 5

    Exam Review

    1. In which of the following activities does the community health nurse (CHN) act in the role of a nurse epidemiologist?
      A)
      Eliciting the health history of a client presenting with an illness
      B)
      Performing a physical assessment of an ill client
      C)
      Providing treatment and health education to a client with a disease
      D)
      Evaluating the number of clients presenting with similar diseases
    2. 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 realize that the CHN herself cannot 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
    3. Which is the simplest definition of primary health care?
      A)
      It is based on a multidisciplinary group of health care providers working as a team.
      B)
      It provides essential care that is universally accessible to persons in a community and encourages self-management, self-reliance, and competence.
      C)
      It focuses on health promotion and disease prevention among those who can afford to engage in behaviours that facilitate them.
      D)
      It is based on local efforts to meet the Declaration of Alma-Ata, known as Health for All.
    4. In his document entitled Achieving Health for All: A Framework for Health Promotion, Epp supported a community and policy focus in health promotion. What did he recommend?
      A)
      Cooperating fully with the WHO member nations in implementing the plan internationally
      B)
      Denying that the goal of health is socially and economically productive lives for all citizens
      C)
      Taking actions that foster public participation
      D)
      Focusing primarily on disease prevention and health promotion in selected
    Page 3 of 5

    Exam Review

    1. During which phase would the CHN determine the ability of specific interventions to achieve an increase to at least 90% in the proportion of all pregnant women who receive first-trimester prenatal care?
      A)
      Assessment phase
      B)
      Planning phase
      C)
      Implementation phase
      D)
      Evaluation phase
    2. 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
    3. The community health nurse (CHN) who is working with clients at the senior citizens' centre notices that some clients can't get to programs as they don't have transportation. The nurse supports them in writing letters to their local city council representatives, requesting funding for a van pick-up service. What is the CHN doing?
      A)
      Demonstrating that she understands the client's concerns and needs
      B)
      Ensuring that the client's do not expect the CHN to do anything about their problem
      C)
      Helping the client's engage in political action locally
      D)
      Expressing empathy, support, and concern
    4. A health centre administrator is in the process of hiring a new community health nurse (CHN). Which statement by a potential employee would raise the greatest concern for the employer?
      A)
      "Whether teamwork is better than work done by individuals depends on the nature of the work being performed."
      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)
      "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."
    Page 4 of 5

    Exam Review

    1. Research demonstrates that exercise is important for general wellness and weight control. The community health nurse (CHN) can use this information to implement primary prevention by doing which of the following?
      A)
      Monitoring body mass index in children to identify elevations before they become difficult to manage
      B)
      Drafting policy for increases in noncompetitive physical activity programs
      C)
      Developing individualized exercise programs for overweight children
      D)
      Notifying parents or guardians of their child's height-weight scale in comparison with national norms
    2. What is the central difference between home health care and other types of health care?
      A)
      Home health care focuses on community health.
      B)
      Reimbursement for home health care is different from that of care provided in institutions.
      C)
      Home health care is only offered by Personal Support Workers.
      D)
      Home health care is provided in the client's environment.
    3. Which activity is an example of the "advocate" role of the community health nurse?
      A)
      Facilitating a self-help group for smoking cessation
      B)
      Doing prenatal assessments
      C)
      Acting as a member of a community action group for provision of accessible transit choices
      D)
      Organizing home care support for a newly discharged older client
    4. Which one of the following is a primary prevention activity for decreasing the incidence of communicable diseases?
      A)
      Providing directly observed therapy (DOT) to clients with active tuberculosis (TB)
      B)
      Providing case management services that link clients with communicable diseases to health care and community support services
      C)
      Identifying and treating clients in a clinic for sexually transmitted infections (STIs)
      D)
      Partnering with schoolteachers to teach handwashing to elementary school children and observe their techniques
    Page 5 of 5